Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; University of Pittsburgh Asthma Institute@UPMC/UPSOM, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Richard King Mellon Institute for Pediatric Research, Children's Hospital of Pittsburgh at University of Pittsburgh Medical Center/University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Trends Immunol. 2017 Dec;38(12):942-954. doi: 10.1016/j.it.2017.07.003. Epub 2017 Aug 4.
Asthma is a chronic inflammatory disorder of the airways. While the local infiltration of eosinophils and mast cells, and their role in the disease have long been recognized, neutrophil infiltration has also been assessed in many clinical studies. In these studies, airway neutrophilia was associated with asthma severity. Importantly, neutrophilia also correlates with asthma that is refractory to corticosteroids, the mainstay of asthma treatment. However, it is now increasingly recognized that neutrophils are a heterogeneous population, and a more precise phenotyping of these cells may help delineate different subtypes of asthma. Here, we review current knowledge of the role of neutrophils in asthma and highlight future avenues of research in this field.
哮喘是一种气道慢性炎症性疾病。虽然嗜酸粒细胞和肥大细胞的局部浸润及其在疾病中的作用早已被认识,但在许多临床研究中也评估了中性粒细胞浸润。在这些研究中,气道中性粒细胞增多与哮喘的严重程度相关。重要的是,中性粒细胞增多也与对抗生素治疗无效的哮喘相关,而抗生素是哮喘治疗的主要药物。然而,现在越来越多的人认识到中性粒细胞是一个异质群体,对这些细胞进行更精确的表型分析可能有助于区分不同类型的哮喘。在这里,我们综述了目前关于中性粒细胞在哮喘中的作用的认识,并强调了该领域未来的研究方向。
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