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作 者:李忠强(综述)[1] 王亚亭(审校)[1]
机构地区:[1]安徽医科大学第一附属医院儿科,合肥230032
出 处:《国际儿科学杂志》2010年第6期594-596,600,共4页International Journal of Pediatrics
摘 要:支气管哮喘是呼吸道慢性疾病,发病机制复杂,是由多种炎症细胞及细胞因子参与的气道变态反应性疾病.肿瘤坏死因子-α(TNF-α)作为重要的炎性介质,参与哮喘的发病过程.哮喘时呼吸道上皮细胞、血管内皮细胞释放TNF-α,TNF-α可导致气道高反应和局部炎症,且与气道重建密切相关.研究表明抗TNF药物对哮喘患者气道重塑和重症哮喘有一定治疗作用,能下调血液及呼吸道中TNF-α水平,减低气道炎症反应,为治疗哮喘提供新的思路和方法.Asthma is a chronic inflammatory disease of the airways, pathogenesis is complex, variety of inflammatory cells and cytokines involved in the airway allergic diseases. Tumor necrosis factor-alpha(TNF-α)plays a role in the pathogenesis of asthma as an integral part of inflammatory mediators. Suffering from asthma,respiratory epithelial cells, vascular endothelial cells may release TNF-α which may cause airway hyperreactivity and the partial inflammation, and play a role in airway remodeling. The studies show that anti-TNF-α therapy has certain therapeutic action to airway remodeling in asthma patient and severe asthma, it can decline the level of TNF-α in the blood and the respiratory, reduce airway inflammation, provide new ideas and methods for the treatment of asthma.
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