Allergy and Immunology, Respiratory Institute, Department of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Ann Allergy Asthma Immunol. 2014 Jun;112(6):484-8. doi: 10.1016/j.anai.2014.03.004. Epub 2014 Apr 13.
To summarize the identified molecular and cellular mechanisms relevant to clinicians evaluating patients with hypereosinophilic syndrome (HES).
Review of relevant peer-reviewed literature.
Studies on the pathogenesis of HES in relation to consensus definitions, disease classification, mechanisms of disease, and diagnosis and treatment are included.
Changes to the definition of HES have been proposed based on recent studies identifying specific cellular and molecular disease phenotypes. Identification of specific mechanisms of disease may have clinical and therapeutic significance. Despite recent advances, in most cases the molecular pathogenesis of HES remains unknown.
Identification of specific HES disease mechanisms empowers the practicing clinician to offer specific mechanism-based treatment options to patients with HES in their clinical practice.
总结与临床医生评估嗜酸性粒细胞增多综合征(HES)患者相关的已确定的分子和细胞机制。
对相关同行评议文献的综述。
纳入了与共识定义、疾病分类、疾病机制以及诊断和治疗相关的 HES 发病机制的研究。
根据最近的研究确定特定的细胞和分子疾病表型,提出了对 HES 定义的改变。确定疾病的具体机制可能具有临床和治疗意义。尽管最近取得了进展,但在大多数情况下,HES 的分子发病机制仍不清楚。
确定特定的 HES 疾病机制使临床医生能够在其临床实践中为 HES 患者提供基于特定机制的治疗选择。