Division of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, Mass.
Department of Medical Science, Seoul National University College of Medicine, Seoul, Korea.
J Allergy Clin Immunol. 2014 Apr;133(4):943-50; quiz 51. doi: 10.1016/j.jaci.2014.02.015.
Asthma is a complex and heterogeneous disease with several phenotypes, including an allergic asthma phenotype characterized by TH2 cytokine production and associated with allergen sensitization and adaptive immunity. Asthma also includes nonallergic asthma phenotypes, such as asthma associated with exposure to air pollution, infection, or obesity, that require innate rather than adaptive immunity. These innate pathways that lead to asthma involve macrophages, neutrophils, natural killer T cells, and innate lymphoid cells, newly described cell types that produce a variety of cytokines, including IL-5 and IL-13. We review the recent data regarding innate lymphoid cells and their role in asthma.
哮喘是一种复杂且异质性的疾病,具有多种表型,包括以 TH2 细胞因子产生为特征的过敏性哮喘表型,与过敏原致敏和适应性免疫有关。哮喘还包括非过敏性哮喘表型,如与接触空气污染、感染或肥胖相关的哮喘,这些表型需要先天而不是适应性免疫。导致哮喘的这些先天途径涉及巨噬细胞、嗜中性粒细胞、自然杀伤 T 细胞和先天淋巴细胞,这些新描述的细胞类型产生多种细胞因子,包括 IL-5 和 IL-13。我们回顾了关于先天淋巴细胞及其在哮喘中的作用的最新数据。