Illuminating Airway Nerve Structure and Function in Chronic Cough.

Illuminating Airway Nerve Structure and Function in Chronic Cough.
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DOI:
10.1007/s00408-023-00659-x
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发表时间:
2023-12
期刊:
影响因子:
5
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
作者:

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气道神经调节重要的气道功能,包括支气管收缩、咳嗽和呼吸控制。气道神经失调是慢性咳嗽等气道疾病发生和表现的基础,其中神经通路的敏感性导致过度咳嗽。神经在表达和功能上都是异质的。共聚焦成像和气道神经靶向基因操作的最新进展扩大了我们可视化神经组织、研究神经免疫相互作用和选择性调节神经激活的能力。因此,我们拥有前所未有的能力来定量评估神经重塑及其在气道疾病发展中的作用。这篇综述强调了我们对神经异质性的现有理解,以及方法论的进步如何阐明健康和疾病中气道神经的形态和功能。
Airway nerves regulate vital airway functions including bronchoconstriction, cough, and control of respiration. Dysregulation of airway nerves underlies the development and manifestations of airway diseases such as chronic cough, where sensitization of neural pathways leads to excessive cough triggering. Nerves are heterogeneous in both expression and function. Recent advances in confocal imaging and in targeted genetic manipulation of airway nerves have expanded our ability to visualize neural organization, study neuro-immune interactions, and selectively modulate nerve activation. As a result, we have an unprecedented ability to quantitatively assess neural remodeling and its role in the development of airway disease. This review highlights our existing understanding of neural heterogeneity and how advances in methodology have illuminated airway nerve morphology and function in health and disease.
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