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Eosinophils and tissue remodeling : Relevance to airway disease

Siddiqui, Salman ; Bachert, Claus ; Bjermer, Leif LU ; Buchheit, Kathleen M. ; Castro, Mario ; Qin, Yimin ; Rupani, Hitasha ; Sagara, Hironori ; Howarth, Peter and Taillé, Camille (2023) In Journal of Allergy and Clinical Immunology 152(4). p.841-857
Abstract

The ability of human tissue to reorganize and restore its existing structure underlies tissue homeostasis in the healthy airways, but in disease can persist without normal resolution, leading to an altered airway structure. Eosinophils play a cardinal role in airway remodeling both in health and disease, driving epithelial homeostasis and extracellular matrix turnover. Physiological consequences associated with eosinophil-driven remodeling include impaired lung function and reduced bronchodilator reversibility in asthma, and obstructed airflow in chronic rhinosinusitis with nasal polyps. Given the contribution of airway remodeling to the development and persistence of symptoms in airways disease, targeting remodeling is an important... (More)

The ability of human tissue to reorganize and restore its existing structure underlies tissue homeostasis in the healthy airways, but in disease can persist without normal resolution, leading to an altered airway structure. Eosinophils play a cardinal role in airway remodeling both in health and disease, driving epithelial homeostasis and extracellular matrix turnover. Physiological consequences associated with eosinophil-driven remodeling include impaired lung function and reduced bronchodilator reversibility in asthma, and obstructed airflow in chronic rhinosinusitis with nasal polyps. Given the contribution of airway remodeling to the development and persistence of symptoms in airways disease, targeting remodeling is an important therapeutic consideration. Indeed, there is early evidence that eosinophil attenuation may reduce remodeling and disease progression in asthma. This review provides an overview of tissue remodeling in both health and airway disease with a particular focus on eosinophilic asthma and chronic rhinosinusitis with nasal polyps, as well as the role of eosinophils in these processes and the implications for therapeutic interventions. Areas for future research are also noted, to help improve our understanding of the homeostatic and pathological roles of eosinophils in tissue remodeling, which should aid the development of targeted and effective treatments for eosinophilic diseases of the airways.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Airway remodeling, asthma, chronic rhinosinusitis with nasal polyps, eosinophil
in
Journal of Allergy and Clinical Immunology
volume
152
issue
4
pages
17 pages
publisher
Elsevier
external identifiers
  • pmid:37343842
  • scopus:85169836956
ISSN
0091-6749
DOI
10.1016/j.jaci.2023.06.005
language
English
LU publication?
yes
id
4a2122bc-0cf4-4ef6-b3ae-b51205fe71ff
date added to LUP
2023-11-06 14:23:38
date last changed
2024-04-19 03:41:16
@article{4a2122bc-0cf4-4ef6-b3ae-b51205fe71ff,
  abstract     = {{<p>The ability of human tissue to reorganize and restore its existing structure underlies tissue homeostasis in the healthy airways, but in disease can persist without normal resolution, leading to an altered airway structure. Eosinophils play a cardinal role in airway remodeling both in health and disease, driving epithelial homeostasis and extracellular matrix turnover. Physiological consequences associated with eosinophil-driven remodeling include impaired lung function and reduced bronchodilator reversibility in asthma, and obstructed airflow in chronic rhinosinusitis with nasal polyps. Given the contribution of airway remodeling to the development and persistence of symptoms in airways disease, targeting remodeling is an important therapeutic consideration. Indeed, there is early evidence that eosinophil attenuation may reduce remodeling and disease progression in asthma. This review provides an overview of tissue remodeling in both health and airway disease with a particular focus on eosinophilic asthma and chronic rhinosinusitis with nasal polyps, as well as the role of eosinophils in these processes and the implications for therapeutic interventions. Areas for future research are also noted, to help improve our understanding of the homeostatic and pathological roles of eosinophils in tissue remodeling, which should aid the development of targeted and effective treatments for eosinophilic diseases of the airways.</p>}},
  author       = {{Siddiqui, Salman and Bachert, Claus and Bjermer, Leif and Buchheit, Kathleen M. and Castro, Mario and Qin, Yimin and Rupani, Hitasha and Sagara, Hironori and Howarth, Peter and Taillé, Camille}},
  issn         = {{0091-6749}},
  keywords     = {{Airway remodeling; asthma; chronic rhinosinusitis with nasal polyps; eosinophil}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{841--857}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Allergy and Clinical Immunology}},
  title        = {{Eosinophils and tissue remodeling : Relevance to airway disease}},
  url          = {{http://dx.doi.org/10.1016/j.jaci.2023.06.005}},
  doi          = {{10.1016/j.jaci.2023.06.005}},
  volume       = {{152}},
  year         = {{2023}},
}