Kornfield James M, Bright Hoyt, Drake Matthew G
Division of Pulmonary, Allergy, and Critical Care, Oregon Health and Science University, Portland, Oregon, USA.
Immunol Rev. 2025 May;331(1):e70025. doi: 10.1111/imr.70025.
Asthma is an inflammatory airway disease characterized by excessive bronchoconstriction and airway hyperresponsiveness. Airway nerves play a crucial role in regulating these processes. In asthma, interactions between inflammatory cells and nerves result in nerve dysfunction, which worsens airway function. This review discusses new insights regarding the role of airway nerves in healthy lungs and examines how communication between nerves and leukocytes, including eosinophils, mast cells, dendritic cells, and innate lymphoid cells, contributes to nerve dysfunction and the worsening of airway disease. Clinical implications and therapeutic opportunities presented by neuroimmune interactions are also addressed.
哮喘是一种炎症性气道疾病,其特征为支气管过度收缩和气道高反应性。气道神经在调节这些过程中起关键作用。在哮喘中,炎症细胞与神经之间的相互作用导致神经功能障碍,进而使气道功能恶化。本综述讨论了关于气道神经在健康肺脏中作用的新见解,并探讨了神经与白细胞(包括嗜酸性粒细胞、肥大细胞、树突状细胞和固有淋巴细胞)之间的通讯如何导致神经功能障碍和气道疾病恶化。还阐述了神经免疫相互作用带来的临床意义和治疗机会。