Kiszałkiewicz Justyna, Piotrowski Wojciech, Brzeziańska-Lasota Ewa
Department of Molecular Bases of Medicine, 1st Chair of Internal Medicine, Medical University of Lodz, Poland 2Department of.
Adv Respir Med. 2017;85(3):169-178. doi: 10.5603/ARM.2017.0029.
Idiopathic pulmonary fibrosis (IPF) and hypersensitivity pneumonitis (HP) belong to heterogenic group of interstitial lung diseases (ILD). For the reason that this group of diseases present with complex clinical non-specific features, they represent a diagnostic and therapeutic challenge. In this review we focus on several crucial signaling pathways participating in inflammation, fibrosis and EMT processes, so important in the course of ILD: TNF-α/NFκβ, TGF-β/SMAD, Wnt-β-catenin and PI3K-Akt signaling. Moreover, this review summarizes the role of selected signaling pathways and some miRNAs which are their regulators during development and progression of IPF and HP. Recent advances indicate the potential role of miRNAs as a molecular markers differentiating clinical course of ILD.
特发性肺纤维化(IPF)和过敏性肺炎(HP)属于间质性肺疾病(ILD)的异质性组。由于这组疾病具有复杂的临床非特异性特征,它们构成了诊断和治疗上的挑战。在本综述中,我们聚焦于参与炎症、纤维化和上皮-间质转化(EMT)过程的几个关键信号通路,这些过程在ILD病程中非常重要:肿瘤坏死因子-α/核因子κB(TNF-α/NFκβ)、转化生长因子-β/信号转导和转录激活因子(TGF-β/SMAD)、Wnt-β-连环蛋白和磷脂酰肌醇-3激酶-蛋白激酶B(PI3K-Akt)信号通路。此外,本综述总结了所选信号通路以及一些微小RNA(miRNA)在IPF和HP发生发展过程中作为其调节因子的作用。最新进展表明,miRNA作为区分ILD临床病程的分子标志物具有潜在作用。