全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

维生素D与儿童肺炎支原体肺炎的相关性研究进展
Research Progress on the Relationship between Vitamin D and Mycoplasma Pneumoniae Pneumonia in Children

DOI: 10.12677/ACM.2022.123344, PP. 2387-2392

Keywords: 维生素D,肺炎支原体肺炎,儿童,免疫调节
Vitamin D
, Mycoplasma Pneumoniae Pneumonia, Children, Immune Regulation

Full-Text   Cite this paper   Add to My Lib

Abstract:

肺炎支原体肺炎是儿科的常见病和多发病,其发病机制可能与肺炎支原体直接黏附和感染后机体免疫功能紊乱、炎症反应有关,并可引起多种肺内外并发症。随着肺炎支原体肺炎发病率逐年升高,耐药现象越来越明显,且难治性肺炎支原体肺炎(refractory Mycoplasma pneumoniae pneumonia, RMPP)及重症肺炎支原体肺炎(severe Mycoplasma pneumonia pneumonia, SMPP)的报道不断增加,对其早期识别和探索有效的防治措施对预后具有重要意义。近年来,维生素D的免疫调节作用得到广泛关注,维生素D缺乏或不足在儿童中呈高发态势,现就维生素D与儿童肺炎支原体肺炎的相关研究进行归纳、总结。
Mycoplasma pneumoniae pneumonia is a common and frequently-occurring disease in pediatrics. Its pathogenesis may be related to the direct adhesion of Mycoplasma pneumoniae, immune dysfunction and inflammatory response after infection, which can cause a variety of internal and external complications. With the increasing incidence of Mycoplasma pneumoniae pneumonia, the phenomenon of drug resistance is becoming more and more obvious, and refractory Mycoplasma pneumoniae pneumonia (RMPP) and severe Mycoplasma pneumoniae pneumonia (SMPP) are increasing year by year. It seriously damages the physical and mental health of children. Early identification and exploration of effective preventive measures are of great significance to prognosis. In recent years, the nutritional status of vitamin D and its immune regulation in children have received great attention. Vitamin D deficiency or insufficiency is common in children. The related research on vitamin D and MPP in children are summarized.

References

[1]  余丽丽, 赵德育. 肺炎支原体肺炎发病机制研究进展[J]. 中国实用儿科杂志, 2017, 32(3): 234-238.
[2]  Waites, K.B., Xiao, L., Liu, Y., Balish, M.F. and Atkinson, T.P. (2017) Mycoplasma pneumoniae from the Respiratory Tract and beyond. Clinical Microbiology and Researchv, 30, 747-809.
https://doi.org/10.1128/cmr.00114-16
[3]  Kumar, S. (2018) Mycoplasma pneumoniae: A Significant but Underrated Pathogen in Paediatric Community-Acquired Lower Respiratory Tract Infections. The Indian Journal of Medical Research, 147, 23-31.
https://doi.org/10.4103/ijmr.ijmr_1582_16
[4]  Sassi, F., Tamone, C. and D’Amelio, P. (2018) Vitamin D: Nutrient, Hormone, and Immunomodulator. Nutrients, 10, Article No. 1656.
https://doi.org/10.3390/nu10111656
[5]  Carlberg, C. and Campbell, M.J. (2013) Vitamin D Receptor Signaling Mechanisms: Integrated Actions of a Well-Defined Transcription Factor. Steroids, 78, 127-136.
https://doi.org/10.1016/j.steroids.2012.10.019
[6]  Wei, Z., Yoshihara, E., He, N., Hah, N., Fan, W., Pinto, A.F.M., et al. (2018) Vitamin D Switches BAF Complexes to Protect β Cells. Cell, 173, 1135-1149.e15.
https://doi.org/10.1016/j.cell.2018.04.013
[7]  Zhang, Y.G., Wu, S. and Sun, J. (2013) Vitamin D, Vitamin D Receptor, and Tissue Barriers. Tissue Barriers, 1, Article ID: e23118.
https://doi.org/10.4161/tisb.23118
[8]  张巧, 符州, 田代印. 儿童难治性肺炎支原体肺炎发病机制及治疗研究进展[J]. 儿科药学杂志, 2019, 25(6): 61-63.
[9]  窦寅菡. 重症肺炎支原体肺炎患儿的免疫功能变化研究进展[J]. 国际儿科学杂志, 2020, 47(7): 457-459.
[10]  Yang, M., Meng, F., Gao, M., Cheng, G. and Wang, X. (2019) Cytokine Signatures Associate with Disease Severity in Children with Mycoplasma pneumoniae Pneumonia. Scientific Reports, 9, Article No. 17853.
https://doi.org/10.1038/s41598-019-54313-9
[11]  庄华东, 李威, 王春艳, 卢瑞华, 刘君辉, 孟繁峥. 二代测序法分析儿童肺炎支原体肺炎肺泡灌洗液中Th1/Th2的平衡[J]. 中国生物制品学杂志, 2018, 31(2): 200-204+209.
[12]  屠昌明, 田园. 支原体肺炎患儿外周血Th17, Treg细胞亚群和细胞因子表达及CRP, PCT水平的研究[J]. 现代检验医学杂志, 2019, 34(4): 108-111.
[13]  李志萍, 陈惠军, 常绍鸿, 娄莹, 韩子明. 儿童支原体肺炎的Th17/Treg细胞平衡变化及Notch信号通路作用研究[J]. 中华医院感染学杂志, 2020, 30(7): 1048-1052.
[14]  Guo, H., He, Z., Li, M., Wang, T. and Zhang, L. (2016) Imbalance of Peripheral Blood Th17 and Treg Responses in Children with Refractory Mycoplasma pneumoniae Pneumonia. Journal of Infection and Chemotherapy, 22, 162-166.
https://doi.org/10.1016/j.jiac.2015.12.006
[15]  Fan, H., Lu, B., Yang, D., Zhang, D., Shi, T. and Lu, G. (2019) Distribution and Expression of IL-17 and Related Cytokines in Children with Mycoplasma pneumoniae Pneumonia. Japanese Journal of Infectious Diseases, 72, 387-393.
https://doi.org/10.7883/yoken.jjid.2019.113
[16]  Wang, X., Chen, X., Tang, H., Zhu, J., Zhou, S., Xu, Z., et al. (2016) Increased Frequency of Th17 Cells in Children with Mycoplasma pneumoniae Pneumonia. Journal of Clinical Laboratory Analysis, 30, 1214-1219.
https://doi.org/10.1002/jcla.22005
[17]  李欣, 王关涛, 吴振起. 炎症因子对肺炎支原体肺炎患儿影响的Meta分析[J]. 海南医学院学报, 2019, 25(24): 1878-1885+1892.
[18]  王字举, 闫丹丹, 王红, 尹艳秋, 赵学良. 儿童肺炎支原体肺炎血清25-(OH)D_3水平的研究[J]. 中国实验诊断学, 2019, 23(7): 1148-1150.
[19]  曹正. 肺炎支原体肺炎患儿外周血中25羟维生素D、IL-17及IL-10的表达和意义[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2020.
[20]  傅卓, 付俊鲜, 杨光路. 儿童肺炎支原体肺炎外周血血清维生素A、D、E的变化及相关性[J]. 内蒙古医科大学学报, 2020, 42(5): 495-496+519.
[21]  刘金, 闫虹, 陈小庚, 程菲. 儿童血清维生素A、D、E水平与肺炎支原体肺炎相关性的临床研究[J]. 中国儿童保健杂志, 2018, 26(1): 97-99.
[22]  Meng, F., Chen, P., Guo, X., Li, X., Wu,Y., Liu, W., et al. (2021) Correlations between Serum P2X7, Vitamin A, 25-hydroxy Vitamin D, and Mycoplasma pneumoniae Pneumonia. Journal of Clinical Laboratory Analysis, 35, Article ID: e23760.
https://doi.org/10.1002/jcla.23760
[23]  张娟, 田伟, 代宝春, 张俊民, 王雅坤, 刘秀珍. 肺炎支原体肺炎患儿血清维生素D水平及其对免疫功能的影响[J]. 儿科药学杂志, 2020, 26(1): 4-6.
[24]  任彦红, 陈丹, 张广超, 郭青, 沈照波, 孙晓敏. 血清25羟维生素D、YKL-40检测在诊治儿童难治性支原体肺炎中的临床意义[J]. 医学研究杂志, 2019, 48(2): 121-126.
[25]  叶晓蕾, 郦银芳, 殷佩玲. 肺炎支原体肺炎伴喘息儿童血清25(OH)D3水平与血清IL-10、VEGF水平及肺功能的相关性[J]. 标记免疫分析与临床, 2017, 24(10): 1108-1111.
[26]  刘艳芹, 王玉珍, 高翠云. 肺炎支原体肺炎患儿血清维生素A、维生素D水平变化及临床意义[J]. 中国临床研究, 2020, 33(5): 669-671+675.
[27]  苏乐, 梅玲华, 贺巧峰. 肺炎支原体肺炎患儿血清维生素D水平与肺外脏器受累的相关性研究[J]. 中国儿童保健杂志, 2019, 27(7): 782-785.
[28]  刘冬妹, 吴红丽, 李兰, 王秀明, 韩颖. 肺炎支原体肺炎患儿血清腺嘌呤核苷酸离子通道型7、维生素D表达水平与疾病严重程度的关系[J]. 中国医刊, 2020, 55(4): 446-449.
[29]  王亚洲, 何鹏, 王丹虹, 林秋玉, 罗海伶. 儿童支原体肺炎感染Th17/Treg平衡及IL-6/ STAT3、IL-2/STAT5通路影响[J]. 中华医院感染学杂志, 2020, 30(7): 1043-1047.
[30]  Zhu, J. (2018) T Helper Cell Differentiation, Heterogeneity, and Plasticity. Cold Spring Harbor Perspectives in Biology, 10, Article ID: a030338.
https://doi.org/10.1101/cshperspect.a030338
[31]  叶明仪, 陈伟忠, 王宇. 维生素D联合阿奇霉素佐治支原体肺炎疗效分析[J]. 中国医药科学, 2017, 7(10): 31-34.
[32]  章淑敏, 王红. 维生素D联合阿奇霉素治疗儿童支原体肺炎的效果、安全性分析及对免疫炎症的影响[J]. 中国妇幼保健, 2020, 35(10): 1846-1849.
[33]  陈燕媚, 周继昌. 维生素D对免疫系统作用机制的研究进展[J]. 营养学报, 2020, 42(3): 301-307.
[34]  Carvalho, J.T.G., Schneider, M., Cuppari, L., Grabulosa, C.C., Aoike, D.T., Redublo, B.M.Q., et al. (2017) Cholecalciferol Decreases Inflammation and Improves Vitamin D Regulatory Enzymes in Lymphocytes in the Uremic Environment: A Randomized Controlled Pilot Trial. PLoS ONE, 12, Article ID: e0179540.
https://doi.org/10.1371/journal.pone.0179540
[35]  Zhang, Z., Chen, F., Li, J., Luo, F., Hou, T., Xu, J., et al. (2018) 1,25(OH)2D3 Suppresses Proinflammatory Responses by Inhibiting Th1 Cell Differentiation and Cytokine Production through the JAK/STAT Pathway. American Journal of Translational Research, 10, 2737-2746.
[36]  Moore, J.R., Hubler, S.L., Nelson, C.D., Nashold, F.E., Spanier, J.A. and Hayes, C.E. (2018) 1,25-Dihydroxyvitamin D3 Increases the Methionine Cycle, CD4+ T Cell DNA Methylation and Helios+Foxp3+ T Regulatory Cells to Reverse Autoimmune Neurodegenerative Disease. Journal of Neuroimmunology, 324, 100-114.
https://doi.org/10.1016/j.jneuroim.2018.09.008
[37]  曹正, 余蓉, 薛冰, 王建荣. 骨化三醇对肺炎支原体肺炎患儿Th17/Treg失衡的干预作用[J]. 医学研究杂志, 2019, 48(12): 111-114.
[38]  张惠敏. 维生素D联合阿奇霉素佐治儿童肺炎支原体肺炎的临床研究[D]: [硕士学位论文]. 遵义: 遵义医科大学, 2020.
[39]  安娜, 赵宜乐, 张古英, 安志华. 2010-2020年中国健康儿童维生素D水平的Meta分析[J]. 中国儿童保健杂志, 2021, 29(10): 1109-1114.
[40]  苏晶莹, 陈先睿, 林刚曦. 中国大陆儿童维生素D营养状况的Meta分析[J]. 中国全科医学, 2021, 24(32): 4126-4136.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133