Immune disturbances in acute pyelonephritis. Part I
DOI: https://dx.doi.org/10.18565/urology.2019.5.144-149
M.N. Shatokhin, A.I. Konoplya, I.M. Kholimenko, V.I. Besprozvanniy, M.Yu. Mavrin
1) Russian Medical Academy of Postgraduated Education of Ministry of Health of Russia, Urological Center of the Scientific Clinical Center of Russian Railways, Moscow, Russia; 2) Kursk State Medical University, Kursk, Russia; 3) I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
In the part I of a literature review of modern national and foreign publications dedicated to the problem of immune disorders in acute pyelonephritis, information on the role of innate and adaptive immunity in the pathogenesis of acute pyelonephritis is summarized and systematized. The relationship between the pathogens and immune system, in particular the ability of pathogens to overcome the protective immune mechanisms are discussed. The role of neutrophilic granulocytes as well as cellular immunity in the pathogenesis of acute pyelonephritis is shown. The changes in level of pro- and anti-inflammatory cytokines are separately highlighted. In conclusion, perspective directions for the studies in the area of immune disorders in acute pyelonephritis are proposed.
About the Autors
Corresponding author: M.N. Shatokhin – professor at the Department of Endoscopic Urology of Russian Medical Academy of Postgraduated Education, Moscow, Russia; e-mail: sh.77@mail.ru
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