哮喘的免疫学
The immunology of asthma.
作者信息
Lambrecht Bart N, Ahmed Engi, Hammad Hamida
机构信息
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.
Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
出版信息
Nat Immunol. 2025 Aug;26(8):1233-1245. doi: 10.1038/s41590-025-02212-9. Epub 2025 Jul 29.
Asthma is a chronic inflammatory disease of the airways characterized by variable airway obstruction. In some patients with severe disease there are frequent disease flares, and some individuals develop irreversible airway obstruction. The immune system has a predominant effect on many aspects of the disease. A large proportion of people with asthma have signs of type 2 immunity, rich in eosinophils, mast cells and basophils, and controlled by either type 2 helper T cells or type 2 innate lymphoid cells. Other patients have a more neutrophil-predominant disease, and some have little underlying immune dysfunction. Here we review the immunology of asthma by integrating data from mouse model studies with clinical intervention studies.
哮喘是一种以气道可变阻塞为特征的慢性气道炎症性疾病。在一些重症患者中,疾病频繁发作,部分个体出现不可逆的气道阻塞。免疫系统在该疾病的许多方面起主要作用。很大一部分哮喘患者具有2型免疫特征,富含嗜酸性粒细胞、肥大细胞和嗜碱性粒细胞,并由2型辅助性T细胞或2型固有淋巴细胞控制。其他患者的疾病以中性粒细胞为主,还有一些患者几乎没有潜在的免疫功能障碍。在此,我们通过整合来自小鼠模型研究和临床干预研究的数据来综述哮喘的免疫学。