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空气污染对哮喘的影响。

Effect of air pollution on asthma.

作者信息

Zhou Xiaoying, Sampath Vanitha, Nadeau Kari C

机构信息

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

出版信息

Ann Allergy Asthma Immunol. 2024 Apr;132(4):426-432. doi: 10.1016/j.anai.2024.01.017. Epub 2024 Jan 20.

Abstract

Asthma is a chronic inflammatory airway disease characterized by respiratory symptoms, variable airflow obstruction, bronchial hyperresponsiveness, and airway inflammation. Exposure to air pollution has been linked to an increased risk of asthma development and exacerbation. This review aims to comprehensively summarize recent data on the impact of air pollution on asthma development and exacerbation. Specifically, we reviewed the effects of air pollution on the pathogenic pathways of asthma, including type 2 and non-type 2 inflammatory responses, and airway epithelial barrier dysfunction. Air pollution promotes the release of epithelial cytokines, driving T2 responses, and induces oxidative stress and the production of proinflammatory cytokines. The enhanced type 2 inflammation, furthered by air pollution-induced dysfunction of the airway epithelial barrier, may be associated with the exacerbation of asthma. Disruption of the T17/regulatory T cell balance by air pollutants is also related to asthma exacerbation. As the effects of air pollution exposure may accumulate over time, with potentially stronger impacts in the development of asthma during certain sensitive life periods, we also reviewed the effects of air pollution on asthma across the lifespan. Future research is needed to better characterize the sensitive period contributing to the development of air pollution-induced asthma and to map air pollution-associated epigenetic biomarkers contributing to the epigenetic ages onto asthma-related genes.

摘要

哮喘是一种慢性炎症性气道疾病,其特征为呼吸道症状、气流阻塞多变、支气管高反应性和气道炎症。接触空气污染与哮喘发生和加重的风险增加有关。本综述旨在全面总结近期关于空气污染对哮喘发生和加重影响的数据。具体而言,我们回顾了空气污染对哮喘致病途径的影响,包括2型和非2型炎症反应以及气道上皮屏障功能障碍。空气污染促进上皮细胞因子释放,引发2型反应,并诱导氧化应激和促炎细胞因子产生。空气污染导致气道上皮屏障功能障碍,进而加剧的2型炎症可能与哮喘加重有关。空气污染物破坏T17/调节性T细胞平衡也与哮喘加重有关。由于接触空气污染的影响可能随时间累积,在某些敏感生命期对哮喘发生的潜在影响更强,我们还回顾了空气污染在整个生命周期对哮喘的影响。未来需要开展研究,以更好地确定导致空气污染诱发哮喘的敏感期,并确定与空气污染相关的表观遗传生物标志物,这些标志物可将表观遗传年龄映射到哮喘相关基因上。

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