儿童支气管上皮:哮喘的关键因素

Bronchial epithelium in children: a key player in asthma.

作者信息

Carsin Ania, Mazenq Julie, Ilstad Alexandra, Dubus Jean-Christophe, Chanez Pascal, Gras Delphine

机构信息

Unité de Pneumologie Pédiatrique, hôpital Timone-Enfants, Assistance Publique Hopitaux de Marseille, Marseille, France UMR Inserm U1067 CNRS 7333, Aix Marseille University, Marseille, France

Unité de Pneumologie Pédiatrique, hôpital Timone-Enfants, Assistance Publique Hopitaux de Marseille, Marseille, France UMR Inserm U1067 CNRS 7333, Aix Marseille University, Marseille, France.

出版信息

Eur Respir Rev. 2016 Jun;25(140):158-69. doi: 10.1183/16000617.0101-2015.

Abstract

Bronchial epithelium is a key element of the respiratory airways. It constitutes the interface between the environment and the host. It is a physical barrier with many chemical and immunological properties. The bronchial epithelium is abnormal in asthma, even in children. It represents a key component promoting airway inflammation and remodelling that can lead to chronic symptoms. In this review, we present an overview of bronchial epithelium and how to study it, with a specific focus on children. We report physical, chemical and immunological properties from ex vivo and in vitro studies. The responses to various deleterious agents, such as viruses or allergens, may lead to persistent abnormalities orchestrated by bronchial epithelial cells. As epithelium dysfunctions occur early in asthma, reprogramming the epithelium may represent an ambitious goal to induce asthma remission in children.

摘要

支气管上皮是呼吸道的关键组成部分。它构成了外界环境与宿主之间的界面。它是一个具有多种化学和免疫特性的物理屏障。即使在儿童中,哮喘患者的支气管上皮也是异常的。它是促进气道炎症和重塑的关键组成部分,可导致慢性症状。在本综述中,我们概述了支气管上皮及其研究方法,特别关注儿童。我们报告了来自体外和体内研究的物理、化学和免疫特性。对各种有害因子(如病毒或过敏原)的反应可能导致支气管上皮细胞协调的持续性异常。由于上皮功能障碍在哮喘早期就会出现,重新编程上皮细胞可能是诱导儿童哮喘缓解的一个宏伟目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2029/9487245/362c264736a0/ERR-0101-2015.01.jpg

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