Kroegel C, Virchow J C, Kortsik C, Matthys H
Department of Pneumology, Albert Ludwigs University, Medical Clinic, Freiburg, Germany.
Respir Med. 1992 Sep;86(5):375-89. doi: 10.1016/s0954-6111(06)80004-1.
Understanding of the pathogenesis of asthma has increased considerably during the past few years. These advances were possible through scientific progress in three areas which contribute to this complex and multifaceted disease: (a) the much clearer understanding of eosinophil function; (b) the defining of lipid mediators in tissue inflammation and bronchial obstruction; and (c) the growing knowledge about the biological action of a new class of protein hormones, collectively called cytokines. In line with this, evidence has accumulated of how these components may interact with each other in providing the basis of inflammatory processes in asthma. Hence it seems appropriate to review the potential implications of this new information for the pathogenesis and therapy of this disease.
在过去几年中,对哮喘发病机制的理解有了显著提高。这些进展得益于三个领域的科学进步,这三个领域共同促成了这种复杂且多方面的疾病:(a)对嗜酸性粒细胞功能有了更清晰的认识;(b)明确了组织炎症和支气管阻塞中的脂质介质;(c)对一类新的蛋白质激素(统称为细胞因子)的生物学作用有了越来越多的了解。与此相符的是,关于这些成分如何在哮喘炎症过程的基础中相互作用的证据不断积累。因此,回顾这些新信息对该疾病发病机制和治疗的潜在影响似乎是合适的。