Neuroimmune interplay during type 2 inflammation: Symptoms, mechanisms, and therapeutic targets in atopic diseases - 04/04/24
, Marc E. Rothenberg, MD, PhD b, Xin Sun, PhD c, Claus Bachert, MD, PhD d, e, David Artis, PhD f, Raza Zaheer, PhD g, Yamo Deniz, MD h, Paul Rowe, MD i, Sonya Cyr, PhD hAbstract |
Type 2 inflammation is characterized by overexpression and heightened activity of type 2 cytokines, mediators, and cells that drive neuroimmune activation and sensitization to previously subthreshold stimuli. The consequences of altered neuroimmune activity differ by tissue type and disease; they include skin inflammation, sensitization to pruritogens, and itch amplification in atopic dermatitis and prurigo nodularis; airway inflammation and/or hyperresponsiveness, loss of expiratory volume, airflow obstruction and increased mucus production in asthma; loss of sense of smell in chronic rhinosinusitis with nasal polyps; and dysphagia in eosinophilic esophagitis. We describe the neuroimmune interactions that underlie the various sensory and autonomic pathologies in type 2 inflammatory diseases and present recent advances in targeted treatment approaches to reduce type 2 inflammation and its associated symptoms in these diseases. Further research is needed to better understand the neuroimmune mechanisms that underlie chronic, sustained inflammation and its related sensory pathologies in diseases associated with type 2 inflammation.
Il testo completo di questo articolo è disponibile in PDF.Key words : Type 2 inflammation, sensory neurons, cytokines, neuropeptides, atopic dermatitis, prurigo nodularis, asthma, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, neuroimmune
Abbreviations used : AD, AHR, AR, β2AR, CGRP, CRSwNP, DRG, EoE, IL-4Rα, IL-31RA, ILC2, JAK, JAKI, MrgprA, MrgprA3, OSM, PN, SP, STAT, TRPA1, TRPV1, TSLP, VIP
Mappa
Vol 153 - N° 4
P. 879-893 - aprile 2024 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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