2006, Número 2
<< Anterior Siguiente >>
Rev Inst Nal Enf Resp Mex 2006; 19 (2)
Alteración de la actividad inflamatoria regulada por TH1-TH2 en asma
Martínez-Ramírez I, Avilés-Salas A, Nava-Reyes H, Ramos-Godínez MP, Carvajal-Sandoval G, Zamudio-Cortés P, Parra-Hernández E
Idioma: Español
Referencias bibliográficas: 40
Paginas: 136-142
Archivo PDF: 150.88 Kb.
RESUMEN
El asma afecta entre 100 y 150 millones de personas en el mundo. En la actualidad, esta enfermedad se puede controlar por diversas terapias, pero no se puede curar y representa una de las enfermedades más costosas y frecuentes en los sistemas de salud en muchos países, por lo que son necesarias estrategias de prevención eficientes para reducir la morbimortalidad y costos económicos; esto requiere, entre otros, de un conocimiento detallado de los mecanismos inmunológicos y fisiológicos involucrados en el asma. Esta revisión sintetiza el conocimiento sobre la inflamación mediada por T
H2 en asma y se discute el origen de las células CD4+ T
H2 y el papel de las citocinas T
H2 en la producción y mantenimiento de la inflamación de las vías respiratorias en esta enfermedad.
REFERENCIAS (EN ESTE ARTÍCULO)
Asthma: Scope. Accesible en http://www.who.int/respiratory/asthma/scope/en/index. html
Se incrementa 30% asma bronquial. Accesible en http://www.eluniversal.com.mx:80 /pls/impreso/noticia.html
Necesario contar con un programa nacional de control del asma. Accesible en http://www.insp.mx/ 2005/noticias/noticia030505.html
Chapela-Mendoza R, Barnes N, Cuevas-Schacht F, et al. Consenso Mexicano de Asma. Neumol Cir Torax 2005;64(Suppl 1):7-44.
Andreadis AA, Hazen SL, Comhair SA, Erzurum SC. Oxidative and nitrosative events in asthma. Free Radic Biol Med 2003;35:213-225.
Barnes PJ. Pathophysiology of asthma. Br J Clin Pharmacol 1996;42:3-10.
Rodríguez-Santana JR, Barnes NC. Manual del asma. São Paulo: Science Publishing; 2004.
Lafaille JJ. The role of helper T cell subsets in autoimmune diseases. Cytokine Growth Factor Rev 1998;9:139-151.
Mosmann TR, Sad S. The expanding universe of Tcell subsets: Th1, Th2 and more. Immunol Today 1996;17:138-146.
10.Freeman GJ, Boussiotis VA, Anumanthan A, et al. B7-1 and B7-2 do not deliver identical costimulatory signals, since B7-2 but not B7-1 preferentially costimulates the initial production of IL-4. Immunity 1995; 2:523-532.
11.Kuchroo VK, Das MP, Brown JA, et al. B7-1 and B7-2 costimulatory molecules activate differentially the Th1/Th2 developmental pathways: application to autoimmune disease therapy. Cell 1995;80:707-718.
12.Moser M, Murphy KM. Dendritic cell regulation of TH1-TH2 development. Nat Immunol 2000;1:199-205.
13.Balkwill F. The cytokine network. Oxford: Oxford University Press; 2000.
14.Rescigno M, Granucci F, Citterio S, Foti M, Ricciardi-Castagnoli P. Coordinated events during bacteria-induced DC maturation. Immunol Today 1999; 20:200-203.
15.Banchereau J, Steinman RM. Dendritic cells and the control of immunity. Nature 1998;392:245-252.
16.Lanzavecchia A, Sallusto F. The instructive role of dendritic cells on T cell responses: lineages, plasticity and kinetics. Curr Opin Immunol 2001;13:291-298.
17.Kalinski P, Hilkens CM, Wierenga EA, Kapsenberg ML. T-cell priming by type-1 and type-2 polarized dendritic cells: the concept of a third signal. Immunol Today 1999;20:561-567.
18.Hilkens CM, Kalinski P, de Boer M, Kapsenberg ML. Human dendritic cells require exogenous interleukin- 12-inducing factors to direct the development of naive T-helper cells toward the Th1 phenotype. Blood 1997;90:1920-1926.
19.Vieira PL, de Jong EC, Wierenga EA, Kapsenberg ML, Kalinski P. Development of Th1-inducing capacity in myeloid dendritic cells requires environmental instruction. J Immunol 2000;164:4507-4512.
20.De Smedt T, van Mechelen M, de Becker G, Urbain J, Leo O, Moser M. Effect of interleukin-10 on dendriticcell maturation and function. Eur J Immunol 1997;27:1229-1235.
21.Kalinski P, Hilkens CM, Snijders A, Snijdewint FG, Kapsenberg ML. IL-12-deficient dendritic cells, generated in the presence of prostaglandin E2, promote type 2 cytokine production in maturing human naïve T helper cells. J Immunol 1997;159:28-35.
22.Iezzi G, Scotet E, Scheidegger D, Lanzavecchia A. The interplay between the duration of TCR and cytokine signaling determines T cell polarization. Eur J Immunol 1999;29:4092-4101.
23.Langenkamp A, Messi M, Lanzavecchia A, Sallusto F. Kinetics of dendritic cell activation: impact on priming of TH1, TH2 and nonpolarized T cells. Nat Immunol 2000;1:311-316.
24.Romagnani S. T-cell subsets (Th1 versus Th2). Ann Allergy Asthma Immunol 2000;85:9-18.
25.Holgate ST. Asthma: past, present and future. Eur Respir J 1993;6:1507-1520.
26.Bochner BS, Undem BJ, Lichtenstein LM. Immunological aspects of allergic asthma. Annu Rev Immunol 1994;12:295-335.
27.Kay AB. TH2-type cytokines in asthma. Ann N Y Acad Sci 1996;796:1-8.
28.Le Gros G, Erb K, Harris N, Holloway J, McCoy K, Ronchese F. Immunoregulatory networks in asthma. Clin Exp Allergy 1998;28(Suppl 5):92-96.
29.Finotto S, Neurath MF, Glickman JN, et al. Development of spontaneous airway changes consistent with human asthma in mice lacking T-bet. Science 2002;295:336-338.
30.Romagnani S. Immunologic influences on allergy and the TH1/TH2 balance. J Allergy Clin Immunol 2004;113:395-400.
31.Wills-Karp M. Immunologic basis of antigen-induced airway hyperresponsiveness. Annu Rev Immunol 1999;17:255-281.
32.Robinson DS, Hamid Q, Ying S, et al. Predominant TH2-like bronchoalveolar T-lymphocyte population in atopic asthma. N Engl J Med 1992;326:298-304.
33.Parronchi P, Macchia D, Piccinni MP, et al. Allergenand bacterial antigen-specific T-cell clones established from atopic donors show a different profile of cytokine production. Proc Natl Acad Sci USA 1991;88: 4538-4542.
34.Parronchi P, de Carli M, Manetti R, et al. Aberrant interleukin (IL)-4 and IL-5 production in vitro by CD4+ helper T cells from atopic subjects. Eur J Immunol 1992;22:1615-1620.
35.Vercelli D, Jabara HH, Arai K, Geha RS. Induction of human IgE synthesis requires interleukin 4 and T/B cell interactions involving the T cell receptor/CD3 complex and MHC class II antigens. J Exp Med 1989;169:1295-1308.
36.Gleich GJ, Kita H. Bronchial asthma: lessons from murine models. Proc Natl Acad Sci USA 1997;94: 2101-2102.
De Waal Malefyt R, Yssel H, de Vries JE. Direct effects of IL-10 on subsets of human CD4+ T cell clones and resting T cells. Specific inhibition of IL-12 production and proliferation. J Immunol 1993;150:4754-4765.
38.Pene J, Rousset F, Briere F, et al. IgE production by normal human lymphocytes is induced by interleukin 4 and suppressed by interferons gamma and alpha and prostaglandin E2. Proc Natl Acad Sci USA 1988;85: 6880-6884.
Kiniwa M, Gately M, Gubler U, Chizzonite R, Fargeas C, Delespesse G. Recombinant interleukin-12 suppresses the synthesis of immunoglobulin E by interleukin-4 stimulated human lymphocytes. J Clin Invest 1992;90:262-266.
40.Mazzoni A, Young HA, Spitzer JH, Visintin A, Segal DM. Histamine regulates cytokine production in maturing dendritic cells, resulting in altered T cell polarization. J Clin Invest 2001;108:1865-1873.