Department of Medicine, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH 45220, USA.
J Immunol. 2010 Feb 15;184(4):1663-74. doi: 10.4049/jimmunol.0902185.
Asthma is a common, disabling inflammatory respiratory disease that has increased in frequency and severity in developed nations. We review studies of murine allergic airway disease (MAAD) and human asthma that evaluate the importance of Th2 cytokines, Th2 response-promoting cytokines, IL-17, and proinflammatory and anti-inflammatory cytokines in MAAD and human asthma. We discuss murine studies that directly stimulate airways with specific cytokines or delete, inactivate, neutralize, or block specific cytokines or their receptors, as well as controversial issues including the roles of IL-5, IL-17, and IL-13Ralpha2 in MAAD and IL-4Ralpha expression by specific cell types. Studies of human asthmatic cytokine gene and protein expression, linkage of cytokine polymorphisms to asthma, cytokine responses to allergen stimulation, and clinical responses to cytokine antagonists are discussed as well. Results of these analyses establish the importance of specific cytokines in MAAD and human asthma and have therapeutic implications.
哮喘是一种常见的、使人丧失能力的炎症性呼吸道疾病,在发达国家的发病率和严重程度都有所增加。我们回顾了关于过敏性气道疾病(MAAD)和人类哮喘的研究,评估了 Th2 细胞因子、促进 Th2 反应的细胞因子、IL-17 以及在 MAAD 和人类哮喘中的促炎和抗炎细胞因子的重要性。我们讨论了直接用特定细胞因子刺激气道的鼠类研究,或者删除、失活、中和或阻断特定细胞因子或其受体的鼠类研究,以及包括 IL-5、IL-17 和 IL-13Ralpha2 在 MAAD 中的作用以及特定细胞类型的 IL-4Ralpha 表达等有争议的问题。还讨论了人类哮喘细胞因子基因和蛋白表达、细胞因子多态性与哮喘的关联、过敏原刺激引起的细胞因子反应以及细胞因子拮抗剂的临床反应。这些分析的结果确立了特定细胞因子在 MAAD 和人类哮喘中的重要性,并具有治疗意义。