Iron in Respiratory Immunity and Infection.

IF 6.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL QJM: An International Journal of Medicine Pub Date : 2026-04-08 DOI:10.1093/qjmed/hcag090
Anthony W Martinelli, Ruaraidhrí Jordan, Sophia Wugk, James A Nathan, Suzanne M Cloonan
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Abstract

Iron is essential for the survival of both humans and pathogens, creating intense competition for the metal during infection. Whilst hosts seek to restrict access to iron via nutritional immunity, microbes including bacteria, viruses, and fungi have adapted unique mechanisms to acquire it. The lungs function as a key battleground in this contest, with local iron homeostasis mediated by tissue-resident alveolar macrophages. Systemic iron status-either overload or deficiency-also dictates the efficacy of innate and adaptive immunity, thus directly influencing the outcomes of respiratory disease. This review will examine our current understanding of the host-iron-pathogen axis in the lung, as well as consider how it could be exploited to improve health outcomes in respiratory infection.

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铁在呼吸道免疫和感染中的作用。
铁对人类和病原体的生存都至关重要,在感染期间对铁的争夺非常激烈。当宿主试图通过营养免疫限制铁的获取时,包括细菌、病毒和真菌在内的微生物已经适应了独特的机制来获取铁。肺功能是这场竞争的关键战场,局部铁稳态由组织内肺泡巨噬细胞介导。全身铁状态——无论是超载还是缺乏——也决定了先天免疫和适应性免疫的功效,从而直接影响呼吸系统疾病的结果。这篇综述将检查我们目前对肺中宿主-铁-病原体轴的理解,并考虑如何利用它来改善呼吸道感染的健康结果。
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来源期刊
CiteScore
6.90
自引率
5.30%
发文量
263
审稿时长
4-8 weeks
期刊介绍: QJM, a renowned and reputable general medical journal, has been a prominent source of knowledge in the field of internal medicine. With a steadfast commitment to advancing medical science and practice, it features a selection of rigorously reviewed articles. Released on a monthly basis, QJM encompasses a wide range of article types. These include original papers that contribute innovative research, editorials that offer expert opinions, and reviews that provide comprehensive analyses of specific topics. The journal also presents commentary papers aimed at initiating discussions on controversial subjects and allocates a dedicated section for reader correspondence. In summary, QJM's reputable standing stems from its enduring presence in the medical community, consistent publication schedule, and diverse range of content designed to inform and engage readers.
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