Lei Chenyang, Jiang Juan, Zhang Yanyan, Xiong Gaoyun
Department of Otorhinolaryngology, Tongde Hospital of Zhejiang Province, Hangzhou, China.
J Immunol Res. 2022 Mar 26;2022:1144563. doi: 10.1155/2022/1144563. eCollection 2022.
Chronic rhinosinusitis with nasal polyps (CRSwNP) is a subtype of chronic rhinosinusitis characterized by high edema in the stroma, albumin deposition, and formation of pseudocysts. The pathogenesis of CRSwNP is not yet fully understood. Regulatory T (Treg) cells are a subset of CD4+ T cells that play a suppressive immunoregulatory role in the process of CRSwNP. Recent studies have found that there was a significant reduction in Treg cells in polyp tissues, which leads to the onset of CRSwNP. An imbalance between Th17 and Treg cells can also aggravate inflammation toward the Th2 type. This review focuses on our understanding of the function and role of Treg cells and their regulatory factors and clinical significance in CRSwNP. We also summarize the current drug treatments for CRSwNP with Tregs as the potential therapeutic target, which will provide new ideas for the treatment of CRSwNP in the future.
伴鼻息肉的慢性鼻-鼻窦炎(CRSwNP)是慢性鼻-鼻窦炎的一种亚型,其特征为基质高度水肿、白蛋白沉积以及假性囊肿形成。CRSwNP的发病机制尚未完全明确。调节性T(Treg)细胞是CD4+T细胞的一个亚群,在CRSwNP过程中发挥抑制性免疫调节作用。最近的研究发现,息肉组织中的Treg细胞显著减少,这导致了CRSwNP的发病。Th17细胞与Treg细胞之间的失衡也会加重向Th2型的炎症反应。本综述着重阐述我们对Treg细胞及其调节因子在CRSwNP中的功能、作用和临床意义的理解。我们还总结了目前以Tregs为潜在治疗靶点的CRSwNP药物治疗方法,这将为未来CRSwNP的治疗提供新思路。