Corrigan C J, Kay A B
Dept of Medicine, Charing Cross and Westminster Medical School, University of London, UK.
Eur Respir J Suppl. 1996 Aug;22:72s-78s.
There now exists considerable support for the hypothesis that asthma represents a specialized form of cell-mediated immunity, in which cytokines and possibly other mediators secreted by activated T-lymphocytes bring about the specific accumulation and activation of eosinophils in the bronchial mucosa. This observation has very important implications for future asthma therapy, since it suggests that drugs other than glucocorticoids which inhibit T-lymphocyte function may be of therapeutic benefit, as has recently been shown in the case of cyclosporin A. Further documentation of the cytokines involved in asthma of varying clinical associations might allow a pathophysiological classification of the disease.
目前,对于哮喘代表一种细胞介导免疫的特殊形式这一假说,存在相当多的支持证据。在这种形式中,活化的T淋巴细胞分泌的细胞因子以及可能的其他介质导致嗜酸性粒细胞在支气管黏膜中特异性聚集和活化。这一观察结果对未来的哮喘治疗具有非常重要的意义,因为它表明抑制T淋巴细胞功能的糖皮质激素以外的药物可能具有治疗益处,正如最近环孢素A的情况所示。进一步记录参与不同临床关联哮喘的细胞因子,可能会使该疾病有一个病理生理学分类。