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探索严重哮喘嗜酸性粒细胞炎症的新视角。

Exploring novel perspectives on eosinophilic inflammation in severe asthma.

机构信息

Department of Clinical Medicine & Surgery, Federico II University, Naples, 80131, Italy.

Istituti Clinici Scientifici Maugeri IRCCS, Pulmonary Rehabilitation Unit of Telese Terme Institute, 82037, Italy.

出版信息

Biomark Med. 2024;18(8):357-361. doi: 10.2217/bmm-2023-0801. Epub 2024 Apr 16.

DOI:10.2217/bmm-2023-0801
PMID:38623926
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11285210/
Abstract

Two recent articles by the same research group documented that patients with severe eosinophilic asthma exhibit an increased proportion of a subtype of eosinophils, namely CD62L inflammatory eosinophils (iEos) and identified an intriguing correlation between such iEos and asthma control scores. Moreover, CD62L iEos were reduced after treatment with the anti-IL-5 monoclonal antibody mepolizumab. In the future, we believe that eosinophil subtypes could represent a useful biomarker in severe eosinophilic asthma, helping clinicians characterize patient endotypes and monitoring the response to biological drugs.

摘要

两篇来自同一研究团队的最新文章指出,严重嗜酸性粒细胞性哮喘患者表现出一种嗜酸性粒细胞亚型的比例增加,即 CD62L 炎症性嗜酸性粒细胞(iEos),并确定了这种 iEos 与哮喘控制评分之间的有趣相关性。此外,抗 IL-5 单克隆抗体美泊利珠单抗治疗后 CD62L iEos 减少。我们相信,嗜酸性粒细胞亚型在严重嗜酸性粒细胞性哮喘中可能代表一种有用的生物标志物,有助于临床医生描述患者的表型,并监测对生物药物的反应。

相似文献

1
Exploring novel perspectives on eosinophilic inflammation in severe asthma.探索严重哮喘嗜酸性粒细胞炎症的新视角。
Biomark Med. 2024;18(8):357-361. doi: 10.2217/bmm-2023-0801. Epub 2024 Apr 16.
2
Mepolizumab depletes inflammatory but preserves homeostatic eosinophils in severe asthma.美泊利珠单抗可耗竭炎症性但保留重症哮喘中的稳态嗜酸性粒细胞。
Allergy. 2024 Nov;79(11):3118-3128. doi: 10.1111/all.16267. Epub 2024 Aug 8.
3
Blood CD62L inflammatory eosinophils are related to the severity of asthma and reduced by mepolizumab.血液 CD62L 炎性嗜酸性粒细胞与哮喘严重程度相关,并可被美泊利单抗减少。
Allergy. 2023 Dec;78(12):3154-3165. doi: 10.1111/all.15909. Epub 2023 Oct 4.
4
Mepolizumab in the treatment of severe eosinophilic asthma.美泊利珠单抗治疗重度嗜酸性粒细胞性哮喘。
Immunotherapy. 2016;8(1):27-34. doi: 10.2217/imt.15.102. Epub 2015 Dec 10.
5
Mepolizumab for the treatment of severe eosinophilic asthma.美泊利珠单抗治疗重度嗜酸性粒细胞性哮喘。
Am J Health Syst Pharm. 2017 Jul 1;74(13):963-969. doi: 10.2146/ajhp160291.
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Blood Eosinophils Subtypes and Their Survivability in Asthma Patients.哮喘患者血液嗜酸性粒细胞亚型及其存活情况。
Cells. 2020 May 18;9(5):1248. doi: 10.3390/cells9051248.
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Evidence for the efficacy and safety of anti-interleukin-5 treatment in the management of refractory eosinophilic asthma.抗白细胞介素-5治疗在难治性嗜酸性粒细胞性哮喘管理中的疗效和安全性证据。
Ther Adv Respir Dis. 2015 Aug;9(4):135-45. doi: 10.1177/1753465815581279. Epub 2015 Apr 21.
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Antibodies targeting the interleukin-5 signaling pathway used as add-on therapy for patients with severe eosinophilic asthma: a review of the mechanism of action, efficacy, and safety of the subcutaneously administered agents, mepolizumab and benralizumab.针对白细胞介素-5 信号通路的抗体作为严重嗜酸性粒细胞性哮喘患者的附加治疗药物:皮下给予美泊利珠单抗和贝那利珠单抗的作用机制、疗效和安全性的综述。
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Clin Exp Allergy. 2016 Jun;46(6):793-802. doi: 10.1111/cea.12695.
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The roles of IL-5 and anti-IL-5 treatment in eosinophilic diseases: Asthma, eosinophilic granulomatosis with polyangiitis, and eosinophilic chronic rhinosinusitis.IL-5 及其拮抗剂在嗜酸性粒细胞疾病中的作用:哮喘、嗜酸性肉芽肿伴多血管炎和嗜酸性慢性鼻-鼻窦炎。
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引用本文的文献

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Long-term effects of mepolizumab in patients with severe eosinophilic asthma: a 6-year real-life experience.美泊利珠单抗治疗重度嗜酸性粒细胞性哮喘患者的长期疗效:6年真实世界经验
Front Pharmacol. 2024 Aug 8;15:1449220. doi: 10.3389/fphar.2024.1449220. eCollection 2024.

本文引用的文献

1
Blood CD62L inflammatory eosinophils are related to the severity of asthma and reduced by mepolizumab.血液 CD62L 炎性嗜酸性粒细胞与哮喘严重程度相关,并可被美泊利单抗减少。
Allergy. 2023 Dec;78(12):3154-3165. doi: 10.1111/all.15909. Epub 2023 Oct 4.
2
2023 GINA report for asthma.2023年哮喘全球倡议报告。
Lancet Respir Med. 2023 Jul;11(7):589. doi: 10.1016/S2213-2600(23)00230-8. Epub 2023 Jun 8.
3
Eosinophil Subtypes in Adults with Asthma and Adults with Chronic Obstructive Pulmonary Disease.成人哮喘和成人慢性阻塞性肺疾病患者中的嗜酸性粒细胞亚型。
Am J Respir Crit Care Med. 2023 Jul 15;208(2):155-162. doi: 10.1164/rccm.202301-0149OC.
4
Eosinophilic granulomatosis with polyangiitis: A review.嗜酸性肉芽肿伴多血管炎:综述。
Autoimmun Rev. 2023 Jan;22(1):103219. doi: 10.1016/j.autrev.2022.103219. Epub 2022 Oct 22.
5
High proportion of inflammatory CD62L eosinophils in blood and nasal polyps of severe asthma patients.重度哮喘患者血液和鼻息肉中炎性CD62L嗜酸性粒细胞比例较高。
Clin Exp Allergy. 2023 Jan;53(1):78-87. doi: 10.1111/cea.14153. Epub 2022 May 4.
6
Eosinophilic Esophagitis: A Review.嗜酸性粒细胞性食管炎:综述。
JAMA. 2021 Oct 5;326(13):1310-1318. doi: 10.1001/jama.2021.14920.
7
Impact of Blood Eosinophil Variability in Asthma: A Real-Life Population Study.哮喘患者血液嗜酸性粒细胞变异性的影响:一项真实人群研究。
Ann Am Thorac Soc. 2022 Mar;19(3):407-414. doi: 10.1513/AnnalsATS.202103-409OC.
8
Blood eosinophil count as predictor of asthma exacerbation. A meta-analysis.血液嗜酸性粒细胞计数作为哮喘急性加重的预测指标。一项荟萃分析。
Pediatr Allergy Immunol. 2021 Apr;32(3):465-478. doi: 10.1111/pai.13403. Epub 2020 Nov 19.
9
Blood Eosinophils Subtypes and Their Survivability in Asthma Patients.哮喘患者血液嗜酸性粒细胞亚型及其存活情况。
Cells. 2020 May 18;9(5):1248. doi: 10.3390/cells9051248.
10
Understanding Asthma Phenotypes, Endotypes, and Mechanisms of Disease.理解哮喘表型、内型和疾病机制。
Clin Rev Allergy Immunol. 2019 Apr;56(2):219-233. doi: 10.1007/s12016-018-8712-1.