低睾酮水平是否会导致哮喘的发病机制?

Do low testosterone levels contribute to the pathogenesis of asthma?

机构信息

Urology II Clinics, Kartal Training and Research Hospital, 34738 Istanbul, Turkey.

出版信息

Med Hypotheses. 2011 Apr;76(4):585-8. doi: 10.1016/j.mehy.2011.01.006. Epub 2011 Feb 1.

Abstract

Asthma is a chronic inflammatory airway disorder that causes respiratory hypersensitivity and intermittent obstruction. Airway hyperresponsiveness to both specific and nonspecific stimuli is the hallmark of asthma. Although genetic susceptibility and airway inflammation are believed to play fundamental roles, etiology of asthma is unknown. In most cases, the treatment of asthma focuses on control of factors contributing to asthma severity and pharmacologic therapy including bronchodilator and anti-inflammatory agents. The prevalence of reported asthma is greater in prepubertal boys, with a change to a female predominance after puberty. Many epidemiological studies also suggest that women are at increased risk of developing adult-onset asthma and also suffer from more severe disease than men. This strongly suggests an important role for sex hormones in asthma. Previous articles provided us that, testosterone and/or its metabolites maintain the physiological balance of autoimmunity and protective immunity by preserving the number of regulatory cells. Testosterone is an immunosuppressant and is likely to be protective against immunological and inflammatory processes that trigger asthma. We hypothesized that the testosterone or selective androgen receptor modulators would have beneficial effects on asthma and could decrease the risk of asthmatic attacks.

摘要

哮喘是一种慢性炎症性气道疾病,可导致呼吸敏感性和间歇性阻塞。气道对特定和非特定刺激的高反应性是哮喘的标志。尽管遗传易感性和气道炎症被认为起着重要作用,但哮喘的病因尚不清楚。在大多数情况下,哮喘的治疗侧重于控制导致哮喘严重程度的因素和药物治疗,包括支气管扩张剂和抗炎药。在青春期前,男孩报告的哮喘患病率更高,青春期后女性患病率更高。许多流行病学研究还表明,女性患成人发病哮喘的风险增加,并且比男性病情更严重。这强烈表明性激素在哮喘中起重要作用。以前的文章表明,睾酮和/或其代谢物通过维持调节性细胞的数量来维持自身免疫和保护性免疫的生理平衡。睾酮是一种免疫抑制剂,可能对触发哮喘的免疫和炎症过程具有保护作用。我们假设睾酮或选择性雄激素受体调节剂对哮喘有有益的影响,并可能降低哮喘发作的风险。

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