The Immunology of Epstein-Barr Virus-Induced Disease.

Autor: Taylor, Graham S., Long, Heather M., Brooks, Jill M., Rickinson, Alan B., Hislop, Andrew D.
Předmět:
Zdroj: Annual Review of Immunology; Mar2015, Vol. 33, p787-821, 28p
Abstrakt: Epstein-Barr virus (EBV) is usually acquired silently early in life and carried thereafter as an asymptomatic infection of the B lymphoid system. However, many circumstances disturb the delicate EBV-host balance and cause the virus to display its pathogenic potential. Thus, primary infection in adolescence can manifest as infectious mononucleosis (IM), as a fatal illness that magnifies the immunopathology of IM in boys with the X-linked lymphoproliferative disease trait, and as a chronic active disease leading to life-threatening hemophagocytosis in rare cases of T or natural killer (NK) cell infection. Patients with primary immunodeficiencies affecting the NK and/or T cell systems, as well as immunosuppressed transplant recipients, handle EBV infections poorly, and many are at increased risk of virus-driven B-lymphoproliferative disease. By contrast, a range of other EBV-positive malignancies of lymphoid or epithelial origin arise in individuals with seemingly intact immune systems through mechanisms that remain to be understood. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index