TH17 cells and corticosteroid insensitivity in severe asthma

Copyright © 2021 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved..

Asthma is classically described as having either a type 2 (T2) eosinophilic phenotype or a non-T2 neutrophilic phenotype. T2 asthma usually responds to classical bronchodilation therapy and corticosteroid treatment. Non-T2 neutrophilic asthma is often more severe. Patients with non-T2 asthma or late-onset T2 asthma show poor response to the currently available anti-inflammatory therapies. These therapeutic failures result in increased morbidity and cost associated with asthma and pose a major health care problem. Recent evidence suggests that some non-T2 asthma is associated with elevated TH17 cell immune responses. TH17 cells producing Il-17A and IL-17F are involved in the neutrophilic inflammation and airway remodeling processes in severe asthma and have been suggested to contribute to the development of subsets of corticosteroid-insensitive asthma. This review explores the pathologic role of TH17 cells in corticosteroid insensitivity of severe asthma and potential targets to treat this endotype of asthma.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:149

Enthalten in:

The Journal of allergy and clinical immunology - 149(2022), 2 vom: 01. Feb., Seite 467-479

Sprache:

Englisch

Beteiligte Personen:

Xie, Yan [VerfasserIn]
Abel, Peter W [VerfasserIn]
Casale, Thomas B [VerfasserIn]
Tu, Yaping [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
Airway neutrophilia
Corticosteroid insensitivity
EC 2.7.11.1
IL-17
IL-6
IL17A protein, human
Interleukin-17
Interleukin-6
Journal Article
Non–type 2 asthma
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Rho-Associated Kinases
Rho-associated kinase
RhoA
Severe asthma
T(H)17 cells
Type 2 asthma

Anmerkungen:

Date Completed 03.03.2022

Date Revised 02.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jaci.2021.12.769

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33489686X