University of Sydney, Discipline of Pharmacology and Woolcock Institute of Medical Research, University of Sydney, Sydney, New South Wales, 2006, Australia.
Clin Chest Med. 2012 Sep;33(3):543-58. doi: 10.1016/j.ccm.2012.05.002. Epub 2012 Jul 11.
Airway smooth muscle (ASM) has long been recognized as the main cell type responsible for bronchial hyperresponsiveness. It has, thus, been considered as a target for bronchodilation. In asthma, however, there is a complex relationship between ASM and inflammatory cells, such as mast cells and T lymphocytes. Moreover, the increased ASM mass in asthmatic airways is one of the key features of airway remodeling. This article aims to review the main concepts about the 3 possible roles of ASM in asthma: (1) contractile tone, (2) inflammatory response, and (3) remodeling.
气道平滑肌(ASM)一直被认为是导致支气管高反应性的主要细胞类型。因此,ASM 一直被视为支气管扩张的靶点。然而,在哮喘中,ASM 与炎症细胞(如肥大细胞和 T 淋巴细胞)之间存在复杂的关系。此外,哮喘气道中 ASM 质量的增加是气道重塑的关键特征之一。本文旨在综述 ASM 在哮喘中可能发挥的 3 种作用的主要概念:(1)收缩张力,(2)炎症反应,和(3)重塑。