2004
DOI: 10.1111/j.1398-9995.2004.00665.x
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Neurogenic mechanisms in bronchial inflammatory diseases

Abstract: Neurogenic inflammation encompasses the release of neuropeptides from airway nerves leading to inflammatory effects. This neurogenic inflammatory response of the airways can be initiated by exogenous irritants such as cigarette smoke or gases and is characterized by a bi‐directional linkage between airway nerves and airway inflammation. The event of neurogenic inflammation may participate in the development and progression of chronic inflammatory airway diseases such as allergic asthma or chronic obstructive p… Show more

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Cited by 153 publications
(109 citation statements)
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“…Asthmatic exacerbations can be triggered by allergens, pollution, or infections (2), leading to structural remodeling (9) involving mast cells, eosinophils, and Th2 lymphocytes (CD4 + T cells) (10), which produce cytokines and mediators (11). Neuropeptides from sensory nerve fibers, such as substance P, can elicit "neurogenic inflammation" (12), mainly linked to neutrophilic inflammation and vascular leakage, possibly contributing to bronchoconstriction (13,14). Cigarette smoke elicits nonspecific AHR to substance P in guinea pigs, which is of unclear significance to asthma in humans (15).…”
mentioning
confidence: 99%
“…Asthmatic exacerbations can be triggered by allergens, pollution, or infections (2), leading to structural remodeling (9) involving mast cells, eosinophils, and Th2 lymphocytes (CD4 + T cells) (10), which produce cytokines and mediators (11). Neuropeptides from sensory nerve fibers, such as substance P, can elicit "neurogenic inflammation" (12), mainly linked to neutrophilic inflammation and vascular leakage, possibly contributing to bronchoconstriction (13,14). Cigarette smoke elicits nonspecific AHR to substance P in guinea pigs, which is of unclear significance to asthma in humans (15).…”
mentioning
confidence: 99%
“…Over the last decades, evidence has mounted for bi-directional feedback between immunogenic and neurogenic mechanisms in airway inflammation (6,7). Neuronal activation causes pain and irritation, neurogenic inflammation, mucus secretion, and reflex responses, such as cough, sneezing, and bronchoconstriction (8,9). Members of the transient receptor potential (TRP) superfamily of ion channels play a key role in the response of sensory neurons to inflammatory mediators (10)(11)(12).…”
mentioning
confidence: 99%
“…In turn, NK-1 receptors have been shown to be present in numerous lung structures, including the airway epithelium from the bronchi to the alveoli of guinea pigs and humans (16,17). Substance P, via NK-1 receptors, plays a role in regulating airway blood flow, airway smooth muscle responses, airway inflammation (18), and epithelial migration and proliferation of cells, including tracheal epithelial cells, after injury (19)(20)(21). Substance P induces superoxide production in neutrophils, is a chemotactic agent for human neutrophils, and primes neutrophils for response to other activating agents (22)(23)(24).…”
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confidence: 99%