Elevation of IL-6 in the allergic asthmatic airway is independent of inflammation but associates with loss of central airway function.

Elevation of IL-6 in the allergic asthmatic airway is independent of inflammation but associates with loss of central airway function.
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DOI:
10.1186/1465-9921-11-28
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发表时间:
2010-03-08
影响因子:
5.8
通讯作者:
Rincon M
Rincon M
中科院分区:
医学2区
文献类型:
--
作者:
Neveu WA;Allard JL;Raymond DM;Bourassa LM;Burns SM;Bunn JY;Irvin CG;Kaminsky DA;Rincon M

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哮喘是一种气道慢性炎症性疾病,其特征在于Th 2型免疫应答,越来越多的证据表明Th 17细胞参与其中。IL-6在促进效应T细胞亚群中的作用表明IL-6可能在哮喘中发挥功能性作用。传统上,IL-6与TNFα和IL-1β沿着被视为炎症标志物,而不是调节性细胞因子。目的探讨IL-6与其他促炎细胞因子、Th 2/Th 17细胞因子在过敏性哮喘中的表达及与肺功能的关系,从而评价IL-6在过敏性哮喘发病中的作用。检测16例健康对照组和18例轻、中度过敏性哮喘患者诱导痰中细胞因子水平和肺功能。促炎性生物标志物TNFα和IL-1β的水平在对照组和哮喘组之间没有差异。相反,与健康对照组相比,哮喘受试者中IL-6水平特异性升高(p < 0.01)。分层回归分析表明,哮喘与肺功能的关系可能是由IL-6介导的。哮喘组Th 2细胞因子中仅IL-13升高(p < 0.05),且与IL-6水平呈正相关(rS = 0.53,p < 0.05)。在轻中度哮喘中,IL-6与其他促炎生物标志物分离,但与IL-13水平相关。此外,IL-6可能有助于变应性哮喘的肺功能受损。
Asthma is a chronic inflammatory disease of the airway that is characterized by a Th2-type of immune response with increasing evidence for involvement of Th17 cells. The role of IL-6 in promoting effector T cell subsets suggest that IL-6 may play a functional role in asthma. Classically IL-6 has been viewed as an inflammatory marker, along with TNFα and IL-1β, rather than as regulatory cytokine. To investigate the potential relationship between IL-6 and other proinflammatory cytokines, Th2/Th17 cytokines and lung function in allergic asthma, and thus evaluate the potential role of IL-6 in this disease. Cytokine levels in induced sputum and lung function were measured in 16 healthy control and 18 mild-moderate allergic asthmatic subjects. The levels of the proinflammatory biomarkers TNFα and IL-1β were not different between the control and asthmatic group. In contrast, IL-6 levels were specifically elevated in asthmatic subjects compared with healthy controls (p < 0.01). Hierarchical regression analysis in the total study cohort indicates that the relationship between asthma and lung function could be mediated by IL-6. Among Th2 cytokines only IL-13 (p < 0.05) was also elevated in the asthmatic group, and positively correlated with IL-6 levels (rS = 0.53, p < 0.05). In mild-moderate asthma, IL-6 dissociates from other proinflammatory biomarkers, but correlates with IL-13 levels. Furthermore, IL-6 may contribute to impaired lung function in allergic asthma.
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