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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Allergy</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Allergy</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский Аллергологический Журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1810-8830</issn><issn publication-format="electronic">2686-682X</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">768</article-id><article-id pub-id-type="doi">10.36691/RJA768</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Osobennosti sekretornogo immunitetazheludochno-kishechnogo trakta</article-title><trans-title-group xml:lang="ru"><trans-title>Особенности секреторного иммунитетажелудочно-кишечного тракта</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Agafonov</surname><given-names>Viktor Evgen'evich</given-names></name><name xml:lang="ru"><surname>Агафонов</surname><given-names>Виктор Евгеньевич</given-names></name></name-alternatives><bio xml:lang="ru"><p>НИИ вакцин и сывороток им. И.И. Мечникова РАМН, г. Москва</p></bio><email>agafonov-ve@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Il'intseva</surname><given-names>N V</given-names></name><name xml:lang="ru"><surname>Ильинцева</surname><given-names>Н В</given-names></name></name-alternatives><bio xml:lang="ru"><p>НИИ вакцин и сывороток им. И.И. Мечникова РАМН, г. Москва</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gervazieva</surname><given-names>V B</given-names></name><name xml:lang="ru"><surname>Гервазиева</surname><given-names>В Б</given-names></name></name-alternatives><bio xml:lang="ru"><p>НИИ вакцин и сывороток им. И.И. Мечникова РАМН, г. Москва</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">НИИ вакцин и сывороток им. И.И. Мечникова РАМН, г. Москва</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2011-02-15" publication-format="electronic"><day>15</day><month>02</month><year>2011</year></pub-date><volume>8</volume><issue>1</issue><issue-title xml:lang="en">NO1 (2011)</issue-title><issue-title xml:lang="ru">№1 (2011)</issue-title><fpage>14</fpage><lpage>24</lpage><history><date date-type="received" iso-8601-date="2020-03-10"><day>10</day><month>03</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2011, Pharmarus Print Media</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2011, Фармарус Принт Медиа</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="en">Pharmarus Print Media</copyright-holder><copyright-holder xml:lang="ru">Фармарус Принт Медиа</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2013-03-15"/></permissions><self-uri xlink:href="https://rusalljournal.ru/raj/article/view/768">https://rusalljournal.ru/raj/article/view/768</self-uri><abstract xml:lang="ru"><p>В обзоре описаны структура и функции слизистой оболочки желудочно-кишечного тракта (ЖКТ), основные компоненты слизистого барьера, включая иммуноглобулины, муцины и антимикробные пептиды.
Отмечена роль комменсальной микрофлоры. Рассмотрена структура лимфоидной ткани кишечника
(GALT), ее основные клеточные элементы, осуществляющие надзор врожденного иммунитета за гомеостазом в слизистой оболочке ЖКТ и контролирующие оральную толерантность. Представлены иммунорегуляторы адоптивного иммунного ответа (Th1, Th2 и Th17), ответственные за срыв толерантности,
развитие пищевой аллергии, аутоиммунитета и хронического воспаления кишечника.</p></abstract><kwd-group xml:lang="en"><kwd>GALT</kwd><kwd>Th1</kwd><kwd>Th2</kwd><kwd>Th17</kwd><kwd>Tregs</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>слизистая оболочка кишечника</kwd><kwd>дендритные клетки</kwd><kwd>эффекторы врожденного иммунитета слизистой</kwd><kwd>толерантность</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Хаитов P.M., Пинегин Б.В. Иммунная система ЖКТ: особенности строения и функционирования в норме и патологии. Иммунология. 1997, № 5, с. 4-7.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Нестерова И.В., Швыдченко И.Н. Особенности строения и функционирования иммунной системы желудочно- кишечного тракта. Аллергология и иммунология. 2002, т. 3, № 2, с. 282-292.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Mayer L. Mucosal Immunity. Pediatrics. 2003, III, р. 1595- 1600.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Macdonald T.T., Elliott M.B., Pender S.L.F. T-cells orchestrate intestinal mucosal shape and integrity. Immunol. Today. 1999, v. 20 (11), p. 505-510.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Deplancke B., Gaskins H.R. Microbial modulation of innate defense: goblet cells and the intestinal mucus layer. Am. J. Clin. Nutr. 2001, v. 73, p. 1131-1141.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Hershberg R.M., Mayer L.F. Antigen processing and presentation by intestinal epithelial cells: polarity and complexity. Immunol. Today. 2000, v. 21, p. 123-128.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Bourges D., Chevaleyre C., Wang C. et al. Differential expression of adhesion molecules and chemokines between nasal and small intestinal mucosae: implications for T- and sIgA+ B-lymphocyte recruitment. Immunology. 2007, v. 122 (4), p. 551-561.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Cunningham-Rundles C. Physiology of IgA and IgA deficiency. J. Clin. Immunol. 2001, v. 3, p. 1021-1035.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Blum S., Alvares S., Haller D. Intestinal microflora and the interaction with immunocompetent cells. Antonie van Leewenhoek. 1999, v. 16, p. 199-205.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Пикина А.П., Постникова Е.А., Сафронова А.И., Ефимов Б.А. Сравнительный анализ качественного и количественного состава микрофлоры кишечника у клинически здоровых детей раннего возраста, проживающих в домашних условиях и в домах ребенка. Вестник РГМУ. 2003, № 4, c. 46-52.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Хромова С.С., Ефимов Б.А., Тарабрина Н.П. и соавт. Иммунорегуляция в системе микрофлора - интестинальный тракт. Аллергология и иммунология. 2004, т. 5, № 2, с. 265-271.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Spahn T.W., Weiner H.L., Rennert P.D. et al. Mesenteric lymph nodes are critical for the induction of high-dose oral tolerance in the absence of Peyer's patches. Eur. J. Immunol. 2002, v. 32, p. 1109-1113.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Лебедев К.А., Понякина И.Д. Конфликт организма человека с его микрофлорой. Физиол. человека. 2006, т. 32, № 2, с. 224-235.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Byesdorfer C.A., Dipaolo R.J. Petzold S.J., Unanue E.R. Following immunization antigen becomes concentrated in a limited number of APCs including B-cells. J. Immunol. 2004, v. 173, p. 6627-6634.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Hamada H., T. Hiroi T.Y., Nishiyama T. et al. Identification of multiple isolated lymphoid follicles on the anti-mesenteric wall of the mouse small intestine. J. Immunol. 2002, v. 168, p. 57-64</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Jang M.H., Kweon M.N., Iwatani K. et al. Intestinal villous M-cells: an antigen entry site in the mucosal epithelium. Proc. Natl. Acad. Sci. USA. 2004, v. 101, p. 6110-6115.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Spahn T.W., Fontana A., Faria A.M. et al. Induction of oral tolerance to cellular immune responses in the absence of Peyer's patches. Eur. J. Immunol. 2001, v. 31, p. 1278-1287.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Worbs T., Bode U., Yan S., Hoffmann M.W. et al. Oral tolerance originates in the intestinal immune system and relies on antigen carriage by dendritic cells. J. Exp. Med. 2006, v. 203 (3), p. 519-527.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Dotan I., Mayer L. Immunopathogenesis of inflammatory bowel disease. Curr. Opin. Gastroenterol. 2002, v. 18, p. 421-431.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Хаитов P.M. Физиология иммунной системы. М., ВИНИТИ РАН. 2001, 223 c.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Ярилин А.А. Основы иммунологии. М., «Медицина». 1999, 668 с.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Menager-Marcq I., Pomie C., Ramagnoli P., van Meerwijk J.P. CD8+CD28 regulatory T lymphocytes prevent experimental inflamatory bowel disease in mice. Gastroenterology. 2006, v. 131 (6), p. 1776-1786.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Хаитов Р.М., Игнатьева Г.А., Сидорович И.Г. Иммунология. 2000, 430 с.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Graff J.Ch. Comprehensive transcriptional profiling of γδT-cells. A thesis. Montana State University. Bozeman. Montana. 2005, p. 1-95.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Bagriacik E.U., Okabe M., Klein J.R. Origin of intestinal intraepithelial lymphocytes: direct evidence for a thymus-derived γδT-cell component. Immun. Lett. 2000, v. 75, p. 77-83.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Bukowski J.F., Vtorita C.T., Brenner M.B. Human γδT-cells recognize alkylamines derived from microbes, edible plants: implications for innate immunity. Immunity. 1999, v. 11, p. 57-65.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Groh V., Steinle A., Bauer S., Spies T. Recognition of stressinduced MHC molecules by intestinal γδT-cells. Science.1998, v. 279, p. 1737-1740.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Reschner A., Hubert P., Delvenne P. et al. Innate lymphocyte and dendritic cell cross-talk: a key factor in the regulation of the immune response. Clin. Exp. Immunol. 2008, v. 152, p. 2-10.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Cerovic V., McDonald V., Nassar M.A. et al. New insights into the roles of dendritic cells in intestinal immunity and tolerance. Int. Rev. Cell. Mol. Biol. 2009, v. 272, p. 33-105.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Shakhar G., Lindquist R.L., Skokos D. et al. Stable T-cell dendritic cell interactions precede the development of both tolerance and immunity in vivo. Nat. Immunol. 2005, v. 6, p. 707-714.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Rescigno M., Sabatino A. Dendritic cells in intestinal homeostasis and disease. J. Clin. Invest. 2009, v. 119, 9, p. 2441- 2450.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Sanos S.L., Diefenbach A. Isolation of NK-cells and NK-like cells from the intestinal lamina propria. Methods Mol. Biol. 2010, v. 612, p. 505-517.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Wells J.M., Loonen L.M., Karczewski J.M. The role of innate signaling in the homeostasis of tolerance and immunity in the intestine. Int. J. Med. Microbiol. 2010, v. 300 (1), p. 41-48.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Chehade M., Mayer L. Oral tolerance and its relation to food hypersensitivities. J. Allergy Clin. Immunol. 2005, v. 115 (1), p. 3-12.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Weiner H.I. Oral tolerans, an active immunological process mediated by multiple mechanisms. J. Clin. Invest. 2000, v. 106, p. 935-937.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Mowat A.M., Parker L.A., Beacock-Sharp H. et al. Oral tolerance: overview and historical perspectives. Ann. NY. Acad. Sci. 2004, v. 1029, p. 1-8.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Allez H., Mayer L. Regulatory T-cells: peace keeper in the gut. Inflam. Bowel Dis. 2004, v. 10 (5), p. 666-676.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Qiao M., Thornton A.M., Shevach E.M. CD4+ CD25+ regulatory T-cells render naive CD4+ CD25- T-cells anergic and suppressive. Immunology. 2007, v. 120, p. 447-455.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Makita S., Kanai T., Nemoto Y. et al. Intestinal lamina propria retaining CD4+CD25+ regulatory T-cells is a suppressive site of intestinal inflammation. Immunol. 2007, v. 178 (8), p. 4937-4946.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Yan X., Liu Z., Chen Y. Regulation of TGF-beta signaling by Smad7. Acta Biochem. Biophis. Sin (Shangha). 2009, v. 41 (4), p. 263-272.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Fantini M.C., Rizzo A., Fine D. et al. Smad7 controls resistance of colitogenic T-cells to regulatory T-cell-mediated suppression. Gasstroenterology. 2009, v. 136 (4), p. 1308-1316.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Shevach E.M., McHugh R.S., Piccirillo C.A., Thornton A.M. Control of N cell activation by CD4+CD25+ suppressor T-cells. Immunol. Rev. 2001, v. 182, p. 58067.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Roncaloro M.G., Gregori S., Battaglia M. et al. Interleukin- 10-secreting type 1 regulatory T-cells in rodents and humans. Immunol. Rev. 2006, v. 212, p. 28050.</mixed-citation></ref><ref id="B44"><label>44.</label><mixed-citation>Weiner H.L. Oral tolerance: immune mechanisms and the generation of Th3-type TGFβ-secreting regulatory cells. Microbes. Infect. 2001, v. 3, p. 947-954.</mixed-citation></ref><ref id="B45"><label>45.</label><mixed-citation>Tsuji N.M., Mizumachi K., Kurisaki J. Antigen-specific, CD4+CD25+ regulatory T-cell clones induced in Peyers patches. Int. Immunol. 2003, v. 15 (4), p. 525-534.</mixed-citation></ref><ref id="B46"><label>46.</label><mixed-citation>Mi-Na Kweon, Kiyono H. CD40L in autoimmunity and mucisal induced tolerance. J. Clin. Invest. 2002, v. 109, No. 2, p. 171-173.</mixed-citation></ref><ref id="B47"><label>47.</label><mixed-citation>So J.S., Lee C.G., Kwon H.K. et al. Lactobacillus casei potentiates induction of oral tolerance in experimental arthritis. Mol. Immunol. 2008, v. 46 (1), p. 172-180.</mixed-citation></ref><ref id="B48"><label>48.</label><mixed-citation>Janeway C.A.J., Medzhitov R. Innate immune recognition. Ann. Rev. Immunol. 2002, v. 20, p. 197-216.</mixed-citation></ref><ref id="B49"><label>49.</label><mixed-citation>Ivanov I.I., Brent S. Mckenzie. et al. The Orphan Nuclear Receptor RORγt Directs the Differentiation Program of Proinflammatory IL-17+ Th-cells. Cell. 2006, v. 126, p. 1121-1133.</mixed-citation></ref><ref id="B50"><label>50.</label><mixed-citation>Matsuzaki G., Umemura M. Interleukin-17 as a effector molecule of innate and acquired immunity against infection. Microbiol. Immunol. 2007, v. 51 (12), p. 1139-1147.</mixed-citation></ref><ref id="B51"><label>51.</label><mixed-citation>Kleinschek M.A., Boniface K., Sadekova S. et al. Circulating and gut-resident human Th17-cells express CD161 and promote intestinal inflammation. J. Exp. Med. 2009, v. 206, p. 525-534.</mixed-citation></ref><ref id="B52"><label>52.</label><mixed-citation>Aujla S.J., Dubin P.J., Kolls J.K. Th17-cells and mucosal host defense. Semin. Immunol. 2007, v. 19 (6), p. 377-382.</mixed-citation></ref><ref id="B53"><label>53.</label><mixed-citation>Turvey S.E., Hawn T.R. Towards subtlety: understanding the role of Toll-like receptor signaling in susceptibility to human infections. Clin. Immunol. 2006, v. 120, p. 1-9.</mixed-citation></ref><ref id="B54"><label>54.</label><mixed-citation>Dziarski R., Gupta D. Staphylococcus aureus Peptidoglycan Is Toll-Like Receptor 2 Activator: a Reevaluation. Infect. Immun. 2005, v. 73, No. 8, p. 5212-5216.</mixed-citation></ref><ref id="B55"><label>55.</label><mixed-citation>Doyle S.E., O'Connell R., Vaidya S.A. et al. Toll-like receptor 3 mediates a more potent antiviral response than toll-like receptor 4. J. Immunol. 2003, v. 170, p. 3565-3571.</mixed-citation></ref><ref id="B56"><label>56.</label><mixed-citation>Heng-Fu Bu, Xiao Wang, Yi Tang et al. Toll-like receptor 2-mediated peptidoglycan uptake by immature intestinal epithelial cells from apical side and exosome-associated transcellular transcytosis. J. cell. Physiol. 2010, v. 222, p. 658-668.</mixed-citation></ref><ref id="B57"><label>57.</label><mixed-citation>Akira S., Takeda K. Toll-like receptor signalling. Nat. Rev. Immunol. 2004, v. 4, p. 499-511.</mixed-citation></ref><ref id="B58"><label>58.</label><mixed-citation>Jonsson K., Guo B.P., Monstein H.J. et al. Molecular cloning and characterization of two Helicobacter pylori genes coding for plasminogen-binding proteins. Proc. Natl. Acad. Sci. USA. 2004, v. 10 (7), p. 1852-1857.</mixed-citation></ref><ref id="B59"><label>59.</label><mixed-citation>О роли антимикробных пептидов в механизмах врожденного иммунитета кишечника человека. Клинические перспективы гастроэнтерологии, гепатологии. 2004, № 3, c. 2-9.</mixed-citation></ref><ref id="B60"><label>60.</label><mixed-citation>Diamond G., Beckloff N., Weinberg A., Kisich K.O. The roles of antimicrobial peptides in innate host defense. Curr. Pharm. Des. 2009, v. 15 (21), p. 2377-2392.</mixed-citation></ref><ref id="B61"><label>61.</label><mixed-citation>Wu T., Tanguay R.M. Antibodies against heat shock proteins in environmental stresses and diseases: friend or foe? Cell Stress Chaperones. 2006, v. 11 (1), p. 1-12.</mixed-citation></ref><ref id="B62"><label>62.</label><mixed-citation>Ganeshan K., Neilsen C.V., Hadsaitong A. et al. Impairing oral tolerance promotes allergy and anaphylaxis: a new murine food allergy model. J. Allergy Clin. Immunol. 2009, v. 123, p. 231-238.</mixed-citation></ref><ref id="B63"><label>63.</label><mixed-citation>Meresse B., Ripoche J., Heyman M., Cerf-Bensussan N. Celiac disease: from oral tolerance to intestinal inflammation, autoimmunity and lymphomagenesis. Mucosal. Immunol. 2009, v. 2, p. 8-23.</mixed-citation></ref><ref id="B64"><label>64.</label><mixed-citation>Berin M.C., Mayer L. Immunophysiology of experimental food allergy. Mucosal. Immunology. 2009, v. 2, p. 24-32.</mixed-citation></ref><ref id="B65"><label>65.</label><mixed-citation>Scurlock A.M., Burks A.W., Jones S.M. Oral immunotherapy for food allergy. Curr. Allergy Asthma Rep. 2009, v. 9 (3), p. 186-193.</mixed-citation></ref><ref id="B66"><label>66.</label><mixed-citation>Vickery B.P., Burks A.W. Immunotherapy in the treatment of food allergy: focus on oral tolerance. Curr. Opin. Allergy Clin. Immunol. 2009, v. 9 (4), p. 364-370.</mixed-citation></ref><ref id="B67"><label>67.</label><mixed-citation>Schuppan D., Junker Y., Barisani D. Celiac disease: from pathogenesis to novel therapies. Gastroenterology. 2009, v. 137 (6), p. 1912-1933.</mixed-citation></ref><ref id="B68"><label>68.</label><mixed-citation>Festen E.A., Szperl A.M., Weersma R.K. et al. Inflammatory bowel disease and celiac disease: overlaps in the pathology and genetics, and their potential drug targets. Endocr. Metab. Immune Disord. Drug Targets. 2009, v. 9 (2), p. 199-218.</mixed-citation></ref><ref id="B69"><label>69.</label><mixed-citation>Pacciani V., Gregori S., Chini L. et al. Induction of anergic allergen-specific suppressor T-cells using tolerogenic dendritic cells derived from children with allergies to house dust mites. J. Allergy Clin. Immunol. 2010, v. 125 (3), p. 727-736.</mixed-citation></ref></ref-list></back></article>
