哮喘的基础免疫学。
The basic immunology of asthma.
机构信息
Laboratory of Mucosal Immunology and Immunoregulation, VIB Center for Inflammation Research, Ghent, Belgium; Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Mucosal Immunology and Immunoregulation, VIB Center for Inflammation Research, Ghent, Belgium; Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium; Department of Pulmonary Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
出版信息
Cell. 2021 Mar 18;184(6):1469-1485. doi: 10.1016/j.cell.2021.02.016. Epub 2021 Mar 11.
In many asthmatics, chronic airway inflammation is driven by IL-4-, IL-5-, and IL-13-producing Th2 cells or ILC2s. Type 2 cytokines promote hallmark features of the disease such as eosinophilia, mucus hypersecretion, bronchial hyperresponsiveness (BHR), IgE production, and susceptibility to exacerbations. However, only half the asthmatics have this "type 2-high" signature, and "type 2-low" asthma is more associated with obesity, presence of neutrophils, and unresponsiveness to corticosteroids, the mainstay asthma therapy. Here, we review the underlying immunological basis of various asthma endotypes by discussing results obtained from animal studies as well as results generated in clinical studies targeting specific immune pathways.
在许多哮喘患者中,慢性气道炎症是由产生 IL-4、IL-5 和 IL-13 的 Th2 细胞或 ILC2 驱动的。2 型细胞因子促进疾病的标志性特征,如嗜酸性粒细胞增多、黏液分泌过多、支气管高反应性(BHR)、IgE 产生和易发生恶化。然而,只有一半的哮喘患者具有这种“2 型高”特征,而“2 型低”哮喘与肥胖、中性粒细胞存在以及对糖皮质激素治疗(哮喘的主要治疗方法)无反应更为相关。在这里,我们通过讨论动物研究和针对特定免疫途径的临床研究结果,综述了各种哮喘表型的潜在免疫学基础。