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Lipid mediators and asthma: Scope of therapeutics

机译:脂质介质和哮喘:治疗范围

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摘要

Lipids and their mediators are known to play a pro-inflammatory role in several human diseases including asthma. The influence of leukotrienes and prostaglandins through arachidonate metabolism in asthma pathophysiology is well established and hence, prompted the way for therapeutic strategies targeting lipid metabolites. In addition, various types of fatty acids have been reported to play a diverse role in asthma. For instance, CD4(+) T-lymphocytes differentiation towards T-effector (T-eff) or T-regulatory (Tregs) cells seems to be controlled reciprocally by fatty acid metabolic pathways. Further, the dysregulated lipid status in obesity complicates the asthma manifestations suggesting the role of lipid metabolites particularly omega-6 fatty acids in the process. On the other hand, clinical and pre-clinical studies suggests the role of short chain fatty acids in curbing asthma through upregulation of T-regulatory cells or clearance of inflammatory cells through promoting apoptosis. Accordingly, the present review compiles various studies for comprehensive analysis of different types of lipid based metabolites in asthma manifestation. Finally, we have proposed certain strategies which may enhance the usefulness of lipid mediators for balanced immune response during asthma.
机译:已知脂质及其介质在包括哮喘的几种人类疾病中发挥促炎作用。白三烯和前列腺素通过在哮喘病理生理学中的嗜酸盐代谢的影响得到了很好的成立,因此,促使靶向脂质代谢物的治疗策略的方法。此外,据报道,各种类型的脂肪酸在哮喘中发挥不同的作用。例如,CD4(+)T淋巴细胞与T-效应器(T-EFF)或T-CONVEMORY(TREGS)细胞的分化似乎通过脂肪酸代谢途径相互控制。此外,肥胖症中的具有疑难解的脂质状态使哮喘表现使脂质代谢物在该方法中特别是ω-6脂肪酸的作用。另一方面,临床和临床前研究表明,通过促进细胞凋亡,通过上调T-incurecatory细胞或炎性细胞的清除来抑制哮喘抑制哮喘的作用。因此,本综述编译各种研究,以进行哮喘表现形式不同类型的基于脂质的代谢物。最后,我们提出了某些策略,这可能提高脂质介质在哮喘期间平衡免疫应答的脂质介质的有用性。

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