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白细胞介素-4(IL-4)在急慢性炎症状态下的愈合作用:机制与治疗策略

Healing action of Interleukin-4 (IL-4) in acute and chronic inflammatory conditions: Mechanisms and therapeutic strategies.

作者信息

Pan Kai, Li Qiong, Guo Zhikun, Li Zongjin

机构信息

Henan Key Laboratory of Cardiac Remodeling and Transplantation, Zhengzhou Seventh People's Hospital, Zhengzhou, China; Nankai University School of Medicine, Tianjin, China; Henan Key Laboratory of Medical Tissue Regeneration, Xinxiang Medical University, Xinxiang, China.

Henan Key Laboratory of Medical Tissue Regeneration, Xinxiang Medical University, Xinxiang, China; Sanquan Medical College, Xinxiang Medical University, Xinxiang, China.

出版信息

Pharmacol Ther. 2025 Jan;265:108760. doi: 10.1016/j.pharmthera.2024.108760. Epub 2024 Nov 28.

Abstract

Interleukin-4 (IL-4), which is traditionally associated with inflammation, has emerged as a key player in tissue regeneration. Produced primarily by T-helper 2 (Th2) and other immune cells, IL-4 activates endogenous lymphocytes and promotes M2 macrophage polarization, both of which are crucial for tissue repair. Moreover, IL-4 stimulates the proliferation and differentiation of various cell types, contributing to efficient tissue regeneration, and shows promise for promoting tissue regeneration after injury. This review explores the multifaceted roles of IL-4 in tissue repair, summarizing its mechanisms and potential for clinical application. This review delves into the multifaceted functions of IL-4, including its immunomodulatory effects, its involvement in tissue regeneration, and its potential therapeutic applications. We discuss the mechanisms underlying IL-4-induced M2 macrophage polarization, a crucial process for tissue repair. Additionally, we explore innovative strategies for delivering IL-4, including gene therapy, protein-based therapies, and cell-based therapies. By leveraging the regenerative properties of IL-4, we can potentially develop novel therapies for various diseases, including chronic inflammatory disorders, autoimmune diseases, and organ injuries. While early research has shown promise for the application of IL-4 in regenerative medicine, further studies are needed to fully elucidate its therapeutic potential and optimize its use.

摘要

白细胞介素-4(IL-4)传统上与炎症相关,但已成为组织再生的关键因素。IL-4主要由辅助性T细胞2(Th2)和其他免疫细胞产生,可激活内源性淋巴细胞并促进M2巨噬细胞极化,这两者对组织修复都至关重要。此外,IL-4刺激多种细胞类型的增殖和分化,有助于高效的组织再生,并在促进损伤后组织再生方面显示出前景。本综述探讨了IL-4在组织修复中的多方面作用,总结了其机制和临床应用潜力。本综述深入研究了IL-4的多方面功能,包括其免疫调节作用、在组织再生中的作用及其潜在的治疗应用。我们讨论了IL-4诱导M2巨噬细胞极化的潜在机制,这是组织修复的关键过程。此外,我们探索了递送IL-4的创新策略,包括基因治疗、基于蛋白质的治疗和基于细胞的治疗。通过利用IL-4的再生特性,我们有可能开发出针对各种疾病的新疗法,包括慢性炎症性疾病、自身免疫性疾病和器官损伤。虽然早期研究表明IL-4在再生医学中的应用前景广阔,但仍需要进一步研究以充分阐明其治疗潜力并优化其使用。

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