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过敏性疾病的发病机制及治疗干预的意义。

Pathogenesis of allergic diseases and implications for therapeutic interventions.

机构信息

National Institute of TCM constitution and Preventive Medicine, School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 100029, P.R. China.

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 1000210, China.

出版信息

Signal Transduct Target Ther. 2023 Mar 24;8(1):138. doi: 10.1038/s41392-023-01344-4.

Abstract

Allergic diseases such as allergic rhinitis (AR), allergic asthma (AAS), atopic dermatitis (AD), food allergy (FA), and eczema are systemic diseases caused by an impaired immune system. Accompanied by high recurrence rates, the steadily rising incidence rates of these diseases are attracting increasing attention. The pathogenesis of allergic diseases is complex and involves many factors, including maternal-fetal environment, living environment, genetics, epigenetics, and the body's immune status. The pathogenesis of allergic diseases exhibits a marked heterogeneity, with phenotype and endotype defining visible features and associated molecular mechanisms, respectively. With the rapid development of immunology, molecular biology, and biotechnology, many new biological drugs have been designed for the treatment of allergic diseases, including anti-immunoglobulin E (IgE), anti-interleukin (IL)-5, and anti-thymic stromal lymphopoietin (TSLP)/IL-4, to control symptoms. For doctors and scientists, it is becoming more and more important to understand the influencing factors, pathogenesis, and treatment progress of allergic diseases. This review aimed to assess the epidemiology, pathogenesis, and therapeutic interventions of allergic diseases, including AR, AAS, AD, and FA. We hope to help doctors and scientists understand allergic diseases systematically.

摘要

过敏性疾病,如过敏性鼻炎 (AR)、过敏性哮喘 (AAS)、特应性皮炎 (AD)、食物过敏 (FA) 和湿疹,是由免疫系统受损引起的全身性疾病。这些疾病的发病率不断上升,且复发率高,引起了越来越多的关注。过敏性疾病的发病机制复杂,涉及许多因素,包括母婴环境、生活环境、遗传、表观遗传和机体免疫状态。过敏性疾病的发病机制表现出明显的异质性,表型和内型分别定义了可见特征和相关的分子机制。随着免疫学、分子生物学和生物技术的快速发展,许多新型生物药物被设计用于治疗过敏性疾病,包括抗免疫球蛋白 E (IgE)、抗白细胞介素 (IL)-5 和抗胸腺基质淋巴细胞生成素 (TSLP)/IL-4,以控制症状。对于医生和科学家来说,了解过敏性疾病的影响因素、发病机制和治疗进展变得越来越重要。本综述旨在评估过敏性疾病(包括 AR、AAS、AD 和 FA)的流行病学、发病机制和治疗干预措施。我们希望帮助医生和科学家系统地了解过敏性疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e33/10039055/71a13d459d24/41392_2023_1344_Fig1_HTML.jpg

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