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靶向囊性纤维化中的气道炎症。

Targeting airway inflammation in cystic fibrosis.

机构信息

Irish Centre for Genetic Lung Disease, Royal College of Surgeons in Ireland, Beaumont Hospital , Dublin , Ireland.

出版信息

Expert Rev Respir Med. 2019 Nov;13(11):1041-1055. doi: 10.1080/17476348.2019.1666715. Epub 2019 Oct 10.

Abstract

: The major cause of morbidity and mortality in patients with cystic fibrosis (CF) is lung disease. Inflammation in the CF airways occurs from a young age and contributes significantly to disease progression and shortened life expectancy. : In this review, we discuss the key immune cells involved in airway inflammation in CF, the contribution of the intrinsic genetic defect to the CF inflammatory phenotype, and anti-inflammatory strategies designed to overcome what is a critical factor in the pathogenesis of CF lung disease. Review of the literature was carried out using the MEDLINE (from 1975 to 2018), Google Scholar and The Cochrane Library databases. : Therapeutic interventions specifically targeting the defective CF transmembrane conductance regulator (CFTR) protein have changed the clinical landscape and significantly improved the outlook for CF. As survival estimates for people with CF increase, long-term management has become an important focus, with an increased need for therapies targeted at specific elements of inflammation, to complement CFTR modulator therapies.

摘要

: 囊性纤维化(CF)患者发病率和死亡率的主要原因是肺部疾病。CF 气道的炎症从幼年开始发生,并显著促进疾病进展和缩短预期寿命。: 在这篇综述中,我们讨论了 CF 气道炎症中涉及的关键免疫细胞、内在遗传缺陷对 CF 炎症表型的贡献,以及旨在克服 CF 肺部疾病发病机制中关键因素的抗炎策略。文献综述使用了 MEDLINE(1975 年至 2018 年)、Google Scholar 和 The Cochrane Library 数据库。: 专门针对有缺陷的 CF 跨膜电导调节蛋白(CFTR)的治疗干预改变了临床前景,并显著改善了 CF 的预后。随着 CF 患者的生存估计增加,长期管理已成为一个重要关注点,需要针对炎症的特定元素的治疗方法来补充 CFTR 调节剂治疗。

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