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超越过敏进展:从分子到微生物作为肠-肺轴功能中的屏障调节剂

Beyond allergic progression: From molecules to microbes as barrier modulators in the gut-lung axis functionality.

作者信息

Parrón-Ballesteros Jorge, Gordo Rubén García, López-Rodríguez Juan Carlos, Olmo Nieves, Villalba Mayte, Batanero Eva, Turnay Javier

机构信息

Department of Biochemistry and Molecular Biology, Faculty of Chemistry, Complutense University of Madrid, Madrid, Spain.

The Peter Gorer Department of Immunobiology, King's College London, London, United Kingdom.

出版信息

Front Allergy. 2023 Jan 30;4:1093800. doi: 10.3389/falgy.2023.1093800. eCollection 2023.

Abstract

The "epithelial barrier hypothesis" states that a barrier dysfunction can result in allergy development due to tolerance breakdown. This barrier alteration may come from the direct contact of epithelial and immune cells with the allergens, and indirectly, through deleterious effects caused by environmental changes triggered by industrialization, pollution, and changes in the lifestyle. Apart from their protective role, epithelial cells can respond to external factors secreting IL-25 IL-33, and TSLP, provoking the activation of ILC2 cells and a Th2-biased response. Several environmental agents that influence epithelial barrier function, such as allergenic proteases, food additives or certain xenobiotics are reviewed in this paper. In addition, dietary factors that influence the allergenic response in a positive or negative way will be also described here. Finally, we discuss how the gut microbiota, its composition, and microbe-derived metabolites, such as short-chain fatty acids, alter not only the gut but also the integrity of distant epithelial barriers, focusing this review on the gut-lung axis.

摘要

“上皮屏障假说”指出,屏障功能障碍可因耐受性破坏而导致过敏反应的发生。这种屏障改变可能源于上皮细胞和免疫细胞与过敏原的直接接触,也可能间接源于工业化、污染及生活方式改变所引发的环境变化的有害影响。除了其保护作用外,上皮细胞可对分泌白细胞介素-25、白细胞介素-33和胸腺基质淋巴细胞生成素的外部因素作出反应,从而引发2型固有淋巴细胞的激活和以辅助性T细胞2为主导的反应。本文综述了几种影响上皮屏障功能的环境因素,如变应原性蛋白酶、食品添加剂或某些外源性物质。此外,本文还将描述对过敏反应有正向或负向影响的饮食因素。最后,我们讨论肠道微生物群及其组成以及微生物衍生的代谢产物(如短链脂肪酸)如何不仅改变肠道,还改变远处上皮屏障的完整性,本综述重点关注肠-肺轴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b72f/9923236/c634edfcdc84/falgy-04-1093800-g001.jpg

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