Wakashin Hidefumi, Hirose Koichi, Iwamoto Itsuo, Nakajima Hiroshi
Department of Allergy and Clinical Immunology, Chiba University Hospital, Chiba 260-8670, Japan.
Int Arch Allergy Immunol. 2009;149 Suppl 1:108-12. doi: 10.1159/000211382. Epub 2009 Jun 3.
Asthma is characterized by chronic airway inflammation with intense eosinophil and lymphocyte infiltration, mucus hyperproduction, and airway hyperresponsiveness to a variety of stimuli. It is now generally accepted that antigen-specific Th2 cells and their cytokines orchestrate these pathognomonic features of asthma. On the other hand, Th17 cells and IL-23, a cytokine that preferentially expands Th17 cells, play a significant role in the development of chronic inflammatory diseases, including autoimmune diseases. Recently, we have shown that IL-23 and Th17 cells enhance not only neutrophilic airway inflammation but also Th2 cell-mediated eosinophilic airway inflammation in a murine asthma model. In this review, we will discuss the roles of IL-23 and Th17 cells in airway inflammation in asthma.
哮喘的特征是慢性气道炎症,伴有强烈的嗜酸性粒细胞和淋巴细胞浸润、黏液分泌过多以及气道对多种刺激的高反应性。目前普遍认为,抗原特异性Th2细胞及其细胞因子共同作用导致了哮喘的这些特征性表现。另一方面,Th17细胞和IL-23(一种优先扩增Th17细胞的细胞因子)在包括自身免疫性疾病在内的慢性炎症性疾病的发展中起重要作用。最近,我们已经证明,在小鼠哮喘模型中,IL-23和Th17细胞不仅会加重嗜中性粒细胞性气道炎症,还会加重Th2细胞介导的嗜酸性粒细胞性气道炎症。在这篇综述中,我们将讨论IL-23和Th17细胞在哮喘气道炎症中的作用。
Int Arch Allergy Immunol. 2009
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