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[慢性阻塞性支气管肺炎各方面的当前进展以及支气管哮喘的发病机制]

[Current advances in various aspects of chronic obstructive bronchopneumopathy and in the pathogenesis of bronchial asthma].

作者信息

Ricci M, Matucci A, Rossi O

机构信息

Istituto di Clinica Medica III, Università degli Studi di Firenze.

出版信息

Ann Ital Med Int. 1993 Apr-Jun;8(2):95-103.

PMID:8353026
Abstract

The continuing interest of researchers in chronic obstructive pulmonary disease (COPD) is due not only to its increasing socio-economic impact, but also to the rapid advances made in the comprehension of various mechanisms of this disease, advances made feasible chiefly by a broader interdisciplinary approach to the subject. The most significant progress has been made through the study of bronchial asthma: researchers have confirmed that a particular inflammation of the bronchial mucosa is the common feature of all asthmatic syndromes. IgE antibodies specific for allergens as well as Th2 type T cells seem to play a central role in allergic bronchial asthma. Other types of T cells producing different combinations of cytokines, chiefly IL-5, may be involved in the pathogenesis of intrinsic and professional asthma. It is hoped that this recently gained knowledge will enable improvement in the prevention and therapy of asthma and other COPD syndromes.

摘要

研究人员对慢性阻塞性肺疾病(COPD)持续保持兴趣,不仅是因为其日益增加的社会经济影响,还因为在理解该疾病的各种机制方面取得了迅速进展,而这些进展主要得益于对该主题采用更广泛的跨学科方法。通过对支气管哮喘的研究取得了最显著的进展:研究人员已证实,支气管黏膜的特定炎症是所有哮喘综合征的共同特征。针对过敏原的特异性IgE抗体以及Th2型T细胞似乎在过敏性支气管哮喘中起核心作用。产生不同细胞因子组合(主要是IL-5)的其他类型T细胞可能参与内源性哮喘和职业性哮喘的发病机制。希望最近获得的这些知识将有助于改善哮喘和其他慢性阻塞性肺疾病综合征的预防和治疗。

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