Guo Dong-Yu, Liu Zheng-Yuan, Xu Xu-Chen, Yu Jin-Kang, Zhou Jie-Sen, Li Zhou-Yang, Lv Bai-Hui, Xu Ting, Chen Zhi-Hua
Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang, China.
Department of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Inflammation. 2025 Aug 19. doi: 10.1007/s10753-025-02351-z.
Neutrophils, the most abundant circulating leukocytes in humans, play key roles in infection and inflammation. The lungs represent a vital pool for neutrophils, serving as both a primary site of immune surveillance and a key battleground in inflammatory responses. However, neutrophil activation could be harmful; excessive or prolonged neutrophil activity can lead to unintended tissue damage and contribute to disease progression. Increasing evidence has highlighted the multifaceted roles of neutrophils in the pathogenesis and progression of airway inflammatory diseases. This review aims to elaborate the current understanding of neutrophil heterogeneity, functions, and mechanisms in various airway inflammatory diseases, including acute respiratory distress syndrome (ARDS), asthma, chronic obstructive pulmonary disease (COPD), and pulmonary fibrosis. Understanding the precise contributions of neutrophils in those airway inflammatory diseases would provide valuable insights into the complex immune landscape of the lungs and might open new avenues for targeted therapeutics.
中性粒细胞是人体中循环最丰富的白细胞,在感染和炎症中起关键作用。肺是中性粒细胞的重要储存库,既是免疫监视的主要部位,也是炎症反应的关键战场。然而,中性粒细胞的激活可能是有害的;中性粒细胞过度或持续的活动会导致意外的组织损伤,并促进疾病进展。越来越多的证据凸显了中性粒细胞在气道炎症性疾病的发病机制和进展中的多方面作用。本综述旨在阐述目前对中性粒细胞在各种气道炎症性疾病(包括急性呼吸窘迫综合征(ARDS)、哮喘、慢性阻塞性肺疾病(COPD)和肺纤维化)中的异质性、功能及机制的理解。了解中性粒细胞在这些气道炎症性疾病中的精确作用,将为肺部复杂的免疫格局提供有价值的见解,并可能为靶向治疗开辟新途径。