Brunetti Giuseppe, Pignatti Patrizia
Divisione di Pneumologia Riabilitativa, Fondazione Salvatore Maugeri, IRCCS Istituto Scientifico, Pavia.
Recenti Prog Med. 2007 Feb;98(2):90-6.
Idiopathic pulmonary fibrosis (IPF) is a progressive and irreversible lung disease characterized by fibrosis in the lung parenchyma and collagen deposition leading to respiratory failure. Different etiopathogenetic hypothesis have been formulated during the last years and many studies recently published demonstrated that in most of processes suggested for the onset and the development of IPF, chemokines and chemokine receptors are involved. Dysregulated expression of chemokines and their receptors during inflammatory processes might also alter the equilibrium between angiostatic and angiogenic processes leading to neovascularization in the lung tissue. Studies on chemokines/chemokine receptors could shed light on the mechanisms involved in IPF and draw new therapeutic strategies to block the progression of the disease.
特发性肺纤维化(IPF)是一种进行性且不可逆的肺部疾病,其特征为肺实质纤维化和胶原蛋白沉积,最终导致呼吸衰竭。在过去几年中,人们提出了不同的病因发病机制假说,最近发表的许多研究表明,在大多数被认为与IPF发病和发展相关的过程中,趋化因子和趋化因子受体都参与其中。炎症过程中趋化因子及其受体的表达失调,也可能改变血管生成抑制和血管生成过程之间的平衡,从而导致肺组织新生血管形成。对趋化因子/趋化因子受体的研究,可能有助于阐明IPF的发病机制,并为阻止该疾病的进展制定新的治疗策略。