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Erschienen in: Der Internist 2/2016

01.02.2016 | Zytokine | Schwerpunkt: Tuberkulose

Immunität gegen Mycobacterium tuberculosis

verfasst von: A. Nowag, PD Dr. P. Hartmann

Erschienen in: Die Innere Medizin | Ausgabe 2/2016

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Zusammenfassung

Auf die Infektion mit Mycobacterium tuberculosis (MTB) folgt eine komplexe Immunantwort, die durch ein distinktes Zusammenspiel von angeborenen und adaptiven Komponenten und Mechanismen des Immunsystems charakterisiert ist. Warum die Immunantwort auf MTB nicht zur anhaltenden Eliminierung der Erreger führt, sondern bestenfalls eine stabile Kontrolle der Infektion im Stadium der latenten Infektion erreicht, ist auch über 100 Jahre nach der Entdeckung von MTB durch Robert Koch noch nicht abschließend geklärt. Diese Übersichtsarbeit stellt einen Paradigmenwechsel vor, der voraussetzt, dass sich MTB in der latenten Phase der Infektion keineswegs in einem Ruhezustand befindet und dass die latente Tuberkulose nicht lediglich einen Zustand der bakteriellen Stase beschreibt, sondern ein dynamisches und immunologisches Äquilibrium darstellt, dessen detailliertes Verständnis für die Entwicklung neuer wirksamer Antibiotika und Vakzinekandidaten unverzichtbar ist.
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Metadaten
Titel
Immunität gegen Mycobacterium tuberculosis
verfasst von
A. Nowag
PD Dr. P. Hartmann
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Die Innere Medizin / Ausgabe 2/2016
Print ISSN: 2731-7080
Elektronische ISSN: 2731-7099
DOI
https://doi.org/10.1007/s00108-015-0016-4

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