文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

理解 2 型炎症致不可控持续性哮喘治疗中的关键问题。

Understanding the key issues in the treatment of uncontrolled persistent asthma with type 2 inflammation.

机构信息

UW Allergy, Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

University of Arizona Health Sciences Center, Tucson, AZ, USA.

出版信息

Eur Respir J. 2021 Aug 5;58(2). doi: 10.1183/13993003.03393-2020. Print 2021 Aug.


DOI:10.1183/13993003.03393-2020
PMID:33542055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8339540/
Abstract

Asthma is a complex respiratory disease that varies in severity and response to treatment. Several asthma phenotypes with unique clinical and inflammatory characteristics have been identified. Endotypes, based on distinct molecular profiles, help to further elucidate the heterogeneity within asthma. Type 2 inflammation, involving both the innate (type 2 innate lymphoid cell) and adaptive (T-helper type 2 cells) immune systems, underpins the complex pathophysiology of chronic inflammation in asthma, as well as the presence of comorbid disease ( chronic rhinosinusitis with nasal polyps, allergic rhinitis and atopic dermatitis). Type 2 inflammation is characterised by upregulation of the type 2 cytokines interleukin (IL)-4, IL-5 and IL-13, IgE-mediated release of immune mediators and dysfunction of epithelial or epidermal barriers. Targeting these key proximal type 2 cytokines has shown efficacy in recent studies adopting a personalised approach to treatment using targeted biologics. Elevated levels of biomarkers downstream of type 2 cytokines, including fractional exhaled nitric oxide, serum IgE and blood and sputum eosinophils, have been linked to mechanisms involved in type 2 inflammation. They have the potential to aid diagnosis, and to predict and monitor response to treatment. The objective of this review is to summarise the current understanding of the biology of type 2 inflammation in asthma, examine its influence on type 2 inflammatory comorbidities, and discuss how type 2 inflammatory biomarkers can be harnessed to further personalise treatments in the age of biologic medicines.

摘要

哮喘是一种复杂的呼吸系统疾病,其严重程度和对治疗的反应各不相同。已经确定了几种具有独特临床和炎症特征的哮喘表型。基于不同分子谱的内型有助于进一步阐明哮喘的异质性。涉及固有(2 型固有淋巴细胞)和适应性(辅助性 T 细胞 2 型)免疫系统的 2 型炎症是哮喘慢性炎症以及合并症(慢性鼻-鼻窦炎伴鼻息肉、过敏性鼻炎和特应性皮炎)的复杂病理生理学的基础。2 型炎症的特征是 2 型细胞因子白细胞介素(IL)-4、IL-5 和 IL-13 的上调、免疫介质的 IgE 介导释放以及上皮或表皮屏障的功能障碍。最近的研究采用针对生物制剂的个体化治疗方法,靶向这些关键的近端 2 型细胞因子显示出疗效。2 型细胞因子下游生物标志物,包括呼出气一氧化氮分数、血清 IgE 以及血液和痰液嗜酸性粒细胞水平的升高,与 2 型炎症涉及的机制有关。它们有可能有助于诊断,并预测和监测对治疗的反应。本综述的目的是总结目前对哮喘 2 型炎症生物学的理解,考察其对 2 型炎症合并症的影响,并讨论如何利用 2 型炎症生物标志物在生物药物时代进一步实现个体化治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/50df172a5f12/ERJ-03393-2020.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/9399e1972cfd/ERJ-03393-2020.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/e1b59bb86a75/ERJ-03393-2020.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/50df172a5f12/ERJ-03393-2020.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/9399e1972cfd/ERJ-03393-2020.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/e1b59bb86a75/ERJ-03393-2020.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b671/8339540/50df172a5f12/ERJ-03393-2020.03.jpg

相似文献

[1]
Understanding the key issues in the treatment of uncontrolled persistent asthma with type 2 inflammation.

Eur Respir J. 2021-8

[2]
Revisiting Type 2-high and Type 2-low airway inflammation in asthma: current knowledge and therapeutic implications.

Clin Exp Allergy. 2017-2

[3]
Serum Periostin as a Biomarker for Comorbid Chronic Rhinosinusitis in Patients with Asthma.

Ann Am Thorac Soc. 2017-5

[4]
Clinical and cytokine patterns of uncontrolled asthma with and without comorbid chronic rhinosinusitis: a cross-sectional study.

Respir Res. 2022-5-11

[5]
Group 2 innate lymphoid cells (ILC2s) are important in typical type 2 immune-mediated diseases and an essential therapeutic target.

J Int Med Res. 2022-1

[6]
Type 2 immunity in the skin and lungs.

Allergy. 2020-7

[7]
Role of T2 inflammation biomarkers in severe asthma.

Curr Opin Pulm Med. 2016-1

[8]
Pragmatic Clinical Perspective on Biologics for Severe Refractory Type 2 Asthma.

J Allergy Clin Immunol Pract. 2020

[9]
Innate Lymphoid Cells in Airway Inflammation.

Adv Exp Med Biol. 2021

[10]
Interleukin-33 (IL-33): A critical review of its biology and the mechanisms involved in its release as a potent extracellular cytokine.

Cytokine. 2022-8

引用本文的文献

[1]
Investigating Adherence to Asthma Management with an Electronic Monitoring System.

Patient Prefer Adherence. 2025-8-11

[2]
Is Biologic Therapy an Effective Tool for Achieving Remission in Severe Asthma? A Retrospective Study in Central Romania.

Life (Basel). 2025-7-16

[3]
The potential of efferocytosis for the treatment of bronchial asthma: A review of current trends, mechanisms and prospects.

Biochem Biophys Rep. 2025-7-19

[4]
Early benefit of mepolizumab on small airways in severe asthma: insights from the IMPOSE study.

ERJ Open Res. 2025-6-23

[5]
Baseline type 2 biomarker levels and clinical remission predictors in children with asthma.

Front Immunol. 2025-5-28

[6]
Yangke powder alleviates OVA-induced allergic asthma by inhibiting the PI3K/AKT/NF-κB signaling pathway.

Chin Med. 2025-5-26

[7]
The management of type 2 inflammatory respiratory diseases: a Chinese expert consensus [2024].

J Thorac Dis. 2025-4-30

[8]
Single-cell and chromatin accessibility profiling reveals regulatory programs of pathogenic Th2 cells in allergic asthma.

Nat Commun. 2025-3-15

[9]
Systemic barrier dysfunction in type 2 inflammation diseases: perspective in the skin, airways, and gastrointestinal tract.

Immunol Res. 2025-3-11

[10]
Physiology and pathophysiology of mucus and mucolytic use in critically ill patients.

Crit Care. 2025-2-7

本文引用的文献

[1]
Interleukin-5 in the Pathophysiology of Severe Asthma.

Front Physiol. 2019-12-17

[2]
Management of severe asthma: a European Respiratory Society/American Thoracic Society guideline.

Eur Respir J. 2020-1-2

[3]
Association of elevated fractional exhaled nitric oxide concentration and blood eosinophil count with severe asthma exacerbations.

Clin Transl Allergy. 2019-8-21

[4]
EUFOREA consensus on biologics for CRSwNP with or without asthma.

Allergy. 2019-7-15

[5]
Biologics for Severe Asthma: Treatment-Specific Effects Are Important in Choosing a Specific Agent.

J Allergy Clin Immunol Pract. 2019

[6]
Comorbidities and the impact of atopic dermatitis.

Ann Allergy Asthma Immunol. 2019-4-26

[7]
Orchestration between ILC2s and Th2 cells in shaping type 2 immune responses.

Cell Mol Immunol. 2019-2-21

[8]
Biological treatments for severe asthma: A major advance in asthma care.

Allergol Int. 2019-2-18

[9]
Role of Biologics in Asthma.

Am J Respir Crit Care Med. 2019-2-15

[10]
Understanding Asthma Phenotypes, Endotypes, and Mechanisms of Disease.

Clin Rev Allergy Immunol. 2019-4

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索