ǰÑÔ
½áºË²¡(tuberculosis£¬TB)ÊÇÒ»ÖÖÑÏÖØÎ£º¦ÈËÀ࿵½¡µÄÂýÐÔѬȾ²¡£¬ÏÖÔÚÈ«ÇòÓÐÔ¼20ÒÚÈ˱»Ñ¬È¾£¬Ã¿ÄêзºÆð½áºË²¡»¼ÕßÔ¼800Íò¡«1000Íò£¬Ã¿ÄêÒò½áºË²¡éæÃüÈËÊýԼΪ200Íò¡«300Íò¡£TBÊÇÓɽáºË·ÖÖ¦¸Ë¾ú(Mycobacterium tuberculosis,MTB)ÒýÆðµÄºôÎüµÀѬȾÐÔ¼²²¡£¬¿ÉÀÛ¼°È«Éí¶àÆ÷¹Ùϵͳ£¬×î³£¼ûµÄ»¼²¡²¿Î»ÊÇ·ÎÔ࣬ռ¸÷Æ÷¹ÙTB×ÜÊýµÄ80%~90%£¬Ò²¿ÉÒÔÀÛ¼°¸Î¡¢Éö¡¢ÄÔ¡¢ÁÜͶºÏµÈÆ÷¹Ù¡£MTBÖ÷Ҫͨ¹ýºôÎüµÀÈö²¥¡£Ô˶¯ÆÚ·Î½áºË»¼ÕßµÄ̵Һ¸ÉÔïºó£¬Ï¸¾úËæ»Ò³¾·ÉÑ±»ËûÈËÎüÈëÒ²¿ÉÒýÆðѬȾ£¬ÈËÌåÎüÈ뺬ÓÐMTBµÄ·ÉÄÊÇ·ñ»¼²¡Ö÷ÒªÓÉÎüÈë½áºË¾úµÄÊýÄ¿¡¢¶¾Á¦¡¢ÈËÌåµÄ¶Ô¿¹Á¦µÈ¶àÖÖÒòËØÓйء£
TB¶¯ÎïÄ£×ÓµÄÖÆ±¸ºÍÓ¦ÓÿÉÒÔ»ñµÃTB±¬·¢ºÍÉú³¤ÖеÄÒ»Ð©ÌØÕ÷£¬ÈçTBѬȾºóÒýÆðµÄÃâÒßÓ¦´ðÒÔ¼°¶Ô²¡ÔµÄÏà¹ØÑо¿¡£±ðµÄ£¬±ê×¼»¯µÄ¶¯ÎïÄ£×Ó»¹¿ÉÓ¦ÓÃÓÚÐÂÑÐÖÆÒßÃçµÄÆÀ¼ÛÒÔ¼°ÊÓ²ìÐÂÒ©Îï¶ÔTBµÄÖÎÁÆÐ§¹û¡£Æ¾Ö¤¶¯ÎïÄ£×ÓȪԴºÍÓ¦ÓùæÄ££¬MTB¶¯ÎïÄ£×Ó¿É·ÖΪDZÔÚѬȾ¶¯ÎïÄ£×Ӻͼ±ÐÔѬȾ¶¯ÎïÄ£×ÓÁ½´óÀà¡£
MTBDZÔÚѬȾÊÇMTB¸´ºÏȺѬȾºóµÄÒ»ÖÖÑÇ ÁÙ´²×´Ì¬£¬ÎÞÁÙ´²Ö¢×´¡¢ÎÞϸ¾úѧÒÀ¾Ý¡¢ÎÞ·ÅÉä¼ì²éÕ÷Ïó¡¢½áºË¾úËØ´¿ÂѰ×ÑÜÉúÎï(PPD)ƤÊÔÑôÐÔ¡£Ç±ÔÚѬȾ²î±ðǧ¼±ÐÔѬȾ£¬²¡ÒòÖØ´ó£¬²¡³Ì³¤£¬ÏÖÔÚ¶ÔǧMTB½øÈëDZÔÚÆÚµÄ»úÖÆÒÔ¼°ÔÙ¼¤»¯µÄÔµ¹ÊÔÓÉÖªÖ® ÉõÉÙ£¬Ò»¸öÖ÷ÒªµÄÔµ¹ÊÔÓÉÊÇȱ·¦±ê×¼»¯µÄDZÔÚѬȾ¶¯ÎïÄ£×Ó£¬¶ÔÄ£×ӵķ´Ó¦ÐÔȱ·¦×¼È·¡¢¿Í¹Û¡¢Ñ¸ËÙµÄÆÀ¼ÛÖ¸±ê¡£
²¿·ÖÔìÄ£ÒªÁì
ʹÓö¯ÎСÊó
¡¾ÔìÄ£»úÖÆ¡¿£º
Ñо¿Õß¶ÔMTBDZÔÚѬȾģ×Ó״̬µÄ½ç˵Ϊ£º·Î¡¢Æ¢×éÖ¯ºã¾Ãά³ÖÒ»¶¨µÄºÉ¾úе£¬ÎÞÁÙ´²Ö¢×´£¬·Î×éÖ¯ÎÞÏÔ×Ų¡Àíѧ¸Ä±ä£¬²»±¬·¢×ÔÖ÷»î»¯£¬¿ÉÓÕµ¼»î»¯Ñ¬È¾±¬·¢¡£µÍ¾úÁ¿Ñ¬È¾Ä£×ÓÊÇÓÃÒ»¶¨¾úÖ²µÄMTB¾úÒº¾²î±ð;¾¶Ñ¬È¾Ð¡ÊóËùÖ£¬µÍ¾úÁ¿Ñ¬È¾Ä£×ÓÎÞ¿¹½áºËÒ©ÎïµÄÓ°Ï죬ģÄâÁË×ÔȻ״̬ÏÂÈËÌåѬȾMTBºóDZÔÚѬȾµÄÌØÕ÷£¬¿ØÖÆÑ¬È¾´¿´âÒÀÀµËÞÖ÷µÄÃâÒßÓ¦´ðÀú³Ì¡£
¡¾ÔìÄ£ÒªÁì¡¿£º
¸¹Ç»»ò¾²Âö;¾¶ÒÔ4.2xlOÈÊ105CFU H37Rv¶¾ÖêѬȾСÊ󣬸ÃÄ£×ÓDZÔÚѬȾ״̬¿ÉÒ»Á¬107ÖÜ£¬Ç⻯¿ÉµÄËÉ¿ÉÓÕµ¼TB¸´·¢¡£3¸öÔ·Î×éÖ¯ÖÐMTBά³ÖÔÚ3~4¸öÊýÄ¿¼¶(1×103~104 CFU)Æ÷¹ÙºÉ¾úÁ¿¡£5~10 CFU ErdmanÖêÒÔÆøÈܽº×´Ì¬¾±ÇѬȾСÊó½¨ÉèÍíÄêÐÔMTBDZÔÚѬȾ»î»¯ Ä£×Ó¡£1x 103CFU ErdmanÖêͿĨÔÚСÊó±ÇÖܽ¨ÉèСÊóMTBDZÔÚѬȾģ×Ó£¬´Ì¼¤ÏÂÇðÄÔ£´¹Ìå£ÉöÉÏÏÙÖáʹDZÔÚѬȾ»î»¯£¬²¢ÒÔ¸ÃÄ£×ÓΪ»ù´¡¶ÔMTB DZÔÚ¡¢»î»¯Ñ¬È¾µÄÃâÒßѧ»úÖÆ¾ÙÐÐÁËһϵÁÐÑо¿¡£
¡¾ÔìÄ£ÌØµã¡¿£º
µÍ¾ú×îСÊóÄ£×ӵĽ¨ÉèÓëѬȾ¾úÁ¿¡¢Í¾¾¶µÄÑ¡ÔñÇ×½üÏà¹Ø£¬Í³Ò»Í¾¾¶²î±ð¾úÁ¿»òÏàͬ¾ú´é²î±ð;¾¶Ñ¬È¾ËùµÃµÄЧ¹ûÊDzî±ðµÄ¡£ÓÉ Ç§¾úÁ¿µÄ¼¸¶àÓëMTBµÄÖ²¡Á¦¡¢ËÞÖ÷ÃâÒßÓ¦´ðµÄ ÓÐÓý¨ÉèÒÔ¼°²î±ðѬȾ;¾¶Éæ¼°²î±ðµÄ¿¹ÔµÝ³Ê ϸ°ûÓйأ¬Òò´ËMTBѬȾµÄ×îÖÕЧ¹û²î±ð¡£µÍ¾ú Á¿Ñ¬È¾Ä£×ÓÎÞ¿¹½áºËÒ©ÎïµÄÓ°Ï죬MTBÔڽϳ¤µÄʱ ¼äÄÚά³ÖÁËÒ»¸ö½ÏµÍµÄºÉ¾úˮƽ£¬Ä£ÄâÁË×ÔȻ״̬ÏÂÈËÌåѬȾMTBºó»ºÂý·¢²¡µÄÀú³Ì£¬ÊÇDZÔÚѬȾ µÄÓÅÒìÄ£×Ó¡£
²Î¿¼ÎÄÏ×£º
1.ʦ³¤ºê£¬ÐìÖ¾¿£¬·¶ÐÛÁÖ£®½áºË·ÖÖ¦¸Ë¾úѬȾµÄ¶¯ÎïÄ£×Ó£®ÍâÑóҽѧ£¨Î¢ÉúÎïѧ·Ö²á£©£¬2004,27 (4):31-34
2.ɽºÓ£¬ÖìµÀÒø£®½áºË·ÖÖ¦¸Ë¾úDZÔÚÐÔѬȾ±¬·¢ÆøÖƵÄÑо¿Ï£Íû. ÍâÑóҽѧ£¨Î¢ÉúÎïѧ·Ö²á£©£¬2003, 26 (1):31-33
3.ºî½ºñ£¬Àîçù£¬Â½ÓµÈ£®ÃâÒßÖÆ¼Á¸¨ÖúÖÎÁÆÄͶàÒ©½áºË·ÖÖ¦¸Ë¾úѬȾ¶¯ÎïÄ£×ӵįðÔ´Ñо¿£®Öлª½áºËºÍºôÎüÔÓÖ¾£¬2012, 35 (12):911-914
4.Ahmad Z, Fraig MM, Pinn M L, el al. Effectiveness of tuberculosis chemotherapy correlales with resistance lo Mycobacterium tuberculosis infection in animal models. J Antimicrob Chemother,2011,66(7): 1560-1566
5.Converse PJ, Karakousis PC, KѪkenberg LG,et al. Role of Lhe dosR-dosS two-componenl regulatory system in Mycobaclerium Luberculosis virulence in Lhree animal models. Infect Immun, 2009,77 (3):1230-] 237
6.Hu Y, Henderson B, Lund P A, et al. A Mycobacterium tuberculosis mulant lacking the groEL homologue cpn60. I is viable bul fails to induce an inflammatory response in animal models of infection. Infect lmmun, 2008, 76 (4):1535-1546
7.Rivas-Santiago B, Castaneda-Delgado JE£¬Rivas Santiago CE,el al. Ability of innate defence regulator peptides IDR-1002, IDR-HH2 and lDR-1018 Lo prolect againsl Mycobaclerium tuberculosis infections in animal models. PLoS One,2013,8 (3):e59 119