树突状细胞中的环磷酸腺苷:哮喘及其他过敏性疾病中疾病修饰药物的新潜在靶点。
Cyclic AMP in dendritic cells: A novel potential target for disease-modifying agents in asthma and other allergic disorders.
作者信息
Chinn Amy M, Insel Paul A
机构信息
Department of Pharmacology, University of California, San Diego, La Jolla, California, USA.
Department of Medicine, University of California, San Diego, La Jolla, California, USA.
出版信息
Br J Pharmacol. 2020 Aug;177(15):3363-3377. doi: 10.1111/bph.15095. Epub 2020 Jun 21.
Allergic diseases are immune disorders that are a global health problem, affecting a large portion of the world's population. Allergic asthma is a heterogeneous disease that alters the biology of the airway. A substantial portion of patients with asthma do not respond to conventional therapies; thus, new and effective therapeutics are needed. Dendritic cells (DCs), antigen presenting cells that regulate helper T cell differentiation, are key drivers of allergic inflammation but are not the target of current therapies. Here we review the role of dendritic cells in allergic conditions and propose a disease-modifying strategy for treating allergic asthma: cAMP-mediated inhibition of dendritic cells to blunt allergic inflammation. This approach contrasts with current treatments that focus on treating clinical manifestations of airway inflammation. Disease-modifying agents that target cAMP and its signalling pathway in dendritic cells may provide a novel means to treat asthma and other allergic diseases.
过敏性疾病是一种免疫紊乱,是一个全球性的健康问题,影响着世界上很大一部分人口。过敏性哮喘是一种异质性疾病,会改变气道生物学特性。很大一部分哮喘患者对传统疗法没有反应;因此,需要新的有效治疗方法。树突状细胞(DCs)是调节辅助性T细胞分化的抗原呈递细胞,是过敏性炎症的关键驱动因素,但不是当前治疗的靶点。在这里,我们综述树突状细胞在过敏性疾病中的作用,并提出一种治疗过敏性哮喘的疾病改善策略:通过cAMP介导抑制树突状细胞以减轻过敏性炎症。这种方法与目前专注于治疗气道炎症临床表现的治疗方法形成对比。靶向树突状细胞中cAMP及其信号通路的疾病改善剂可能为治疗哮喘和其他过敏性疾病提供一种新方法。