1. The Cytokines of Asthma.
- Author
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Lambrecht BN, Hammad H, and Fahy JV
- Subjects
- Adaptive Immunity, Adrenal Cortex Hormones therapeutic use, Allergens immunology, Animals, Anti-Asthmatic Agents therapeutic use, Anti-Inflammatory Agents therapeutic use, Antibodies, Monoclonal immunology, Antibodies, Monoclonal therapeutic use, Asthma classification, Asthma drug therapy, Asthma physiopathology, Clinical Trials as Topic, Cytokines antagonists & inhibitors, Epithelial Cells immunology, Humans, Inflammation immunology, Interferons immunology, Mice, Mice, Knockout, Models, Immunological, Th2 Cells immunology, Asthma immunology, Cytokines immunology
- Abstract
Asthma is a chronic inflammatory airway disease associated with type 2 cytokines interleukin-4 (IL-4), IL-5, and IL-13, which promote airway eosinophilia, mucus overproduction, bronchial hyperresponsiveness (BHR), and immunogloubulin E (IgE) synthesis. However, only half of asthma patients exhibit signs of an exacerbated Type 2 response. "Type 2-low" asthma has different immune features: airway neutrophilia, obesity-related systemic inflammation, or in some cases, few signs of immune activation. Here, we review the cytokine networks driving asthma, placing these in cellular context and incorporating insights from cytokine-targeting therapies in the clinic. We discuss established and emerging paradigms in the context of the growing appreciation of disease heterogeneity and argue that the development of new and improved therapeutics will require understanding the diverse mechanisms underlying the spectrum of asthma pathologies., (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Published
- 2019
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