Department of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Infectious Disease, Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Clin Exp Allergy. 2018 Jun;48(6):620-631. doi: 10.1111/cea.13128. Epub 2018 Apr 2.
Host immunity (innate and adaptive immunity) plays essential roles in the pathogenesis of inflammatory upper airway diseases, including allergic rhinitis and chronic rhinosinusitis. Recently, the discovery of novel innate immune cells, particularly innate lymphoid cells, has renewed our view on the role of innate immunity in inflammatory upper airway diseases. Meanwhile, the identification of new subsets of T helper (Th) cells, including Th22, Th9 and follicular Th cells, and regulatory B cells in the adaptive immunity, has broadened our knowledge on the complex immune networks in inflammatory upper airway diseases. In this review, we focus on these newly identified innate and adaptive lymphocytes with their contributions to the immunological disturbance in allergic rhinitis and chronic rhinosinusitis. We further discuss the perspective for future research and potential clinical utility of regulating these novel lymphocytes for the treatment of allergic rhinitis and chronic rhinosinusitis.
宿主免疫(先天免疫和适应性免疫)在上呼吸道炎症性疾病(包括过敏性鼻炎和慢性鼻-鼻窦炎)的发病机制中发挥着重要作用。最近,新型先天免疫细胞,特别是先天淋巴样细胞的发现,更新了我们对先天免疫在上呼吸道炎症性疾病中的作用的认识。同时,适应性免疫中 T 辅助(Th)细胞新亚群(包括 Th22、Th9 和滤泡 Th 细胞以及调节性 B 细胞)的鉴定,拓宽了我们对炎症性上呼吸道疾病中复杂免疫网络的认识。在这篇综述中,我们重点介绍了这些新发现的先天和适应性淋巴细胞,以及它们在过敏性鼻炎和慢性鼻-鼻窦炎免疫失调中的作用。我们进一步讨论了为治疗过敏性鼻炎和慢性鼻-鼻窦炎而调控这些新型淋巴细胞的未来研究和潜在临床应用的前景。