Neutrophilic asthma: advances in experimental models from pathogenesis to therapeutic translation.

IF 8.3 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Jialin Yao, Jingjing Lu, Jing Gao, Ximing Liao, Di Wu, Muyun Wang, Qiang Li, Wei Gao
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引用次数: 0

Abstract

Background: Neutrophilic asthma (NA) is a severe and therapy-resistant asthma endotype marked by persistent airway inflammation, neutrophil infiltration, and limited response to glucocorticoids. The development of targeted therapies has been hampered by insufficient mechanistic insight and the lack of physiologically relevant experimental models.

Main body: This review comprehensively synthesizes current in vivo and in vitro models for NA, discussing their methodologies, mechanistic fidelity, and translational potential. Murine systems provide flexible genetic and induction platforms; rat models reliably replicate steroid resistance; and equine models spontaneously mimic chronic human disease. Advanced in vitro approaches including air-liquid interface cultures, patient-derived organoids and lung-on-a-chip devices, enable precise study of epithelial barrier dysfunction, immune crosstalk, and personalized drug responses.

Conclusion: By critically evaluating these tools, our review establishes a foundation for model standardization and underscores their collective role in elucidating NA pathogenesis and advancing precision medicine.

中性粒细胞哮喘:从发病机理到治疗转化的实验模型进展。
背景:中性粒细胞哮喘(NA)是一种严重的、治疗抵抗性哮喘内型,其特征是持续的气道炎症、中性粒细胞浸润和对糖皮质激素的有限反应。靶向治疗的发展一直受到机制认识不足和缺乏生理学相关实验模型的阻碍。正文:本文综合了目前NA的体内和体外模型,讨论了它们的方法、机制保真度和转化潜力。小鼠系统提供了灵活的遗传和诱导平台;大鼠模型可靠地复制类固醇抗性;马的模型会自发地模仿人类的慢性疾病。先进的体外方法包括气液界面培养,患者来源的类器官和肺芯片设备,可以精确研究上皮屏障功能障碍,免疫串扰和个性化药物反应。结论:通过对这些工具的批判性评估,我们的综述为模型标准化奠定了基础,并强调了它们在阐明NA发病机制和推进精准医学方面的共同作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Molecular Medicine
Molecular Medicine 医学-生化与分子生物学
CiteScore
8.60
自引率
0.00%
发文量
137
审稿时长
1 months
期刊介绍: Molecular Medicine is an open access journal that focuses on publishing recent findings related to disease pathogenesis at the molecular or physiological level. These insights can potentially contribute to the development of specific tools for disease diagnosis, treatment, or prevention. The journal considers manuscripts that present material pertinent to the genetic, molecular, or cellular underpinnings of critical physiological or disease processes. Submissions to Molecular Medicine are expected to elucidate the broader implications of the research findings for human disease and medicine in a manner that is accessible to a wide audience.
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