Utrecht University, Utrecht, the Netherlands.
Curr Pharm Des. 2012;18(16):2320-8. doi: 10.2174/138161212800166077.
Asthma and Chronic Obstructive Pulmonary Disease (COPD) are two important lung and airways diseases which affect the lives of ∼500 million people worldwide. Asthma is a heterogeneous disease that is broadly defined as a clinical syndrome characterized by altered lung function, mucus hypersecretion, peribronchial inflammation and hyperresponsiveness In contrast, the effect of inhalation of toxic particles and gases on the innate and adaptive inflammatory immune systems underlie the pathogenesis of COPD. In the last decade, knowledge concerning the pathophysiologic mechanisms underlying asthma and COPD has risen tremendously and current dogma suggests that the pathogenesis of both diseases is driven by the chronic inflammation present in the airways of these patients. Thus, understanding the mechanisms for the persistence of inflammation may lead to new therapeutic approaches. In this review, we provide an overview of the main signal transduction pathways implicated in asthma and COPD pathophysiology focusing on inflammasome signaling in various cells types which result in altered inflammatory mediator expression.
哮喘和慢性阻塞性肺疾病(COPD)是两种重要的肺部和气道疾病,影响着全球约 5 亿人的生活。哮喘是一种异质性疾病,广义上定义为一种以肺功能改变、黏液过度分泌、支气管周围炎症和高反应性为特征的临床综合征。相比之下,吸入有毒颗粒和气体对先天和适应性炎症免疫反应的影响是 COPD 发病机制的基础。在过去的十年中,哮喘和 COPD 发病机制的病理生理机制的相关知识已经有了显著的提高,目前的共识认为,这两种疾病的发病机制都与这些患者气道中的慢性炎症有关。因此,了解炎症持续存在的机制可能会导致新的治疗方法。在这篇综述中,我们概述了参与哮喘和 COPD 病理生理学的主要信号转导途径,重点介绍了各种细胞类型中的炎症小体信号转导,这些信号转导导致炎症介质表达的改变。