Tissue remodelling in upper airways: where is the link with lower airway remodelling?

Tissue remodelling reported in upper airways include epithelial hyperplasia, increased matrix deposition in the nasal or paranasal lining, matrix degradation and accumulation of plasma proteins. Genetic influences, foetal exposures and early life events may contribute to structural changes such as s...

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Veröffentlicht in:Allergy 2006-11, Vol.61 (11), p.1249-1258
Hauptverfasser: Watelet, J.‐B., Van Zele, T., Gjomarkaj, M., Canonica, G. W., Dahlen, S.‐E., Fokkens, W., Lund, V. J., Scadding, G. K., Mullol, J., Papadopoulos, N., Bonini, S., Kowalski, M. L., Van Cauwenberge, P., Bousquet, J.
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container_end_page 1258
container_issue 11
container_start_page 1249
container_title Allergy
container_volume 61
creator Watelet, J.‐B.
Van Zele, T.
Gjomarkaj, M.
Canonica, G. W.
Dahlen, S.‐E.
Fokkens, W.
Lund, V. J.
Scadding, G. K.
Mullol, J.
Papadopoulos, N.
Bonini, S.
Kowalski, M. L.
Van Cauwenberge, P.
Bousquet, J.
description Tissue remodelling reported in upper airways include epithelial hyperplasia, increased matrix deposition in the nasal or paranasal lining, matrix degradation and accumulation of plasma proteins. Genetic influences, foetal exposures and early life events may contribute to structural changes such as subepithelial fibrosis from an early age. Other structural alterations are related to duration of the disease and long‐term uncontrolled inflammation. Structural changes may increase alteration of the protective functions of the upper airways namely by affecting mucociliary clearance and conditioning of inspired air. The sequences of tissue changes during wound repair of upper airway mucosa after surgery are illustrative of the complexicity of tissue modelling and remodelling and could be considered as an important source of information for a better understanding of the complex relationship between inflammatory reaction, of the subsequent tissue damages and fibroblast metabolism of upper airways.
doi_str_mv 10.1111/j.1398-9995.2006.01226.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects airway
Animals
Bronchi - physiology
chronic rhinosinusitis
Eicosanoids - metabolism
extracellular matrix
fibrosis
Humans
Mice
Nasal Mucosa - physiology
Nasal Mucosa - surgery
Paranasal Sinuses - surgery
remodelling
Rhinitis - pathology
Wound Healing
title Tissue remodelling in upper airways: where is the link with lower airway remodelling?
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