O'Sullivan Michael J, Lan Bo
Department of Environmental Health, Harvard T. H. Chan School of Public Health, 665 Huntington Avenue, 1-G07, Boston, MA 02115.
Department of Environmental Health, Harvard T. H. Chan School of Public Health, 665 Huntington Avenue, 1-G07, Boston, MA 02115 e-mail:
J Eng Sci Med Diagn Ther. 2019 Feb;2(1):0108031-108036. doi: 10.1115/1.4042318. Epub 2019 Jan 22.
Asthma is characterized by chronic airway inflammation, airway remodeling, and excessive constriction of the airway. Detailed investigation exploring inflammation and the role of immune cells has revealed a variety of possible mechanisms by which chronic inflammation drives asthma development. However, the underlying mechanisms of asthma pathogenesis still remain poorly understood. New evidence now suggests that mechanical stimuli that arise during bronchoconstriction may play a critical role in asthma development. In this article, we review the mechanical effect of bronchoconstriction and how these mechanical stresses contribute to airway remodeling independent of inflammation.
哮喘的特征是慢性气道炎症、气道重塑和气道过度收缩。对炎症和免疫细胞作用的详细研究揭示了慢性炎症驱动哮喘发展的多种可能机制。然而,哮喘发病的潜在机制仍知之甚少。新证据表明,支气管收缩过程中产生的机械刺激可能在哮喘发展中起关键作用。在本文中,我们综述了支气管收缩的机械效应以及这些机械应力如何在不依赖炎症的情况下导致气道重塑。