空肠弯曲菌致吉兰-巴雷综合征的检测技术研究进展

The research progress on detection techniques for Campylobacter jejuni-induced Guillain-Barré syndrome

  • 摘要: 吉兰-巴雷综合征( GBS)是一种急性炎症性脱髓鞘性多发性神经病,临床主要表现为对称性四肢无力和感觉障碍,严重患者可出现呼吸肌麻痹,甚至危及生命。空肠弯曲菌是一种微需氧的革兰阴性弯曲短杆菌,为全球范围内感染性腹泻的常见病原菌,也被认为是GBS最重要的前驱感染病原体之一,对人类健康构成重大威胁。GBS的发病机制涉及空肠弯曲菌脂多糖表位与宿主神经节苷脂之间的分子模拟,进而引发针对周围神经的免疫损伤。本文就空肠弯曲菌致GBS的分子机制和检测技术进展进行综述,为空肠弯曲菌的精准防控提供科学依据。

     

    Abstract: Guillain-Barré syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy clinically characterized by symmetrical limb weakness and sensory disturbances. Severe cases may develop respiratory muscle paralysis, potentially becoming life-threatening. Campylobacter jejuni (C. jejuni) is a microaerophilic, Gram-negative, curved short rod bacterium. As a common etiologic agent of infectious diarrhea globally, it is also recognized as the most critical pathogen associated with antecedent infections in GBS, posing a substantial threat to human health. The pathogenesis of GBS involves molecular mimicry between C. jejuni lipopolysaccharide epitopes and host gangliosides, which in turn elicits immune-mediated damages to the peripheral nervous system. This review summarizes the molecular mechanisms underlying GBS induced by C. jejuni, as well as recent advances in C. jejuni detection technologies, so as to provide a scientific evidence-based proof for C. jejuni precise control and prevention.

     

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