McPhee Christa, Yevdokimova Kateryna, Rogers Linda, Kraft Monica
Division of Pulmonary, Critical Care and Sleep Medicine, Samuel Bronfman Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Division of Pulmonary, Critical Care and Sleep Medicine, Samuel Bronfman Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
J Allergy Clin Immunol. 2023 Dec;152(6):1376-1381. doi: 10.1016/j.jaci.2023.09.005. Epub 2023 Sep 20.
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has brought new insights into the immunologic intricacies of asthma. In this review, we discuss the epidemiology of asthma in patients infected with SARS-CoV-2 and the risk of severe infection. Type 2 inflammation had an overall protective effect against SARS-CoV-2 infection by various mechanisms summarized in this review. Asthma, intranasal, and inhaled corticosteroids decreased the angiotensin-converting enzyme 2 receptor, an important receptor for SARS-CoV-2 entry into host cells. We summarize the nuances of the treatment of type 2 inflammation despite its underlying protective effects. Research to date has shown that patients on various allergen immunotherapies and biologics do benefit from being vaccinated.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行让人们对哮喘的免疫复杂性有了新的认识。在这篇综述中,我们讨论了感染SARS-CoV-2患者的哮喘流行病学以及严重感染的风险。2型炎症通过本综述总结的多种机制对SARS-CoV-2感染具有总体保护作用。哮喘、鼻内和吸入性糖皮质激素会降低血管紧张素转换酶2受体,这是SARS-CoV-2进入宿主细胞的重要受体。尽管2型炎症具有潜在的保护作用,我们还是总结了其治疗的细微差别。迄今为止的研究表明,接受各种变应原免疫疗法和生物制剂治疗的患者确实能从接种疫苗中获益。
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