DeKruyff Rosemarie H, Yu Sanhong, Kim Hye Young, Umetsu Dale T
Division of Immunology and Allergy, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Immunol Rev. 2014 Jul;260(1):235-48. doi: 10.1111/imr.12187.
The lung, while functioning as a gas exchange organ, encounters a large array of environmental factors, including particulate matter, toxins, reactive oxygen species, chemicals, allergens, and infectious microbes. To rapidly respond to and counteract these elements, a number of innate immune mechanisms have evolved that can lead to lung inflammation and asthma, which is the focus of this review. These innate mechanisms include a role for two incompletely understood cell types, invariant natural killer T (iNKT) cells and innate lymphoid cells (ILCs), which together produce a wide range of cytokines, including interleukin-4 (IL-4), IL-5, IL-13, interferon-γ, IL-17, and IL-22, independently of adaptive immunity and conventional antigens. The specific roles of iNKT cells and ILCs in immunity are still being defined, but both cell types appear to play important roles in the lungs, particularly in asthma. As we gain a better understanding of these innate cell types, we will acquire great insight into the mechanisms by which allergic and non-allergic asthma phenotypes develop.
肺作为气体交换器官,会接触到大量环境因素,包括颗粒物、毒素、活性氧、化学物质、过敏原和感染性微生物。为了快速应对并抵消这些因素,已进化出多种先天性免疫机制,这些机制可导致肺部炎症和哮喘,而这正是本综述的重点。这些先天性机制包括两种尚未完全了解的细胞类型——不变自然杀伤T(iNKT)细胞和先天性淋巴细胞(ILC)所起的作用,它们共同产生多种细胞因子,包括白细胞介素-4(IL-4)、IL-5、IL-13、干扰素-γ、IL-17和IL-22,且不依赖于适应性免疫和传统抗原。iNKT细胞和ILC在免疫中的具体作用仍在确定中,但这两种细胞类型似乎在肺部尤其是哮喘中发挥重要作用。随着我们对这些先天性细胞类型有更深入的了解,我们将深入洞察过敏性和非过敏性哮喘表型的发展机制。