The onset, development and pathogenesis of severe neutrophilic asthma

Bronchial asthma is divided into Th2 high, Th2 low and mixed types. The Th2 high type is dominated by eosinophils while the Th2 low type is divided into neutrophilic and paucigranulocytic types. Eosinophilic asthma has gained increased attention recently, and its pathogenesis and treatment are well...

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Veröffentlicht in:Immunology and cell biology 2022-03, Vol.100 (3), p.144-159
Hauptverfasser: Zhang, Xingli, Xu, Zixi, Wen, Xue, Huang, Guoping, Nian, Siji, Li, Lin, Guo, Xiyuan, Ye, Yingchun, Yuan, Qing
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container_end_page 159
container_issue 3
container_start_page 144
container_title Immunology and cell biology
container_volume 100
creator Zhang, Xingli
Xu, Zixi
Wen, Xue
Huang, Guoping
Nian, Siji
Li, Lin
Guo, Xiyuan
Ye, Yingchun
Yuan, Qing
description Bronchial asthma is divided into Th2 high, Th2 low and mixed types. The Th2 high type is dominated by eosinophils while the Th2 low type is divided into neutrophilic and paucigranulocytic types. Eosinophilic asthma has gained increased attention recently, and its pathogenesis and treatment are well understood. However, severe neutrophilic asthma requires more in‐depth research because its pathogenesis is not well understood, and no effective treatment exists. This review looks at the advances made in asthma research, the pathogenesis of neutrophilic asthma, the mechanisms of progression to severe asthma, risk factors for asthma exacerbations, and biomarkers and treatment of neutrophilic asthma. The pathogenesis of neutrophilic asthma is further discussed from four aspects: Th17‐type inflammatory response, inflammasomes, exosomes and microRNAs. This review provides direction for the mechanistic study, diagnosis and treatment of neutrophilic asthma. The treatment of neutrophilic asthma remains a significant challenge for clinical therapists and is an important area of future clinical research. Neutrophilic asthma is asthma in which neutrophils are predominantly increased. This review looks at the advances made in asthma research, the pathogenesis of neutrophilic asthma, the mechanism of progression to severe asthma, risk factors for asthma exacerbations, and biomarkers and treatment of neutrophilic asthma. This review provides direction for the prevention, diagnosis and treatment of severe asthma.
doi_str_mv 10.1111/imcb.12522
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The Th2 high type is dominated by eosinophils while the Th2 low type is divided into neutrophilic and paucigranulocytic types. Eosinophilic asthma has gained increased attention recently, and its pathogenesis and treatment are well understood. However, severe neutrophilic asthma requires more in‐depth research because its pathogenesis is not well understood, and no effective treatment exists. This review looks at the advances made in asthma research, the pathogenesis of neutrophilic asthma, the mechanisms of progression to severe asthma, risk factors for asthma exacerbations, and biomarkers and treatment of neutrophilic asthma. The pathogenesis of neutrophilic asthma is further discussed from four aspects: Th17‐type inflammatory response, inflammasomes, exosomes and microRNAs. This review provides direction for the mechanistic study, diagnosis and treatment of neutrophilic asthma. The treatment of neutrophilic asthma remains a significant challenge for clinical therapists and is an important area of future clinical research. Neutrophilic asthma is asthma in which neutrophils are predominantly increased. This review looks at the advances made in asthma research, the pathogenesis of neutrophilic asthma, the mechanism of progression to severe asthma, risk factors for asthma exacerbations, and biomarkers and treatment of neutrophilic asthma. 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subjects Asthma
Exosomes
Helper cells
Inflammasomes
Inflammation
inflammation, neutrophil asthma, pathogenesis, risk factors
Leukocytes (eosinophilic)
Leukocytes (neutrophilic)
Lymphocytes T
miRNA
Pathogenesis
Risk factors
title The onset, development and pathogenesis of severe neutrophilic asthma
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