吉林大学学报(医学版) ›› 2021, Vol. 47 ›› Issue (5): 1331-1336.doi: 10.13481/j.1671-587X.20210535
• 综述 • 上一篇
收稿日期:2020-11-23
出版日期:2021-09-28
发布日期:2021-10-26
通讯作者:
王胜昱
E-mail:78660954@qq.com
作者简介:陈 晖(1979-),男,四川省资阳市人,副主任医师,医学博士,主要从事呼吸系统感染性疾病及呼吸介入方面的研究。
基金资助:
Received:2020-11-23
Online:2021-09-28
Published:2021-10-26
摘要:
中性粒细胞性哮喘对于哮喘常规治疗方案反应不佳,已成为临床关注的焦点。辅助性T淋巴细胞17(Th17)主要通过分泌白细胞介素17(IL-17)来发挥其生物学作用,可诱导气道中性粒细胞性炎症、杯状细胞增生、黏液高分泌、肌纤维母细胞分化和气道平滑肌增生肥大,在该疾病的病理生理过程中扮演着重要角色。现总结分析Th17/IL-17在中性粒细胞性哮喘气道炎症、激素抵抗和气道重塑中的作用机制,以进一步认识Th17/IL-17在中性粒细胞性哮喘发生发展过程中所发挥的重要作用,并阐述以其为靶点治疗中性粒细胞性哮喘的可行性及最新进展,以便系统深入地探讨国内外相关研究的现状和不足,为中性粒细胞性哮喘的进一步研究提供新的方向,为其治疗提供新的思路和策略。
中图分类号:
陈晖,周晶,王胜昱. Th17和IL-17在中性粒细胞性哮喘发生发展中作用的研究进展Progress research in effects of Th17 and IL-17 in occurrence and development of neutrophilic asthma[J]. 吉林大学学报(医学版), 2021, 47(5): 1331-1336.
| 1 | ADCOCK I M, MUMBY S E.Neutrophilic Asthma[J]. Arch Bronconeumol, 2018,54(4):187-188. |
| 2 | CHUNG K F.Neutrophilic asthma: a distinct target for treatment?[J]. Lancet Respir Med,2016,4(10):765-767. |
| 3 | NABE T. Steroid-resistant asthma and neutrophils[J]. Biol Pharm Bull,2020,43(1):31-35. |
| 4 | RAMAKRISHNAN R K, HEIALY SAL, HAMID Q.Role of IL-17 in asthma pathogenesis and its implications for the clinic[J].Expert Rev Respir Med,2019,13(11):1057-1068. |
| 5 | COSMI L, LIOTTA F, ANNUNZIATO F.Th17 regulating lower airway disease[J].Curr Opin Allergy Clin Immunol, 2016,16(1):1-6. |
| 6 | ZHAN C, XU R, LIU J,et al.Increased sputum IL-17A level in non-asthmatic eosinophilic bronchitis[J].Lung, 2018,196(6):699-705. |
| 7 | 赵生涛.IL-17在中性粒细胞性哮喘中的作用及其调控气道炎症表型的机制研究[D].重庆:第三军医大学,2017. |
| 8 | HOUGH K P, CURTISS M L, BLAIN T J, et al. Airway remodeling in asthma[J]. Front Med (Lausanne), 2020,7:191. |
| 9 | LAMBRECHT B N, HAMMAD H. The immunology of asthma[J].Nat Immunol, 2015,16(1):45-56. |
| 10 | LEE G R.The balance of Th17 versus treg cells in autoimmunity[J].Int J Mol Sci,2018,19(3):730. |
| 11 | PEREZ L G, KEMPSKI J, MCGEE H M,et al.TGF-β signaling in Th17 cells promotes IL-22 production and colitis-associated colon cancer[J]. Nat Commun,2020,11(1):2608. |
| 12 | LI Y, YU X, MA Y,et al. IL-23 and Dendritic cells: What are the roles of their mutual attachment in immune response and immunotherapy?[J]. Cytokine, 2019,120:78-84. |
| 13 | HALWANI R, SULTANA A, VAZQUEZ-TELLO A,et al. Th-17 regulatory cytokines IL-21, IL-23, and IL-6 enhance neutrophil production of IL-17 cytokines during asthma[J].J Asthma, 2017,54(9):893-904. |
| 14 | YANG J Q, KALIM K W, LI Y,et al.Ablation of RhoA Impairs Th17 cell differentiation and alleviates house dust mite-triggered allergic airway inflammation[J]. J Leukoc Biol, 2019, 106(5):1139-1151. |
| 15 | REVU S, WU J, HENKEL M,et al.IL-23 and IL-1β drive human Th17 cell differentiation and metabolic reprogramming in absence of CD28 costimulation[J].Cell Rep, 2018,22(10):2642-2653. |
| 16 | LIU X, SUN S, LIU D.IL-17D: A less studied cytokine of IL-17 family[J]. Int Arch Allergy Immunol,2020,181(8):618-623. |
| 17 | NAKAGIRI T, INOUE M, MINAMI M,et al. Immunology mini-review:the basics of T(H)17 andinterleukin-6 in transplantation[J].Transplant Proc, 2012,44 (4) :1035-1040. |
| 18 | CHIRICOZZI A, ZHANG S, DATTOLA A,et al. New insights into the pathogenesis of cutaneous autoimmune disorders[J].J Biol Regul Homeost Agents,2012,26 (2):165-170. |
| 19 | YASUDA K, TAKEUCHI Y, HIROTA K. The pathogenicity of Th17 cells in autoimmune diseases[J].Semin Immunopathol, 2019,41(3):283-297. |
| 20 | ONISHIR M, GAFFEN S L. Interleukin-17 and its target genes: mechanisms of interleukin-17 function in disease[J].Immunology,2010,129(3) : 311-321. |
| 21 | RUIZ DE MORALES J M G, PUIG L, DAUDÉN E, et al.Critical role of interleukin (IL)-17 in inflammatory and immune disorders: an updated review of the evidence focusing in controversies [J].Autoimmun Rev,2020,19(1):102429. |
| 22 | NAIR P, AZIZ-UR-REHMAN A, RADFORD K.Therapeutic implications of ‘neutrophilic asthma’[J]. Curr Opin Pulm Med, 2015,21(1):33-38. |
| 23 | 李亭亭,柯越海,程洪强.中性粒细胞在哮喘中作用的研究进展[J].浙江大学学报(医学版),2016,45(5):544-549. |
| 24 | ZHAO S T, WANG C Z. Regulatory T cells and asthma[J].J Zhejiang Univ Sci B,2018,19(9):663-673. |
| 25 | SIMPSON J L, PHIPPS S, BAINES K J,et al. Elevated expression of the NLRP3 inflammasome in neutrophilic asthma[J]. Eur Respir J,2014,43(4):1067-1076. |
| 26 | 王 威,姚 雪,黄 瑾.核受体RORγt抑制剂的发现及对IL-17A表达影响的研究[J].免疫学杂志,2016,32(9):777-780. |
| 27 | GUAN M, MA H, FAN X, et al.Dexamethasone alleviate allergic airway inflammation in mice by inhibiting the activation of NLRP3 inflammasome[J]. Int Immunopharmacol,2020,78:106017. |
| 28 | WHITEHEAD G S, KANG H S, THOMAS S Y,et al. Therapeutic suppression of pulmonary neutrophilia and allergic airway hyperresponsiveness by a RORγt inverse agonist[J]. JCI Insight, 2019, 5(14):e125528. |
| 29 | KUDO M, MELTON A C, CHEN C,et al.IL-17A produced by αβ T cells drives airway hyper-responsiveness in mice and enhanees mouseand human airway smooth muscle contraction[J].Nat Med,2012,18(4):547-554. |
| 30 | MCKINLEY L, ALCORN J F, PETERSON A, et al. TH17 cells mediate steroid-resistant airway inflammation and airway hyperresponsiveness in mice[J].J Immunol, 2008,181(6):4089-4097. |
| 31 | HONDA K, WADA H, NAKAMURA M,et al.IL-17A synergistically stimulates TNF-α-induced IL-8 production in human airway epithelialcells: a potential role in amplifying airway inflammation[J]. Exp Lung Res, 2016, 42(4) : 205-216. |
| 32 | WADHWA R, DUA K, ADCOCK I M,et al. Cellular mechanisms underlying steroid-resistant asthma[J].Eur Respir Rev,2019,28(153):190096. |
| 33 | CHESNÉ É J, BRAZA F, MAHAY G,et al.IL-17 in severe asthma. Where do we stand?[J].Am J Respir Crit Care Med,2014,190(10):1094-1101. |
| 34 | 闫玉晓,李宇宁. 激素抵抗型哮喘发病机制和维生素D 对其部分机制的影响[J].中国当代儿科杂志,2019,21(7):724-729. |
| 35 | BANUELOS J, Cao Y, SHIN S C, et al. Immunopathology alters Th17 cellglucocorticoid sensitivity[J]. Allergy,2017,72(3):331-341. |
| 36 | RAMESH R, KOZHAYA L, MCKEVITT K, et al. Pro-inflammatory humanTh17 cells selectively express P-glycoprotein and are refractory toglucocorticoids[J]. J Exp Med, 2014,211(1):89-104. |
| 37 | SUZUKI Y, MAAZI H, SANKARANARAYANAN I,et al. Lack of autophagy induces steroid-resistant airway inflammation[J].J Allergy Clin Immunol,2016,137(5): 1382-1389. |
| 38 | YANG X, JIANG Y, WANG C. Does IL-17 respond to the disordered lung microbiome and contribute to the neutrophilic phenotype in asthma?[J]. Mediators Inflamm, 2016, 2016: 6470364. |
| 39 | ANO S, MORISHIMA Y, ISHII Y,et al.Transcription factors GATA-3 and RORγt are important for determining the phenotype of allergic airway inflammation in a murine model of asthma[J]. J Immunol,2013,190(3):1056-1065. |
| 40 | CHAMBERS E S, NANZER A M, PFEFFER P E, et al.Distinct endotypes of steroid-resistant asthma characterized by IL-17A(high) and IFN-γ(high) immunophenotypes: potential benefits of calcitriol[J].J Allergy Clin Immunol,2015,136(3):628-637. |
| 41 | VAZQUEZ-TELLO A, HALWANI R, HAMID Q, et al.Glucocorticoid receptor-beta up-regulation and steroid resistance induction by IL-17 and IL-23 cytokine stimulation in peripheral mononuclear cells[J].J Clin Immunol,2013,33(2):466-478. |
| 42 | FOGLI L K, SUNDRUD M S, GOEL S, et al. T cell-derived IL-17 mediatesepithelial changes in the airway and drives pulmonary neutrophilia[J].J Immunol, 2013,191(6):3100-3111. |
| 43 | WANG Q, LI H, YAO Y,et al.The over expression of heparin-binding epidermalgrowth factor is responsible for Th17-induced airway remodeling in an experimental asthma model[J].J Immunol,2010,185(2):834-841. |
| 44 | 张金桃,杨晓蕾,刘 向,等.Th17、IL-17与支气管哮喘-慢性阻塞性肺疾病重叠关系的研究[J].临床肺科杂志,2020,25(1): 139-142. |
| 45 | RAMAKRISHNAN R K, BAJBOUJ K, HEIALY S AL,et al.IL-17 induced autophagy regulates mitochondrial dysfunction and fibrosis in severe asthmatic bronchial fibroblasts[J].Front Immunol,2020,11:1002. |
| 46 | RAMANI K, BISWAS P S. Interleukin-17: friend or foe in organ fibrosis[J]. Cytokine, 2019, 120:282-288. |
| 47 | MDOS SANTOS T, RIGHETTI R F, CAMARGO L D N,et al.Effect of anti-IL17 antibody treatment alone and in combination with Rho-kinase inhibitor in a murine model of asthma[J].Front Physiol, 2018, 9:1183. |
| 48 | NANZER A M, CHAMBERS E S, RYANNA K,et al. Enhanced production of IL-17Ain patients with severe asthma is inhibited by 1α, 25-dihydroxyvitamin D3 in a glucocorticoid-independent fashion[J]. J Allergy Clin Immunol, 2013, 132(2): 297-304. |
| 49 | QIU Y Y, ZHOU X Y, QIAN X F,et al.1,25-dihydroxyvitamin D3 reduces mouse airway inflammation of neutrophilic asthma by transcriptional modulation of interleukin-17A[J].Am J Transl Res,2017,9(12):5411-5421. |
| 50 | LIANG L, HUR J, KANG J Y, et al. Effect of the anti-IL-17 antibody on allergic inflammation in an obesity-related asthma model[J]. Korean J Intern Med,2018,33(6):1210-1223. |
| 51 | CAMARGO L D N, RIGHETTI R F, ARISTÓTELES L R C R B, et al.Effects of anti-IL-17 on inflammation, remodeling, and oxidative stress in an experimental model of asthma exacerbated by LPS [J].Front Immunol,2018,8:1835. |
| 52 | CAMARGO L D N, MDOS SANTOS T, DE ANDRADE F C P,et al.Bronchial vascular remodeling is attenuated by anti-IL-17 in asthmatic responses exacerbated by LPS[J].Front Pharmacol, 2020,11:1269. |
| [1] | 徐丽娜,何小双,辛雯艳,邬超. 骨髓间充质干细胞来源的外泌体对哮喘模型小鼠气道阻力和肺组织病变的改善作用及其机制[J]. 吉林大学学报(医学版), 2026, 52(3): 602-611. |
| [2] | 任俏同,吴维华,王星翔,王世超,程一鹏,历春. 沉默白细胞介素17 受体B基因对肺腺癌A549细胞增殖、侵袭和凋亡的影响及其机制[J]. 吉林大学学报(医学版), 2026, 52(3): 738-745. |
| [3] | 刘欣,张雨阳,曾德玲,刘晓琴,张璐,李玫颖,陈洪,曹邦荣,马士淇. NSCLC患者外周血中KLRG1 + NK细胞水平检测及其临床意义[J]. 吉林大学学报(医学版), 2026, 52(3): 746-754. |
| [4] | 曹耿飞,沙娅·玛哈提null,顾俊鹏,纪卫政,阿斯哈尔·哈斯木null,任伟新. DEB-TACE与c-TACE治疗中晚期肝细胞癌的免疫微环境差异及TRADD介导Th17分化的机制[J]. 吉林大学学报(医学版), 2026, 52(3): 764-780. |
| [5] | 梁晓辉,刘文娜,赵建伯. PAQR3在肝细胞癌中的表达及其与T淋巴细胞免疫浸润、免疫检查点基因及患者生存期关系的生物信息学分析[J]. 吉林大学学报(医学版), 2026, 52(3): 781-790. |
| [6] | 刘长丰,金光俊,王永刚. 原发性肾血管肉瘤伴多次腹腔出血1例报告及文献复习[J]. 吉林大学学报(医学版), 2026, 52(3): 821-827. |
| [7] | 张佳翔,曹阳,桓晨. HIV-1 Tat蛋白的翻译后修饰对HIV-1转录和复制调控机制影响的研究进展[J]. 吉林大学学报(医学版), 2026, 52(3): 854-862. |
| [8] | 苏秋平,邢磊,张薇,姜珊,赵洋洋,陈芳芳. 小檗碱抗肿瘤机制及其新型纳米递送系统在肿瘤治疗中应用的研究进展[J]. 吉林大学学报(医学版), 2026, 52(3): 863-871. |
| [9] | 于洋,叶舍予,魏可新,王志成. 肿瘤放射抗性形成机制及低剂量放射治疗协同新型增敏策略对肿瘤放射抗性抑制作用的研究进展[J]. 吉林大学学报(医学版), 2026, 52(3): 872-880. |
| [10] | 李迪,苏杨,张勇,王姣琦,张小飞,赵雪冰. 小鼠川崎病模型血清外泌体中miR-328-3p和miR-671-5p表达水平及其意义[J]. 吉林大学学报(医学版), 2026, 52(2): 359-365. |
| [11] | 李金玉,李忠辉,程爱斌,部璇,白静,王建军. TREM-1抑制肽LR12对脓毒症小鼠心肌损伤的改善作用及其机制[J]. 吉林大学学报(医学版), 2026, 52(2): 366-374. |
| [12] | 王镜媛,陈芳,刘艳存,李士欣,寿松涛. 沉默凝血因子V基因通过抑制JNK1/2和p38 MAPK信号通路对脓毒症大鼠的保护作用[J]. 吉林大学学报(医学版), 2026, 52(2): 418-428. |
| [13] | 尤久琳,冯良枢,李鑫,王新宇,王爽,朱明勤,赵灵敏,苏醒麒,王晶,冯加纯,王川,马迪. 急性缺血性卒中患者血清中细胞因子水平和免疫状态变化及危险因素分析[J]. 吉林大学学报(医学版), 2026, 52(2): 499-506. |
| [14] | 李恬,王家凤,张志民. 外泌体在口腔疾病诊断及治疗中应用的研究进展[J]. 吉林大学学报(医学版), 2026, 52(2): 543-550. |
| [15] | 杨慧颖,梁伟虹,徐新茹,孙浩丹,焦昕,王海萍. 骨髓间充质干细胞对心肌样细胞分化诱导、心肌细胞保护及其心肌相关疾病作用的研究进展[J]. 吉林大学学报(医学版), 2026, 52(1): 281-289. |
|
