Department of Environmental Health, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA, USA.
Open Biol. 2020 Dec;10(12):200254. doi: 10.1098/rsob.200254. Epub 2020 Dec 2.
In asthma, progressive structural changes of the airway wall are collectively termed airway remodelling. Despite its deleterious effect on lung function, airway remodelling is incompletely understood. As one of the important causes leading to airway remodelling, here we discuss the significance of mechanical forces that are produced in the narrowed airway during asthma exacerbation, as a driving force of airway remodelling. We cover , and work in this field, and discuss up-to-date literature supporting the idea that bronchoconstriction may be the missing link in a comprehensive understanding of airway remodelling in asthma.
在哮喘中,气道壁的进行性结构改变统称为气道重塑。尽管气道重塑对肺功能有不良影响,但人们对其了解仍不完整。作为导致气道重塑的重要原因之一,我们在这里讨论了在哮喘加重期间变窄气道中产生的机械力作为气道重塑驱动力的意义。我们涵盖了这一领域的 和 工作,并讨论了支持这样一种观点的最新文献,即支气管收缩可能是全面理解哮喘中气道重塑的缺失环节。