2016
DOI: 10.1007/s11882-016-0640-7
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Epithelial Cell Regulation of Allergic Diseases

Abstract: Allergic diseases, which have escalated in prevalence in recent years, arise as a result of maladaptive immune responses to ubiquitous environmental stimuli. Why only certain individuals mount inappropriate type 2 immune responses to these otherwise harmless allergens has remained an unanswered question. Mounting evidence suggests that the epithelium, by sensing its environment, is the central regulator of allergic diseases. Once considered to be a passive barrier to allergens, epithelial cells at mucosal surf… Show more

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Cited by 18 publications
(10 citation statements)
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“…IL-33 is often grouped together with thymic stromal lymphopoietin (TSLP) and IL-25 as innate, epithelium-derived cytokines expressed at mucosal surfaces that promote type 2 immune responses 42 . However, IL-33 is the only one of the three that is stored in the nucleus as a pre-formed molecule bound to chromatin.…”
Section: Discussionmentioning
confidence: 99%
“…IL-33 is often grouped together with thymic stromal lymphopoietin (TSLP) and IL-25 as innate, epithelium-derived cytokines expressed at mucosal surfaces that promote type 2 immune responses 42 . However, IL-33 is the only one of the three that is stored in the nucleus as a pre-formed molecule bound to chromatin.…”
Section: Discussionmentioning
confidence: 99%
“…This led to the hypothesis that repeated infections support a state of immune tolerance by inducing an "immune regulatory network" underpinned by the function of T regulatory cells and immuno-suppressive cytokines, like TGF-β and IL-10 (23). Additionally, hypersensitivity disorders are not simply driven by aberrant T helper cell responses, but also by multiple cells of the innate immune system including innate lymphoid cells (ILCs) (24,25), tissue resident macrophages (26), and epithelial cells (27), all of which potentially serve as targets for immune modulation by microbial infection. Importantly, many of these cells have early developmental origins, and as we will explore later, are likely to be targeted by inflammatory cues during in utero development.…”
Section: Beyond Th1/th2 Dichotomymentioning
confidence: 99%
“…Both cytokines act as amplifiers of the allergic inflammatory immune response [23,24] via the membrane receptors IL-33R and IL-17RA/IL-17RB, respectively, which are highly expressed in various immune cells, including ILC2s, MCs, basophils, DCs and macrophages [25][26][27][28][29]. In particular, IL-33 can stimulate MC degranulation [30] and release of IL-8 [31], IL-1B, IL-6, tumor necrosis factor-alpha (TNF-α), and chemokine (C-C motif) ligand (CCL) 2 [32], which lead to formation of leukotrienes and prostaglandins and can enhance the inflammatory environment in the lungs [33].…”
Section: Airway Epithelium As a Key Player In Orchestrating The Allermentioning
confidence: 99%