- Source: Type 2 inflammation
Type 2 inflammation is a pattern of immune response. Its physiological function is to defend the body against helminths, but a dysregulation of the type 2 inflammatory response has been implicated in the pathophysiology of several diseases.
Molecular biology
IL-25, IL-33, and TSLP are alarmins released from damaged epithelial cells. These cytokines mediate the activation of type 2 T helper cells (Th2 cells), type 2 innate lymphoid cells (ILC2 cells), and dendritic cells. Th2 cells and ILC2 cells secrete IL-4, IL-5 and IL-13.
IL-4 further drives CD4+ T cell differentiation towards the Th2 subtype and induces isotype switching to IgE in B cells. IL-4 and IL-13 stimulate trafficking of eosinophils to the site of inflammation, while IL-5 promotes both eosinophil trafficking and production.
Dysregulation in human disease
Type 2 inflammation has been implicated in several chronic diseases:
Asthma
Atopic dermatitis
Chronic sinusitis with nasal polyps
Eosinophilic esophagitis
Persons with one type 2 inflammatory disease are more likely to have other type 2 inflammatory diseases.
Pharmacological targets
Several medicines have been developed that target mediators of type 2 inflammation:
IL-4-specific blockers:
Altrakincept
Pascolizumab
IL-5-specific blockers:
Benralizumab
Mepolizumab
Reslizumab
IL-13-specific blockers:
Lebrikizumab
Tralokinumab
Dual IL-4 and IL-13 blockers:
Dupilumab
IgE-blockers:
Ligelizumab
Omalizumab
References
Kata Kunci Pencarian:
- HIV
- Asam mefenamat
- Diabetes melitus
- Pioglitazon
- Sitokin
- Atorvastatin
- Sistem imun
- Antagonis reseptor leukotriena
- Asam meklofenamat
- Sel limfoid bawaan
- Type 2 inflammation
- Inflammation
- Asthma phenotyping and endotyping
- Asthma-COPD overlap
- Eosinopenia
- Asthma
- Sputum
- Type IV hypersensitivity
- Atopic dermatitis
- Cyclooxygenase-2 inhibitor