Wieczfinska Joanna, Pawliczak Rafal
Department of Immunopathology, Medical Faculty, Medical University of Lodz, Lodz, Poland.
Mediators Inflamm. 2025 Jul 24;2025:5526526. doi: 10.1155/mi/5526526. eCollection 2025.
One of the main causes of the exacerbation of chronic airway inflammatory diseases is respiratory virus infections. The most prevalent viruses that can infect humans multiple times a year are rhinovirus (RV) and respiratory syncytial virus (RSV). Because remodeling factors like matrix metalloproteinases (MMPs), which are released by infiltrating neutrophils, are present. Airway remodeling is a characteristic of the pathology of airway diseases such as bronchial asthma. In these circumstances, viral infections may result in increased neutrophilic activation, which would exacerbate asthma symptoms and modify the airway. Although a connection between viral infections and acute exacerbations of chronic inflammatory respiratory diseases has been established, anti-inflammatory medications are frequently used in conjunction with antiviral medications to treat viral infections. Although their modes of action differ, they all lessen inflammation, which is essential for the development of airway remodeling. This review addresses the potential role of anti-inflammatory and antiviral drugs in preventing airway remodeling.
慢性气道炎症性疾病加重的主要原因之一是呼吸道病毒感染。每年可多次感染人类的最常见病毒是鼻病毒(RV)和呼吸道合胞病毒(RSV)。因为存在诸如由浸润的中性粒细胞释放的基质金属蛋白酶(MMPs)等重塑因子。气道重塑是支气管哮喘等气道疾病病理学的一个特征。在这些情况下,病毒感染可能导致中性粒细胞活化增加,这会加剧哮喘症状并改变气道。虽然病毒感染与慢性炎症性呼吸道疾病的急性加重之间的联系已经确立,但抗炎药物经常与抗病毒药物联合使用来治疗病毒感染。尽管它们的作用方式不同,但它们都能减轻炎症,这对于气道重塑的发展至关重要。本综述探讨了抗炎和抗病毒药物在预防气道重塑中的潜在作用。