Moldaver Daniel M, Larché Mark, Rudulier Christopher D
Firestone Institute for Respiratory Health, St. Joseph's Hospital Healthcare, Divisions of Clinical Immunology & Allergy and Respirology, Department of Medicine, McMaster University, Hamilton, ON.
Firestone Institute for Respiratory Health, St. Joseph's Hospital Healthcare, Divisions of Clinical Immunology & Allergy and Respirology, Department of Medicine, McMaster University, Hamilton, ON.
Chest. 2017 May;151(5):1122-1130. doi: 10.1016/j.chest.2016.10.038. Epub 2016 Nov 3.
Inflammation is a hallmark of many airway diseases. Improved understanding of the cellular and molecular mechanisms of airway disease will facilitate the transition in our understanding from phenotypes to endotypes, thereby improving our ability to target treatments based on pathophysiologic characteristics. For example, allergic asthma has long been considered to be driven by an allergen-specific T helper 2 response. However, clinical and mechanistic studies have begun to shed light on the role of other cell subsets in the pathogenesis and regulation of lung inflammation. In this review, we discuss the importance of different lymphocyte subsets to asthma and other airway diseases, while highlighting the growing evidence that asthma is a syndrome that incorporates many immune phenotypes.
炎症是许多气道疾病的一个标志。对气道疾病细胞和分子机制的深入理解将有助于我们从表型向内型的理解转变,从而提高我们基于病理生理特征进行靶向治疗的能力。例如,过敏性哮喘长期以来被认为是由过敏原特异性辅助性T细胞2反应驱动的。然而,临床和机制研究已开始揭示其他细胞亚群在肺部炎症发病机制和调节中的作用。在这篇综述中,我们讨论了不同淋巴细胞亚群对哮喘和其他气道疾病的重要性,同时强调越来越多的证据表明哮喘是一种包含多种免疫表型的综合征。