Immune genetic pre-conditions of collagen metabolism disorders in tuberculosis
Abstract
Почему при прочих равных условиях (возраст, пол, национальность, социальный статус, заражение одним и тем же штаммом микобактерий и т. п.) у одного человека может развиться ограниченный туберкулез с преимущественно пролиферативными реакциями, а у другого – распространенный с выраженным казеозным компонентом? В обоих случаях тяжесть течения заболевания будет обусловлена особенностями макроорганизма, то есть состоянием иммунной системы больного и наличием у него сопутствующих заболеваний. В связи с тем, что адекватность иммунного ответа обусловлена в том числе и генотипом конкретного пациента, для выявления взаимосвязи полиморфизмов генов с частотой развития определенных заболеваний и тяжестью их течения все шире проводят исследования генома человека. В отечественной фтизиатрии фундаментальные исследования в области экспериментальной иммуногенетики в основном направлены на определение генов, контролирующих восприимчивость к туберкулезной инфекции [1, 4-6, 8, 10]. Так как образование казеозного некроза и фиброзирование – неизбежные спутники туберкулеза, и чем более выражено первое, тем массивнее будет впоследствии второе, то неизбежен интерес к выяснению иммуногенетических особенностей коллагенового обмена при данной инфекции. В таблице представлены данные разных авторов по преобладанию определенных аллель/гаплотипов у больных туберкулезом и здоровых лиц среди коренного населения разных стран.
About the Authors
L. G. Tarasova
Astrakhan State Medical University
Russian Federation
Astrakhan
Russian Federation
Astrakhan
E. N. Strel'tsova
Astrakhan State Medical University
Russian Federation
Astrakhan
Russian Federation
Astrakhan
B. I. Kantemirova
Astrakhan State Medical University
Russian Federation
Astrakhan
Russian Federation
Astrakhan
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Tarasova L.G., Strel'tsova E.N., Kantemirova B.I. Immune genetic pre-conditions of collagen metabolism disorders in tuberculosis. Tuberculosis and Lung Diseases. 2015;(11):4-9. (In Russ.)
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