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鼻过敏中的屏障功能障碍。

Barrier dysfunction in the nasal allergy.

作者信息

Fukuoka Ayumi, Yoshimoto Tomohiro

机构信息

Department of Immunology, Hyogo College of Medicine, Hyogo, Japan.

Department of Immunology, Hyogo College of Medicine, Hyogo, Japan; Laboratory of Allergic Diseases, Institute for Advanced Medical Sciences, Hyogo College of Medicine, Hyogo, Japan.

出版信息

Allergol Int. 2018 Jan;67(1):18-23. doi: 10.1016/j.alit.2017.10.006. Epub 2017 Nov 14.

DOI:10.1016/j.alit.2017.10.006
PMID:29150353
Abstract

Epithelial cells form the first physiological barrier against invasion by pathogens and the infiltration of allergens. Tight junctions (TJ), a cell-cell junctional complex located on the apical side of epithelial cells, have a critical role in the maintenance of epithelial barrier function. Impaired TJ structures are observed in patients with asthma, atopic dermatitis and nasal allergy; therefore, the dysfunction of epithelial barriers might be involved in the initiation or progression of allergic diseases. Protease-containing allergens and environmental pollutants enhance paracellular transport in epithelial cells through disruption of epithelial barrier function. This suggests that the disruption of TJ leads to the promotion of allergen delivery into the subepithelia, resulting in the progression of allergic diseases. Thus, protection of the epithelial barrier function might prevent or inhibit the development or exacerbation of allergic diseases. Recently, we reported that diesel exhaust particles (DEP), the main component of particulate patter 2.5, exacerbated allergic rhinitis (AR) in a mouse model through TJ disruption. In addition, we revealed that the oxidative stress-mediated pathway is involved in the effects caused by DEP and that nasal treatment with a reactive oxygen species (ROS) scavenger suppressed DEP-induced TJ disruption and exacerbation of AR. In this review, we focus on the relationship between TJ disruption and allergic disease. Furthermore, we discuss our recent findings regarding TJ disruption and the exacerbation of AR.

摘要

上皮细胞形成了抵御病原体入侵和变应原浸润的第一道生理屏障。紧密连接(TJ)是位于上皮细胞顶端的一种细胞间连接复合体,在维持上皮屏障功能方面起着关键作用。在哮喘、特应性皮炎和鼻过敏患者中观察到紧密连接结构受损;因此,上皮屏障功能障碍可能参与了过敏性疾病的发生或发展。含蛋白酶的变应原和环境污染物通过破坏上皮屏障功能增强上皮细胞的细胞旁转运。这表明紧密连接的破坏会导致变应原递送至上皮下,从而导致过敏性疾病的进展。因此,保护上皮屏障功能可能预防或抑制过敏性疾病的发生或加重。最近,我们报道了细颗粒物2.5的主要成分柴油尾气颗粒(DEP)通过破坏紧密连接在小鼠模型中加重过敏性鼻炎(AR)。此外,我们还揭示了氧化应激介导的途径参与了DEP引起的效应,并且用活性氧(ROS)清除剂进行鼻腔治疗可抑制DEP诱导的紧密连接破坏和AR加重。在这篇综述中,我们重点关注紧密连接破坏与过敏性疾病之间的关系。此外,我们还讨论了我们最近关于紧密连接破坏和AR加重的研究结果。

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