Galicia-Negrete Gustavo, Falfán-Valencia Ramcés
Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Unidad de Investigación, Laboratorio HLA, Ciudad de México.
Rev Alerg Mex. 2017 Apr-Jun;64(2):198-205. doi: 10.29262/ram.v64i2.259.
There is an increase in the prevalence of asthma and obesity, constituting a public health problem at national and global levels. The association between the two pathologies has not been clearly determined; however, a certain synergy has been proposed, which leads to more severe bronchospasms, longer recovery time, and more prolonged use of medications in obese asthmatic patients. The discovery of leptin, an adipokine that is directly related to the amount of total body fat and the production of proinflammatory cytokines, has generated greater interest in white adipose tissue. Our objective was to describe the possible mechanisms involved and the association between obesity and asthma. A bibliographic search was conducted in the scientific literature using the National Biotechnology Information Center (NCBI) database of the USA as a search tool; keywords used were: asthma, leptin, obesity and inflammation. There are numerous clinical and experimental studies that explore the role of obesity as an inflammatory entity in asthma, some of which have evaluated the role of "shared" genetic polymorphisms in both pathologies. Apparently, the interaction between asthma and obesity is complex, there are mechanisms that link both pathologies, these can influence the improvement or exacerbation of symptoms.
哮喘和肥胖症的患病率正在上升,这在国家和全球层面构成了一个公共卫生问题。这两种病症之间的关联尚未明确确定;然而,有人提出了某种协同作用,这会导致肥胖哮喘患者出现更严重的支气管痉挛、更长的恢复时间以及更长时间的药物使用。瘦素是一种与全身脂肪量和促炎细胞因子产生直接相关的脂肪因子,它的发现引发了人们对白色脂肪组织的更大兴趣。我们的目的是描述肥胖与哮喘之间可能涉及的机制及关联。使用美国国立生物技术信息中心(NCBI)数据库作为检索工具,在科学文献中进行了文献检索;使用的关键词为:哮喘、瘦素、肥胖和炎症。有许多临床和实验研究探讨了肥胖作为哮喘炎症实体的作用,其中一些研究评估了两种病症中“共同”基因多态性的作用。显然,哮喘与肥胖之间的相互作用很复杂,存在将这两种病症联系起来的机制,这些机制会影响症状的改善或加重。