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2016 年过敏性疾病发病机制的研究进展。

Advances in mechanisms of allergic disease in 2016.

机构信息

Division of Allergy and Immunology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

National Research Institute for Child Health & Development, Tokyo, Japan.

出版信息

J Allergy Clin Immunol. 2017 Dec;140(6):1622-1631. doi: 10.1016/j.jaci.2017.08.029. Epub 2017 Oct 13.

Abstract

This review highlights advances in mechanisms of allergic disease, particularly type 2 innate lymphoid cells; T2 lymphocytes; eicosanoid regulation of inflammation; extracellular vesicles in allergic responses; IL-33; microbiome properties, especially as they relate to mucosal barrier function; and a series of findings concerning the allergic inflammatory cells eosinophils, basophils, and mast cells. During the last year, mechanistic advances occurred in understanding type 2 innate lymphoid cells, particularly related to their response to ozone, involvement with experimental food allergy responses, and regulation by IL-33. Novel ways of regulating T2 cells through epigenetic regulation of GATA-3 through sirtuin-1, a class III histone deacetylase, were published. The understanding of eicosanoid regulation of inflammation increased and focused on additional properties of phospholipase A and the role of prostaglandin D and its receptors and inhibitory prostaglandin E pathways. Mechanisms through which extracellular vesicles are released and contribute to allergic responses were reported. There was a deeper appreciation of mucosal barrier function, the epithelial alarmin IL-33, and the microbiome. Finally, there were advances concerning allergic inflammatory cells (mast cells, basophils, and eosinophils) that will undoubtedly have an effect on disease understanding and new therapeutic strategies.

摘要

这篇综述强调了过敏疾病机制方面的进展,特别是 2 型先天淋巴细胞;T2 淋巴细胞;花生四烯酸类物质对炎症的调节;过敏反应中外泌体的作用;IL-33;微生物组特性,特别是与黏膜屏障功能的关系;以及一系列关于过敏炎症细胞嗜酸性粒细胞、嗜碱性粒细胞和肥大细胞的发现。在过去的一年中,人们对 2 型先天淋巴细胞的机制有了更深入的了解,特别是它们对臭氧的反应、与实验性食物过敏反应的关系以及 IL-33 的调节。通过组蛋白去乙酰化酶 sirtuin-1 对 GATA-3 的表观遗传调控来调节 T2 细胞的新方法已经发表。人们对花生四烯酸类物质对炎症的调节有了更深入的了解,并关注了磷脂酶 A 的其他特性以及前列腺素 D 及其受体和抑制性前列腺素 E 途径的作用。报告了细胞外囊泡释放和参与过敏反应的机制。人们对黏膜屏障功能、上皮警报素 IL-33 和微生物组有了更深入的了解。最后,关于过敏炎症细胞(肥大细胞、嗜碱性粒细胞和嗜酸性粒细胞)的进展无疑将对疾病的理解和新的治疗策略产生影响。

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