바이러스 감염에 대한 면역반응 = Immune Responses to Viral Infection

다국어 초록 (Multilingual Abstract)

Viruses are obligate intracellular parasites which cause infection by invading and replicating within cells. The immune system has mechanisms which can attack the virus in extracellular and intracellular phase of life cycle, and which involve both non-specific and specific effectors. The survival of viruses depends on the survival of their hosts, and therefore the immune system and viruses have evolved together. Immune responses to viral infection may be variable depending on the site of infection, the mechanism of cell-to-cell spread of virus, physiology of the host, host genetic variation, and environmental condition. Viral infection of cells directly stimulates the production of interferons and they induce antiviral state in the surrounding cells. Complement system is also involved in the elimination of viruses and establishes the first line of defence with other non-specific immunity. During the course of viral infection, antibody is most effective at an early stage, especially before the virus enters its target cells. The virus- specific cytotoxic T lymphocytes are the principal effector cells in clearing established viral infections. But many viruses have resistant mechanism to host immune responses in every step of viral infection to cells. Some viruses have immune evasion mechanism and establish latency or persistency indefinitely. Furthermore antibodies to some viruses can enhance the disease by the second infection. Immune responses to viral infection are very different from those to bacterial infection. (Immune Network 2004;4(2):73-80)

국문 초록 (Abstract)

바이러스는 세포 내 절대 기생체로서 세포에 침투하여 복제하여 증식한다. 면역계는 바이러스가 세포 밖에 존재하는 시기와 세포 내에 있는 시기 모두 공격을 할 수 있으며, 비특이적으로나 특이적인 반응을 보인다. 바이러스의 궁극적인 생존은 숙주의 생존 여부에 달려 있으므로 숙주의 면역체계와 바이러스는 상호 진화하여 왔다. 바이러스 감염에 대한 면역반응은 감염부위, 세포 간 바이러스의 전파기전, 숙주의 생리학적 상태, 유전적 소인과 환경요인에 따라 매우 다양하게 나타난다. 바이러스 감염은 인터페론의 생산을 유도해서 항바이러스 상태를 유발하고, 보체의 작용 등 선천면역에 의해 일차적으로 방어된다. 항체는 감염 초기 단계에 바이러스가 표적세포에 침투하기 전에는 매우 효과적으로 항바이러스 기능을 발휘한다. 확립된 바이러스 감염을 제거하고 완결시키는 데는 세포독성 T 림프구가 결정적인 역할을 한다. 그러나 바이러스는 이와 같은 단계별 숙주의 방어기전에 대항하는 기전을 갖고 있어서 바이러스에 따라서는 평생 숙주의 몸에서 잠복 또는 지속 감염을 이루게 된다. 한편 면역반응이 형성된 경우에 재감염이 되면 오히려 증상을 악화시키는 경우도 있는 등 바이러스 감염에 대한 면역반응의 특성은 다른 세균 등의 면역반응과 상당히 다른 점이 있다.

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