Go Young-Mi, Jones Dean P
Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Clinical Biomarkers Laboratory, Emory University, Atlanta, Georgia.
Ann Am Thorac Soc. 2016 Dec;13 Suppl 2(Suppl 5):S452-S461. doi: 10.1513/AnnalsATS.201602-114AW.
Many acute and chronic lung diseases could benefit from improved regeneration therapy. In development and throughout life, genetically encoded exposure memory systems allow environmental exposures, diet, and infectious agents to direct subsequent phenotypic adaptation and responses. The impact of such memory systems on lung regeneration is currently unknown. This article provides a brief overview of advances in redox biology and medicine as a framework for elucidating exposure memory and delineating spatiotemporal responses in lung regeneration. New imaging and omics methods enable precise definition to advance knowledge of development and the cumulative changes in lung biochemistry, structure, and cell populations occurring from prior and ongoing exposures. Importantly, conditioning steps may be needed to reverse exposure memory and enable effective regeneration. Thus, to complement developmental biology and regenerative medicine, research programs are needed to gain systematic knowledge of how lifelong exposures impact lung biology and support transition of lung regeneration from hypothetical to practical medicine.
许多急性和慢性肺部疾病都可能从改进的再生疗法中获益。在发育过程以及整个生命过程中,基因编码的暴露记忆系统使环境暴露、饮食和病原体能够引导后续的表型适应和反应。目前尚不清楚这种记忆系统对肺再生的影响。本文简要概述了氧化还原生物学和医学的进展,作为阐明暴露记忆和描绘肺再生时空反应的框架。新的成像和组学方法能够进行精确的定义,以推进对发育以及先前和持续暴露所导致的肺生物化学、结构和细胞群体累积变化的认识。重要的是,可能需要调节步骤来逆转暴露记忆并实现有效的再生。因此,为了补充发育生物学和再生医学,需要开展研究项目,以系统了解终身暴露如何影响肺生物学,并支持肺再生从假说向实用医学的转变。