Toll-like receptors 2, 3 and 4 and thymic stromal lymphopoietin expression in fatal asthma

Summary Background Airway inflammation in asthma involves innate immune responses. Toll‐like receptors (TLRs) and thymic stromal lymphopoietin (TSLP) are thought to be involved in airway inflammation, but their expression in asthmatics’ both large and small airways has not been investigated. Objecti...

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Veröffentlicht in:Clinical and experimental allergy 2012-10, Vol.42 (10), p.1459-1471
Hauptverfasser: Ferreira, D. S., Annoni, R., Silva, L. F. F., Buttignol, M., Santos, A. B. G., Medeiros, M. C. R., Andrade, L. N. S., Yick, C. Y., Sterk, P. J., Sampaio, J. L. M., Dolhnikoff, M., Wenzel, S. E., Mauad, T.
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container_end_page 1471
container_issue 10
container_start_page 1459
container_title Clinical and experimental allergy
container_volume 42
creator Ferreira, D. S.
Annoni, R.
Silva, L. F. F.
Buttignol, M.
Santos, A. B. G.
Medeiros, M. C. R.
Andrade, L. N. S.
Yick, C. Y.
Sterk, P. J.
Sampaio, J. L. M.
Dolhnikoff, M.
Wenzel, S. E.
Mauad, T.
description Summary Background Airway inflammation in asthma involves innate immune responses. Toll‐like receptors (TLRs) and thymic stromal lymphopoietin (TSLP) are thought to be involved in airway inflammation, but their expression in asthmatics’ both large and small airways has not been investigated. Objective To analyse the expression of TLR2, TLR3, TLR4 and TSLP in large and small airways of asthmatics and compare their expression in smoking and non‐smoking asthmatics; to investigate whether TLR expression is associated with eosinophilic or neutrophilic airway inflammation and with Mycoplasma pneumoniae and Chlamydophila pneumoniae infection. Methods Using immunohistochemistry and image analysis, we investigated TLR2, TLR3, TLR4 and TSLP expression in large and small airways of 24 victims of fatal asthma, FA, (13 non‐smokers, 11 smokers) and nine deceased control subjects (DCtrl). TLRs were also measured in 18 mild asthmatics (MA) and 12 healthy controls (HCtrl). M. pneumoniae and C. pneumoniae in autopsy lung tissue were analysed using real‐time polymerase chain reaction. Airway eosinophils and neutrophils were measured in all subjects. Results Fatal asthma patients had higher TLR2 in the epithelial and outer layers of large and small airways compared with DCtrls. Smoking asthmatics had lower TLR2 levels in the inner and outer layers of the small airways than non‐smoking asthmatics. TSLP was increased in the epithelial and outer layers of the large airways of FA. FA patients had greater TLR3 expression in the outer layer of large airways and greater TLR4 expression in the outer layer of small airways. Eosinophilic airway inflammation was associated with TLR expression in the epithelium of FA. No bacterial DNA was detected in FA or DCtrls. MA and HCtrls had only a small difference in TLR3 expression. Conclusions and Clinical Relevance Increased expression of TLR 2, 3 and 4 and TSLP in fatal asthma may contribute to the acute inflammation surrounding asthma deaths.
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S. ; Annoni, R. ; Silva, L. F. F. ; Buttignol, M. ; Santos, A. B. G. ; Medeiros, M. C. R. ; Andrade, L. N. S. ; Yick, C. Y. ; Sterk, P. J. ; Sampaio, J. L. M. ; Dolhnikoff, M. ; Wenzel, S. E. ; Mauad, T.</creator><creatorcontrib>Ferreira, D. S. ; Annoni, R. ; Silva, L. F. F. ; Buttignol, M. ; Santos, A. B. G. ; Medeiros, M. C. R. ; Andrade, L. N. S. ; Yick, C. Y. ; Sterk, P. J. ; Sampaio, J. L. M. ; Dolhnikoff, M. ; Wenzel, S. E. ; Mauad, T.</creatorcontrib><description>Summary Background Airway inflammation in asthma involves innate immune responses. Toll‐like receptors (TLRs) and thymic stromal lymphopoietin (TSLP) are thought to be involved in airway inflammation, but their expression in asthmatics’ both large and small airways has not been investigated. Objective To analyse the expression of TLR2, TLR3, TLR4 and TSLP in large and small airways of asthmatics and compare their expression in smoking and non‐smoking asthmatics; to investigate whether TLR expression is associated with eosinophilic or neutrophilic airway inflammation and with Mycoplasma pneumoniae and Chlamydophila pneumoniae infection. Methods Using immunohistochemistry and image analysis, we investigated TLR2, TLR3, TLR4 and TSLP expression in large and small airways of 24 victims of fatal asthma, FA, (13 non‐smokers, 11 smokers) and nine deceased control subjects (DCtrl). TLRs were also measured in 18 mild asthmatics (MA) and 12 healthy controls (HCtrl). M. pneumoniae and C. pneumoniae in autopsy lung tissue were analysed using real‐time polymerase chain reaction. Airway eosinophils and neutrophils were measured in all subjects. Results Fatal asthma patients had higher TLR2 in the epithelial and outer layers of large and small airways compared with DCtrls. Smoking asthmatics had lower TLR2 levels in the inner and outer layers of the small airways than non‐smoking asthmatics. TSLP was increased in the epithelial and outer layers of the large airways of FA. FA patients had greater TLR3 expression in the outer layer of large airways and greater TLR4 expression in the outer layer of small airways. Eosinophilic airway inflammation was associated with TLR expression in the epithelium of FA. No bacterial DNA was detected in FA or DCtrls. MA and HCtrls had only a small difference in TLR3 expression. Conclusions and Clinical Relevance Increased expression of TLR 2, 3 and 4 and TSLP in fatal asthma may contribute to the acute inflammation surrounding asthma deaths.</description><identifier>ISSN: 0954-7894</identifier><identifier>ISSN: 1365-2222</identifier><identifier>EISSN: 1365-2222</identifier><identifier>DOI: 10.1111/j.1365-2222.2012.04047.x</identifier><identifier>PMID: 22994343</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adult ; Asthma ; Asthma - immunology ; Asthma - mortality ; Biological and medical sciences ; Chronic obstructive pulmonary disease, asthma ; Cytokines - metabolism ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; immunohistochemistry ; Inflammation - immunology ; innate immunity ; lung ; Lung - immunology ; Male ; Medical research ; Medical sciences ; Middle Aged ; Pneumology ; Thymic Stromal Lymphopoietin ; Toll-Like Receptor 2 - metabolism ; Toll-Like Receptor 3 - metabolism ; Toll-Like Receptor 4 - metabolism ; Up-Regulation</subject><ispartof>Clinical and experimental allergy, 2012-10, Vol.42 (10), p.1459-1471</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2012 Blackwell Publishing Ltd.</rights><rights>Copyright © 2012 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6367-b709f61874844dc872939539ecab499cb8a86aef2d95dc055f0b471c2bd984603</citedby><cites>FETCH-LOGICAL-c6367-b709f61874844dc872939539ecab499cb8a86aef2d95dc055f0b471c2bd984603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2222.2012.04047.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2222.2012.04047.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26414196$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22994343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferreira, D. S.</creatorcontrib><creatorcontrib>Annoni, R.</creatorcontrib><creatorcontrib>Silva, L. F. F.</creatorcontrib><creatorcontrib>Buttignol, M.</creatorcontrib><creatorcontrib>Santos, A. B. G.</creatorcontrib><creatorcontrib>Medeiros, M. C. R.</creatorcontrib><creatorcontrib>Andrade, L. N. S.</creatorcontrib><creatorcontrib>Yick, C. Y.</creatorcontrib><creatorcontrib>Sterk, P. J.</creatorcontrib><creatorcontrib>Sampaio, J. L. M.</creatorcontrib><creatorcontrib>Dolhnikoff, M.</creatorcontrib><creatorcontrib>Wenzel, S. E.</creatorcontrib><creatorcontrib>Mauad, T.</creatorcontrib><title>Toll-like receptors 2, 3 and 4 and thymic stromal lymphopoietin expression in fatal asthma</title><title>Clinical and experimental allergy</title><addtitle>Clin Exp Allergy</addtitle><description>Summary Background Airway inflammation in asthma involves innate immune responses. Toll‐like receptors (TLRs) and thymic stromal lymphopoietin (TSLP) are thought to be involved in airway inflammation, but their expression in asthmatics’ both large and small airways has not been investigated. Objective To analyse the expression of TLR2, TLR3, TLR4 and TSLP in large and small airways of asthmatics and compare their expression in smoking and non‐smoking asthmatics; to investigate whether TLR expression is associated with eosinophilic or neutrophilic airway inflammation and with Mycoplasma pneumoniae and Chlamydophila pneumoniae infection. Methods Using immunohistochemistry and image analysis, we investigated TLR2, TLR3, TLR4 and TSLP expression in large and small airways of 24 victims of fatal asthma, FA, (13 non‐smokers, 11 smokers) and nine deceased control subjects (DCtrl). TLRs were also measured in 18 mild asthmatics (MA) and 12 healthy controls (HCtrl). M. pneumoniae and C. pneumoniae in autopsy lung tissue were analysed using real‐time polymerase chain reaction. Airway eosinophils and neutrophils were measured in all subjects. Results Fatal asthma patients had higher TLR2 in the epithelial and outer layers of large and small airways compared with DCtrls. Smoking asthmatics had lower TLR2 levels in the inner and outer layers of the small airways than non‐smoking asthmatics. TSLP was increased in the epithelial and outer layers of the large airways of FA. FA patients had greater TLR3 expression in the outer layer of large airways and greater TLR4 expression in the outer layer of small airways. Eosinophilic airway inflammation was associated with TLR expression in the epithelium of FA. No bacterial DNA was detected in FA or DCtrls. MA and HCtrls had only a small difference in TLR3 expression. Conclusions and Clinical Relevance Increased expression of TLR 2, 3 and 4 and TSLP in fatal asthma may contribute to the acute inflammation surrounding asthma deaths.</description><subject>Adult</subject><subject>Asthma</subject><subject>Asthma - immunology</subject><subject>Asthma - mortality</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Cytokines - metabolism</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>immunohistochemistry</subject><subject>Inflammation - immunology</subject><subject>innate immunity</subject><subject>lung</subject><subject>Lung - immunology</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumology</subject><subject>Thymic Stromal Lymphopoietin</subject><subject>Toll-Like Receptor 2 - metabolism</subject><subject>Toll-Like Receptor 3 - metabolism</subject><subject>Toll-Like Receptor 4 - metabolism</subject><subject>Up-Regulation</subject><issn>0954-7894</issn><issn>1365-2222</issn><issn>1365-2222</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuP0zAUhSMEYsrAX0CREBILEvx-LEAaVUNBjGAzCMTGchyHuuPEwU6h_fc401IeK-7CD93vHN2rUxQlBDXM9WJTQ8xohXLVCEBUAwIIr3d3isWpcbdYAElJxYUkZ8WDlDYAAEyluF-cISQlwQQvii_XwfvKuxtbRmvsOIWYSvS8xKUe2pLcntN63ztTpimGXvvS7_txHcbg7OSG0u7GaFNyYSjzr9NTJnSa1r1-WNzrtE_20fE-Lz6-vrxevqmuPqzeLi-uKsMw41XDgewYFJwIQlojOJJYUiyt0Q2R0jRCC6Zth1pJWwMo7UBDODSoaaUgDODz4tXBd9w2vW2NHaaovRqj63Xcq6Cd-rszuLX6Gr4rTKhEiGeDZ0eDGL5tbZpU75Kx3uvBhm1SEDCJIBCMZPTJP-gmbOOQ11OQEsolkmQ2FAfKxJBStN1pGAjUHKDaqDknNeek5gDVbYBql6WP_1zmJPyVWAaeHgGdjPZd1INx6TfHCCRQssy9PHA_nLf7_x5ALS8v5lfWVwe9S5PdnfQ63ijGMafq0_uVQvwzW8J3WK3wT3v9xLg</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Ferreira, D. S.</creator><creator>Annoni, R.</creator><creator>Silva, L. F. F.</creator><creator>Buttignol, M.</creator><creator>Santos, A. B. G.</creator><creator>Medeiros, M. C. R.</creator><creator>Andrade, L. N. S.</creator><creator>Yick, C. Y.</creator><creator>Sterk, P. J.</creator><creator>Sampaio, J. L. M.</creator><creator>Dolhnikoff, M.</creator><creator>Wenzel, S. E.</creator><creator>Mauad, T.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201210</creationdate><title>Toll-like receptors 2, 3 and 4 and thymic stromal lymphopoietin expression in fatal asthma</title><author>Ferreira, D. S. ; Annoni, R. ; Silva, L. F. F. ; Buttignol, M. ; Santos, A. B. G. ; Medeiros, M. C. R. ; Andrade, L. N. S. ; Yick, C. Y. ; Sterk, P. J. ; Sampaio, J. L. M. ; Dolhnikoff, M. ; Wenzel, S. E. ; Mauad, T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6367-b709f61874844dc872939539ecab499cb8a86aef2d95dc055f0b471c2bd984603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Asthma</topic><topic>Asthma - immunology</topic><topic>Asthma - mortality</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Cytokines - metabolism</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Humans</topic><topic>immunohistochemistry</topic><topic>Inflammation - immunology</topic><topic>innate immunity</topic><topic>lung</topic><topic>Lung - immunology</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Thymic Stromal Lymphopoietin</topic><topic>Toll-Like Receptor 2 - metabolism</topic><topic>Toll-Like Receptor 3 - metabolism</topic><topic>Toll-Like Receptor 4 - metabolism</topic><topic>Up-Regulation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferreira, D. S.</creatorcontrib><creatorcontrib>Annoni, R.</creatorcontrib><creatorcontrib>Silva, L. F. F.</creatorcontrib><creatorcontrib>Buttignol, M.</creatorcontrib><creatorcontrib>Santos, A. B. G.</creatorcontrib><creatorcontrib>Medeiros, M. C. R.</creatorcontrib><creatorcontrib>Andrade, L. N. 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E.</creatorcontrib><creatorcontrib>Mauad, T.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical and experimental allergy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferreira, D. S.</au><au>Annoni, R.</au><au>Silva, L. F. F.</au><au>Buttignol, M.</au><au>Santos, A. B. G.</au><au>Medeiros, M. C. R.</au><au>Andrade, L. N. S.</au><au>Yick, C. Y.</au><au>Sterk, P. J.</au><au>Sampaio, J. L. M.</au><au>Dolhnikoff, M.</au><au>Wenzel, S. E.</au><au>Mauad, T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Toll-like receptors 2, 3 and 4 and thymic stromal lymphopoietin expression in fatal asthma</atitle><jtitle>Clinical and experimental allergy</jtitle><addtitle>Clin Exp Allergy</addtitle><date>2012-10</date><risdate>2012</risdate><volume>42</volume><issue>10</issue><spage>1459</spage><epage>1471</epage><pages>1459-1471</pages><issn>0954-7894</issn><issn>1365-2222</issn><eissn>1365-2222</eissn><abstract>Summary Background Airway inflammation in asthma involves innate immune responses. Toll‐like receptors (TLRs) and thymic stromal lymphopoietin (TSLP) are thought to be involved in airway inflammation, but their expression in asthmatics’ both large and small airways has not been investigated. Objective To analyse the expression of TLR2, TLR3, TLR4 and TSLP in large and small airways of asthmatics and compare their expression in smoking and non‐smoking asthmatics; to investigate whether TLR expression is associated with eosinophilic or neutrophilic airway inflammation and with Mycoplasma pneumoniae and Chlamydophila pneumoniae infection. Methods Using immunohistochemistry and image analysis, we investigated TLR2, TLR3, TLR4 and TSLP expression in large and small airways of 24 victims of fatal asthma, FA, (13 non‐smokers, 11 smokers) and nine deceased control subjects (DCtrl). TLRs were also measured in 18 mild asthmatics (MA) and 12 healthy controls (HCtrl). M. pneumoniae and C. pneumoniae in autopsy lung tissue were analysed using real‐time polymerase chain reaction. Airway eosinophils and neutrophils were measured in all subjects. Results Fatal asthma patients had higher TLR2 in the epithelial and outer layers of large and small airways compared with DCtrls. Smoking asthmatics had lower TLR2 levels in the inner and outer layers of the small airways than non‐smoking asthmatics. TSLP was increased in the epithelial and outer layers of the large airways of FA. FA patients had greater TLR3 expression in the outer layer of large airways and greater TLR4 expression in the outer layer of small airways. Eosinophilic airway inflammation was associated with TLR expression in the epithelium of FA. No bacterial DNA was detected in FA or DCtrls. MA and HCtrls had only a small difference in TLR3 expression. Conclusions and Clinical Relevance Increased expression of TLR 2, 3 and 4 and TSLP in fatal asthma may contribute to the acute inflammation surrounding asthma deaths.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>22994343</pmid><doi>10.1111/j.1365-2222.2012.04047.x</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Asthma
Asthma - immunology
Asthma - mortality
Biological and medical sciences
Chronic obstructive pulmonary disease, asthma
Cytokines - metabolism
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
immunohistochemistry
Inflammation - immunology
innate immunity
lung
Lung - immunology
Male
Medical research
Medical sciences
Middle Aged
Pneumology
Thymic Stromal Lymphopoietin
Toll-Like Receptor 2 - metabolism
Toll-Like Receptor 3 - metabolism
Toll-Like Receptor 4 - metabolism
Up-Regulation
title Toll-like receptors 2, 3 and 4 and thymic stromal lymphopoietin expression in fatal asthma
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