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Journal ArticleDOI

The immunology of asthma

Bart N. Lambrecht, +1 more
- 01 Jan 2015 - 
- Vol. 16, Iss: 1, pp 45-56
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TLDR
Results from in-depth molecular studies of mouse models in light of the results from the first clinical trials targeting key cytokines in humans are discussed and the extraordinary heterogeneity of asthma is described.
Abstract
Asthma is a common disease that affects 300 million people worldwide. Given the large number of eosinophils in the airways of people with mild asthma, and verified by data from murine models, asthma was long considered the hallmark T helper type 2 (T(H)2) disease of the airways. It is now known that some asthmatic inflammation is neutrophilic, controlled by the T(H)17 subset of helper T cells, and that some eosinophilic inflammation is controlled by type 2 innate lymphoid cells (ILC2 cells) acting together with basophils. Here we discuss results from in-depth molecular studies of mouse models in light of the results from the first clinical trials targeting key cytokines in humans and describe the extraordinary heterogeneity of asthma.

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Citations
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Journal ArticleDOI

Barrier Epithelial Cells and the Control of Type 2 Immunity

TL;DR: The general mechanisms of how different stimuli trigger type-2-cell-mediated immunity at mucosal barriers are reviewed and how this leads to protection or disease are reviewed.
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The Cytokines of Asthma

TL;DR: The cytokine networks driving asthma are reviewed, placing these in cellular context and incorporating insights from cytokine-targeting therapies in the clinic, to argue that the development of new and improved therapeutics will require understanding the diverse mechanisms underlying the spectrum of asthma pathologies.
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Farm dust and endotoxin protect against allergy through A20 induction in lung epithelial cells

TL;DR: It is shown that chronic exposure to low-dose endotoxin or farm dust protects mice from developing house dust mite–induced asthma, and a single-nucleotide polymorphism in the gene encoding A20 was associated with allergy and asthma risk in children growing up on farms.
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Macrophage polarization in pathology.

TL;DR: Functional skewing of monocyte/macrophage polarization occurs in physiological conditions as well as in pathology and is now considered a key determinant of disease development and/or regression.
References
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Journal ArticleDOI

The transcription factor PU.1 is required for the development of IL-9-producing T cells and allergic inflammation

TL;DR: A critical role is suggested in generating the IL-9-producing (TH9) phenotype and in the development of allergic inflammation in mice with PU.1-deficient T cells, which corresponds to lower expression of Il9 and chemokines in peripheral T cells and in lungs than that of wild-type mice.
Journal ArticleDOI

Induction of Airway Mucus Production By T Helper 2 (Th2) Cells: A Critical Role For Interleukin 4 In Cell Recruitment But Not Mucus Production

TL;DR: It is suggested that IL-4 is crucial for Th2 cell recruitment to the lung and for induction of inflammation, but has no direct role in mucus production.
Journal ArticleDOI

IL-33–Responsive Lineage−CD25+CD44hi Lymphoid Cells Mediate Innate Type 2 Immunity and Allergic Inflammation in the Lungs

TL;DR: A subset of innate immune cells that responds to IL-33 and vigorously produces Th2-type cytokines is present in mouse lungs, which may provide a novel mechanism for type 2 immunity in the airways and induction of allergic airway diseases such as asthma.
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