Smith Rushaine
Pneumologia. 2014 Oct-Dec;63(4):194, 197-9.
Asthma is currently affecting approximately 300 million people worldwide and is expected to rise to 400 million over the next couple decades. Airway remodelling in asthma consists of mucus hypersecretion, epithelium erosion, extracellular matrix protein deposition under the basement membrane, smooth muscle proliferation and angiogenesis. The vascular endothelial growth factor (VEGF) plays a part in remodelling through its effect upon angiogenesis, but the extent of its contribution to asthma pathology is not yet completely understood. Irreversible airway remodelling seems to be an important contributor to asthma progressive worsening, so further developments in preventing remodelling are warranted. A better understanding of VEGF mechanisms in asthma could aid such therapeutic developments.
目前,全球约有3亿人受哮喘影响,预计在未来几十年内这一数字将增至4亿。哮喘中的气道重塑包括黏液分泌过多、上皮侵蚀、基底膜下细胞外基质蛋白沉积、平滑肌增殖和血管生成。血管内皮生长因子(VEGF)通过其对血管生成的作用参与重塑过程,但其对哮喘病理的贡献程度尚未完全明确。不可逆的气道重塑似乎是哮喘病情逐渐恶化的一个重要因素,因此有必要在预防重塑方面取得进一步进展。更好地了解哮喘中VEGF的机制有助于此类治疗的发展。