期刊
RESPIRATORY MEDICINE
卷 108, 期 10, 页码 1409-1423出版社
W B SAUNDERS CO LTD
DOI: 10.1016/j.rmed.2014.08.008
关键词
TGF-beta; Asthma; Eosinophil; Therapy; Target
Asthma is a chronic inflammatory airway disease involving complex interplay between resident and infiltrative cells, which in turn are regulated by a wide range of host mediators. Identifying useful biomarkers correlating with clinical symptoms and degree of airway obstruction remain important to effective future asthma treatments. Transforming growth factor beta (TGF-beta) is a major mediator involved in pro-inflammatory responses and fibrotic tissue remodeling within the asthmatic lung. Its role however, as a therapeutic target remains controversial. The aim of this review is to highlight its role in severe asthma including interactions with adaptive T-helper cells, cytokines and differentiation through regulatory T-cells. Associations between TGF-beta and eosinophils will be addressed and the effects of genetic polymorphisms of the TGF-beta 1 gene explored in the context of asthma. We highlight TGF-beta 1 as a potential future therapeutic target in severe asthma including its importance in identifying emerging clinical phenotypes in asthmatic subjects who may be suitable for individualized therapy through TGF-beta modulation. (C) 2014 Elsevier Ltd. All rights reserved.
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