Abstract

Over the last decade mouse models of experimental asthma proved to be a valuable tool for the investigation of mechanisms that underlie acute allergic airway inflammation and development of airway hyperresponsiveness, two of the hallmarks of human asthma. Nevertheless, these acute models fail to reflect the aspects of this chronic disease because they do not represent any signs of chronicity and airway remodelling as it is defined by subepithelial fibrosis, goblet cell hyperplasia and airway smooth muscle cell hypertrophy. Recent mouse models were successful in overcoming these limitations by using chronic allergen-challenges. These new models of chronic experimental asthma now proved as a novel tool to examine the complex interaction of infiltrating inflammatory cells and structural cells such as fibroblasts and smooth muscle cells that ultimately leads to airway remodelling and stable airflow limitation. Recent studies clearly demonstrated that T helper 2 (TH2) cells and their typical cytokines play a critical role not only in airway inflammation but also in the development of airway remodelling. Since the transcription factor GATA-3 is essential for TH2 cell development and the production of several TH2 type cytokines this intracellular molecule represents a new promising target for therapeutic intervention in asthma that might even effect airway remodelling.

Highlights

  • Allergic bronchial asthma is a chronic inflammatory disease of the airways that is characterized by allergic airway inflammation and development of airway hyperresponsiveness (AHR)

  • Journal of Occupational Medicine and Toxicology 2008, 3(Suppl 1):S4 http://www.occup-med.com/content/3/S1/S4 logical mechanisms of acute allergic inflammation, helped to identify key cytokines such as interleukin 4 (IL4), IL-5 and IL-13 that play critical roles in the regulation of the local inflammatory process [3] and proofed valuable to investigate the neuro-immunological dysregulation underlying the development of AHR [4]

  • To answer the question whether these cells are further involved in pathophysiological processes leading to airway remodelling and chronification of the disease improved models of chronic experimental asthma that are able to reflect the chronic aspects of this disease as close as possible had to be established

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Summary

Conclusion

Animal models of experimental asthma have elucidated the central role of TH2 cells and their typical cytokines in the acute inflammatory process resulting in the formation of asthma. To answer the question whether these cells are further involved in pathophysiological processes leading to airway remodelling and chronification of the disease improved models of chronic experimental asthma that are able to reflect the chronic aspects of this disease as close as possible had to be established. Recent studies used such models to demonstrate that TH2 cells play a critical role in asthma chronification especially in airway remodelling as well. Due to its central role within the pathology of asthma GATA-3 represents an interesting target for new anti-allergic strategies, that might even be able to interfere with processes that lead to airway remodelling

Wills-Karp M
16. Gleich GJ
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