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IL-17 and infections
IL-17 e infecciones
Y. Linga,b, A. Puela,b,c,
Corresponding author
anne.puel@inserm.fr

Corresponding author.
a Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM 1163, Paris, France
b Imagine Institute, University Paris Descartes, Paris, France
c St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, the Rockefeller University, New York, NY, USA
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        "titulo" => "IL-17 e infecciones"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">IL-17 immunity has been shown to be essential for mucocutaneous protection against <span class="elsevierStyleItalic">Candida albicans</span> in mice and humans&#46; However&#44; mice with defective IL-17 immunity display broader susceptibility&#44; as they are also prone to infections with diverse infectious agents at various sites&#46; Humans with genetic defects affecting their IL-17 immunity usually suffer from chronic mucocutaneous candidiasis &#40;CMC&#41;&#58; recurrent or persistent infections of the skin&#44; nails&#44; and mucosae with <span class="elsevierStyleItalic">C&#46; albicans</span>&#44; with or without other clinical signs&#46; Most patients with autosomal dominant &#40;AD&#41; hyper-IgE syndrome &#40;HIES&#41; due to STAT3 deficiency or AD STAT1 gain-of-function display impaired IL-17-producing T-cell development&#44; and CMC is one of their principal clinical manifestations&#46; Similarly&#44; patients with autosomal recessive &#40;AR&#41; autoimmune polyendocrine syndrome type 1 &#40;APS-1&#41; caused by AIRE deficiency have high levels of neutralizing autoantibodies against IL-17A&#44; IL-17F and&#47;or IL-22 and present CMC as their only infectious disease&#46; Finally&#44; CMC is the main clinical phenotype observed in patients with inborn errors specifically affecting IL-17 immunity&#46; Indeed&#44; patients with AD IL-17F deficiency or AR IL-17RA or ACT1 deficiency display CMC and&#44; to a lesser extent&#44; superficial staphylococcal diseases&#46; <span class="elsevierStyleItalic">Candida</span> infection was recently reported in psoriasis patients treated with anti-IL-17A antibodies&#46; Careful monitoring for CMC is thus important during anti-IL-17 treatment&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha demostrado que la inmunidad IL-17 es esencial para la protecci&#243;n mucocut&#225;nea contra la <span class="elsevierStyleItalic">Candida albicans</span> en ratones y humanos&#46; Independientemente&#44; los ratones con inmunidad IL-17 defectuosa muestran una susceptibilidad m&#225;s amplia&#44; de modo que tambi&#233;n son propensos a infecciones por diversos agentes infecciosos en varios lugares&#46; Los humanos con defectos gen&#233;ticos que afectan su inmunidad IL-17 habitualmente padecen candidiasis mucocut&#225;nea cr&#243;nica &#40;CMC&#41;&#58; infecciones cut&#225;neas recurrentes o persistentes de u&#241;as y mucosas por <span class="elsevierStyleItalic">C&#46; albicans</span>&#44; con o sin otros signos cl&#237;nicos&#46; Muchos pacientes con s&#237;ndrome de hiper IgE autos&#243;mico dominante &#40;AD-HIES&#41; debido a deficiencia STAT3 o a aumento de funci&#243;n AD STAT1 muestran un desarrollo da&#241;ado de c&#233;lulas T productoras de IL-17 y la CMC es una de sus principales manifestaciones&#46; De igual manera&#44; los pacientes con s&#237;ndrome poliendocrino autoinmune tipo 1 recesivo autos&#243;mico &#40;AR-APS-1&#41; causado por deficiencia de AIRE &#40;regulador autoinmune&#41; presentan altos niveles de anticuerpos neutralizantes contra IL-17A&#44; IL-17F y&#47;o IL-22 y padecen CMC como su &#250;nica enfermedad infecciosa&#46; Finalmente&#44; la CMC es el principal fenotipo cl&#237;nico observado en pacientes con errores innatos&#44; espec&#237;ficamente aquellos que afectan la inmunidad IL-17&#46; De hecho&#44; los pacientes con deficiencia AD IL-17F o deficiencia IL-17RA o ACT1 presentan CMC y&#44; en menor medida&#44; enfermedades estafiloc&#243;cicas superficiales&#46; Se ha informado recientemente CMC en pacientes tratados con anticuerpos anti-IL-17A&#46; Es importante el control cuidadoso de la CMC en estos pacientes durante el tratamiento con anti-IL-17A&#46;</p>"
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Article information
ISSN: 00017310
Original language: English
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