Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
CURA Foundation, New York, New York, USA.
Eur J Clin Invest. 2024 Nov;54(11):e14280. doi: 10.1111/eci.14280. Epub 2024 Jul 24.
Inflammation and immunity contribute pivotally to diverse acute and chronic diseases. Inflammatory pathways have become increasingly targets for therapy. Yet, despite substantial similarity in mechanisms and pathways, the scientific, medical, pharma and biotechnology sectors have generally focused programs finely on a single disease entity or organ system. This insularity may impede progress in innovation and the harnessing of powerful new insights into inflammation biology ripe for clinical translation.
A multidisciplinary thinktank reviewed highlights how inflammation contributes to diverse diseases, disturbed homeostasis, ageing and impaired healthspan. We explored how common inflammatory and immune mechanisms that operate in key conditions in their respective domains. This consensus review highlights the high degree of commonality of inflammatory mechanisms in a diverse array of conditions that together contribute a major part of the global burden of morbidity and mortality and present an enormous challenge to public health and drain on resources.
We demonstrate how that shared inflammatory mechanisms unite many seemingly disparate diseases, both acute and chronic. The examples of infection, cardiovascular conditions, pulmonary diseases, rheumatological disorders, dementia, cancer and ageing illustrate the overlapping pathogenesis. We outline opportunities to synergize, reduce duplication and consolidate efforts of the clinical, research and pharmaceutical communities. Enhanced recognition of these commonalties should promote cross-fertilization and hasten progress in this rapidly moving domain.
Greater appreciation of the shared mechanisms should simplify understanding seemingly disparate diseases for clinicians and help them to recognize inflammation as a therapeutic target which the development of novel therapies is rendering actionable.
炎症和免疫对各种急性和慢性疾病起着至关重要的作用。炎症途径已成为治疗的越来越重要的靶点。然而,尽管在机制和途径上有很大的相似性,但科学、医学、制药和生物技术领域通常都将项目精细地集中在单一疾病实体或器官系统上。这种孤立可能会阻碍创新的进展,并阻碍将炎症生物学的强大新见解应用于临床转化。
一个多学科的智囊团回顾了炎症如何导致多种疾病、破坏体内平衡、衰老和健康寿命受损的情况。我们探讨了在各自领域的关键条件下发挥作用的常见炎症和免疫机制。这篇共识综述强调了在一系列不同疾病中炎症机制的高度共性,这些疾病共同构成了发病率和死亡率的全球负担的主要部分,对公共卫生构成了巨大挑战,并消耗了大量资源。
我们展示了共同的炎症机制如何将许多看似不同的急性和慢性疾病联系在一起。感染、心血管疾病、肺部疾病、风湿性疾病、痴呆、癌症和衰老的例子说明了重叠的发病机制。我们概述了协同作用、减少重复和整合临床、研究和制药界努力的机会。增强对这些共性的认识应该会促进这一快速发展领域的交叉授粉和加速进展。
临床医生对共同机制的更多了解应该会简化对看似不同疾病的理解,并帮助他们认识到炎症是一个治疗靶点,新疗法的发展使这一靶点变得可操作。