Ozturk Ayse Bilge, Turturice Benjamin Arthur, Perkins David L, Finn Patricia W
Department of Allergy and Immunology, Koc University Hospital, Istanbul, Turkey.
Department of Microbiology and Immunology, University of Illinois at Chicago, Chicago, IL, USA.
Curr Allergy Asthma Rep. 2017 Aug 10;17(9):62. doi: 10.1007/s11882-017-0730-1.
In terms of immune regulating functions, analysis of the microbiome has led the development of therapeutic strategies that may be applicable to asthma management. This review summarizes the current literature on the gut and lung microbiota in asthma pathogenesis with a focus on the roles of innate molecules and new microbiome-mediated therapeutics.
Recent clinical and basic studies to date have identified several possible therapeutics that can target innate immunity and the microbiota in asthma. Some of these drugs have shown beneficial effects in the treatment of certain asthma phenotypes and for protection against asthma during early life. Current clinical evidence does not support the use of these therapies for effective treatment of asthma. The integration of the data regarding microbiota with technologic advances, such as next generation sequencing and omics offers promise. Combining comprehensive bioinformatics, new molecules and approaches may shape future asthma treatment.
在免疫调节功能方面,微生物组分析推动了可能适用于哮喘管理的治疗策略的发展。本综述总结了当前关于哮喘发病机制中肠道和肺部微生物群的文献,重点关注先天分子和新的微生物群介导的治疗方法的作用。
迄今为止,最近的临床和基础研究已经确定了几种可能针对哮喘先天免疫和微生物群的治疗方法。其中一些药物在治疗某些哮喘表型以及预防生命早期哮喘方面已显示出有益效果。目前的临床证据不支持使用这些疗法有效治疗哮喘。将微生物群数据与下一代测序和组学等技术进步相结合具有前景。综合生物信息学、新分子和方法可能会塑造未来的哮喘治疗。