Display options
Share it on

J Allergy (Cairo). 2012;2012:316049. doi: 10.1155/2012/316049. Epub 2012 Jan 19.

Mechanisms of remodeling in asthmatic airways.

Journal of allergy

Adrian Shifren, Chad Witt, Chandrika Christie, Mario Castro

Affiliations

  1. Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.

PMID: 22315625 PMCID: PMC3270414 DOI: 10.1155/2012/316049

Abstract

Asthma is a chronic inflammatory airway disorder characterized by airway hyperresponsiveness and reversible airflow obstruction. Subgroups of asthma patients develop airflow obstruction that is irreversible or only partially reversible and experience an accelerated rate of lung function decline. The structural changes in the airways of these patients are referred to as airway remodeling. All elements of the airway wall are involved, and remodeled airway wall thickness is substantially increased compared to normal control airways. Airway remodeling is thought to contribute to the subphenotypes of irreversible airflow obstruction and airway hyperresponsiveness, and it has been associated with increased disease severity. Reversal of remodeling is therefore of paramount therapeutic importance, and mechanisms responsible for airway remodeling are feasible therapeutic targets for asthma treatment. This paper will focus on our current understanding of the mechanisms of airway remodeling in asthma and potential targets for future intervention.

References

  1. Allergy. 2004 Jul;59(7):701-8 - PubMed
  2. Crit Rev Clin Lab Sci. 2004;41(3):233-64 - PubMed
  3. Am J Physiol. 1994 Aug;267(2 Pt 1):L218-22 - PubMed
  4. Thorax. 2001 Dec;56(12):902-6 - PubMed
  5. Am J Respir Crit Care Med. 2000 Oct;162(4 Pt 1):1308-13 - PubMed
  6. J Appl Physiol (1985). 1997 Oct;83(4):1192-201 - PubMed
  7. J Allergy Clin Immunol. 2004 Aug;114(2 Suppl):S32-50 - PubMed
  8. N Engl J Med. 2007 Mar 29;356(13):1327-37 - PubMed
  9. BMC Pulm Med. 2011 Feb 11;11:8 - PubMed
  10. Am J Respir Crit Care Med. 2003 Dec 15;168(12):1495-9 - PubMed
  11. Am J Respir Crit Care Med. 1999 Aug;160(2):725-9 - PubMed
  12. Curr Opin Pulm Med. 2009 Jan;15(1):63-71 - PubMed
  13. Am J Respir Cell Mol Biol. 1996 Sep;15(3):404-9 - PubMed
  14. FASEB J. 1999 Jan;13(1):9-22 - PubMed
  15. Thorax. 2002 Mar;57(3):242-6 - PubMed
  16. Clin Exp Allergy. 2004 Apr;34(4):632-8 - PubMed
  17. Thorax. 2002 Mar;57(3):247-53 - PubMed
  18. Am J Respir Crit Care Med. 2004 Sep 15;170(6):583-93 - PubMed
  19. Am J Respir Crit Care Med. 1998 Feb;157(2):447-52 - PubMed
  20. Chest. 2008 Dec;134(6):1183-1191 - PubMed
  21. Microbes Infect. 1999 Dec;1(15):1349-65 - PubMed
  22. Curr Opin Pulm Med. 2003 Jan;9(1):28-33 - PubMed
  23. Lab Invest. 1996 Nov;75(5):735-44 - PubMed
  24. J Immunol. 2010 Nov 1;185(9):4983-7 - PubMed
  25. J Immunol. 1998 Oct 15;161(8):3813-6 - PubMed
  26. J Clin Invest. 2002 Jul;110(2):165-75 - PubMed
  27. Am J Respir Crit Care Med. 2008 Sep 1;178(5):476-82 - PubMed
  28. Am J Respir Cell Mol Biol. 1997 Sep;17(3):326-33 - PubMed
  29. Lancet. 2008 Sep 20;372(9643):1009 - PubMed
  30. Chest. 1997 Apr;111(4):852-7 - PubMed
  31. J Allergy Clin Immunol. 2005 Sep;116(3):477-86; quiz 487 - PubMed
  32. Thorax. 1962 Mar;17:69-72 - PubMed
  33. J Clin Invest. 1999 Oct;104(8):1001-6 - PubMed
  34. Am J Respir Crit Care Med. 2007 Jul 15;176(2):138-45 - PubMed
  35. Proc Am Thorac Soc. 2004;1(2):93-8 - PubMed
  36. Chest. 1992 Apr;101(4):916-21 - PubMed
  37. Am J Respir Crit Care Med. 2003 Jan 1;167(1):78-82 - PubMed
  38. Am Rev Respir Dis. 1993 Feb;147(2):405-10 - PubMed
  39. Clin Sci (Lond). 2009 Dec 23;118(7):439-50 - PubMed
  40. Am J Respir Crit Care Med. 2001 Mar;163(3 Pt 2):S2-6 - PubMed
  41. J Appl Physiol (1985). 1993 Jun;74(6):2771-81 - PubMed
  42. J Appl Physiol (1985). 1988 Jun;64(6):2522-31 - PubMed
  43. Am Rev Respir Dis. 1988 Jul;138(1):26-30 - PubMed
  44. Thorax. 1999 Apr;54(4):289-95 - PubMed
  45. N Engl J Med. 2009 Mar 5;360(10):985-93 - PubMed
  46. Physiology (Bethesda). 2005 Feb;20:28-35 - PubMed
  47. Nat Med. 2002 Aug;8(8):885-9 - PubMed
  48. J Appl Physiol (1985). 1992 Mar;72(3):1016-23 - PubMed
  49. Eur Respir J. 2000 Jun;15(6):1014-21 - PubMed
  50. J Clin Invest. 2000 Sep;106(6):783-91 - PubMed
  51. Pulm Pharmacol. 1988;1(1):25-31 - PubMed
  52. Clin Exp Allergy. 1996 Oct;26(10):1210-9 - PubMed
  53. Lancet. 2000 Dec 23-30;356(9248):2144-8 - PubMed
  54. Chest. 2003 Jul;124(1):32-41 - PubMed
  55. MedGenMed. 2005 Jan 27;7(1):27 - PubMed
  56. Clin Microbiol Rev. 1999 Apr;12(2):298-309 - PubMed
  57. Am Rev Respir Dis. 1992 May;145(5):1087-91 - PubMed
  58. Proc Am Thorac Soc. 2008 Jan 1;5(1):40-6 - PubMed
  59. Chest. 1997 Jul;112(1):45-52 - PubMed
  60. J Allergy Clin Immunol. 2001 Jun;107(6):1034-8 - PubMed
  61. Am Rev Respir Dis. 1993 Sep;148(3):806-9 - PubMed
  62. J Allergy Clin Immunol. 1998 Nov;102(5):783-8 - PubMed
  63. Am J Respir Crit Care Med. 2003 Jan 15;167(2):199-204 - PubMed
  64. Am J Respir Cell Mol Biol. 2000 Oct;23(4):436-43 - PubMed
  65. Nat Med. 2008 Jun;14(6):633-40 - PubMed
  66. J Allergy Clin Immunol. 2001 Aug;108(2):184-90 - PubMed
  67. Clin Chest Med. 2000 Jun;21(2):331-43, ix - PubMed
  68. Am J Respir Crit Care Med. 2000 Dec;162(6):2324-9 - PubMed
  69. Am J Respir Crit Care Med. 1997 Apr;155(4):1260-6 - PubMed
  70. Curr Opin Immunol. 2011 Aug;23(4):487-94 - PubMed
  71. Am J Respir Crit Care Med. 1998 Dec;158(6):1936-44 - PubMed
  72. Am J Respir Crit Care Med. 1997 Dec;156(6):1752-9 - PubMed
  73. Can J Physiol Pharmacol. 2005 Oct;83(10):865-8 - PubMed
  74. Am J Respir Cell Mol Biol. 2001 Nov;25(5):569-76 - PubMed
  75. J Allergy Clin Immunol. 2007 Dec;120(6):1233-44; quiz 1245-6 - PubMed
  76. Am J Respir Crit Care Med. 1995 Sep;152(3):865-71 - PubMed
  77. Am Rev Respir Dis. 1991 Feb;143(2):441-3 - PubMed
  78. Am J Respir Crit Care Med. 1994 Jul;150(1):214-7 - PubMed
  79. Lancet. 1989 Mar 11;1(8637):520-4 - PubMed
  80. J Immunol. 2003 Mar 15;170(6):3296-305 - PubMed
  81. N Engl J Med. 2000 Oct 12;343(15):1054-63 - PubMed
  82. Allergy. 2005 Mar;60(3):309-16 - PubMed
  83. Ann N Y Acad Sci. 2010 Jan;1183:195-210 - PubMed
  84. Annu Rev Immunol. 2004;22:789-815 - PubMed
  85. Am J Respir Crit Care Med. 2001 Nov 1;164(9):1718-21 - PubMed
  86. Am J Respir Crit Care Med. 1998 Jun;157(6 Pt 1):1907-12 - PubMed
  87. Lab Invest. 1999 Jan;79(1):39-47 - PubMed
  88. J Allergy Clin Immunol. 2011 Sep;128(3):467-78 - PubMed
  89. J Immunol. 2003 Jul 1;171(1):380-9 - PubMed
  90. Am J Respir Crit Care Med. 2000 Apr;161(4 Pt 1):1256-63 - PubMed
  91. J Appl Physiol (1985). 2003 Jul;95(1):426-34 - PubMed
  92. J Appl Physiol (1985). 1999 Jun;86(6):2001-12 - PubMed
  93. Lancet. 2008 Sep 20;372(9643):1107-19 - PubMed
  94. Am J Respir Crit Care Med. 2011 Feb 1;183(3):299-309 - PubMed
  95. J Exp Med. 1997 Jun 16;185(12):2143-56 - PubMed
  96. Eur Respir J. 2002 Nov;20(5):1088-94 - PubMed
  97. Am J Respir Crit Care Med. 2000 Mar;161(3 Pt 1):839-48 - PubMed
  98. N Engl J Med. 1998 Oct 22;339(17):1194-200 - PubMed
  99. Am J Respir Crit Care Med. 1997 Aug;156(2 Pt 1):642-7 - PubMed
  100. Am J Respir Crit Care Med. 2001 Jul 15;164(2):207-15 - PubMed
  101. Am J Respir Crit Care Med. 2001 Feb;163(2):517-23 - PubMed
  102. Circ Res. 2003 May 2;92(8):827-39 - PubMed
  103. Br J Pharmacol. 2003 Apr;138(7):1181-2 - PubMed
  104. Am Rev Respir Dis. 1991 Jan;143(1):138-43 - PubMed
  105. Am J Physiol Lung Cell Mol Physiol. 2002 Dec;283(6):L1181-9 - PubMed
  106. Am J Respir Crit Care Med. 2002 Jan 15;165(2):266-72 - PubMed
  107. Am J Respir Crit Care Med. 2000 Sep;162(3 Pt 1):896-904 - PubMed
  108. Am J Respir Crit Care Med. 2001 Feb;163(2):511-6 - PubMed
  109. Am J Respir Crit Care Med. 2003 May 15;167(10):1360-8 - PubMed
  110. J Allergy Clin Immunol. 2000 Feb;105(2 Pt 1):193-204 - PubMed
  111. J Allergy Clin Immunol. 2001 Jun;107(6):1106 - PubMed
  112. N Engl J Med. 2009 Mar 5;360(10):973-84 - PubMed
  113. J Clin Invest. 1999 Mar;103(6):779-88 - PubMed
  114. Am J Respir Crit Care Med. 1997 Sep;156(3 Pt 1):951-8 - PubMed
  115. Proc Am Thorac Soc. 2009 May 1;6(3):301-5 - PubMed
  116. Am J Respir Crit Care Med. 2003 Jun 15;167(12):1655-9 - PubMed
  117. Eur Respir J. 2003 May;21(5):799-803 - PubMed
  118. Am J Respir Crit Care Med. 2001 Jul 1;164(1):117-21 - PubMed
  119. Am J Respir Crit Care Med. 2000 Oct;162(4 Pt 1):1518-23 - PubMed
  120. J Clin Invest. 2006 Feb;116(2):309-21 - PubMed
  121. Chest. 2005 Jun;127(6):1999-2006 - PubMed
  122. Am J Respir Crit Care Med. 1999 Dec;160(6):1830-7 - PubMed
  123. Thorax. 1999 Mar;54(3):268-72 - PubMed
  124. Am J Respir Crit Care Med. 1999 Sep;160(3):1001-8 - PubMed
  125. Physiol Genomics. 2006 May 16;25(3):502-13 - PubMed
  126. Eur Respir J. 2002 Jul;20(1):73-8 - PubMed
  127. Am J Respir Cell Mol Biol. 1997 Nov;17(5):541-51 - PubMed
  128. Am J Respir Crit Care Med. 2000 Aug;162(2 Pt 1):663-9 - PubMed
  129. Eur Respir J. 2000 Aug;16(2):349-54 - PubMed
  130. Am J Respir Crit Care Med. 2010 Jan 15;181(2):116-24 - PubMed
  131. J Appl Physiol (1985). 1998 Dec;85(6):2012-7 - PubMed
  132. Allergol Int. 2007 Dec;56(4):341-8 - PubMed
  133. Am J Respir Cell Mol Biol. 2003 Jul;29(1):8-11 - PubMed
  134. Am Rev Respir Dis. 1987 Oct;136(4 Pt 2):S58-62 - PubMed
  135. Am J Physiol. 1999 Sep;277(3):L479-88 - PubMed
  136. J Appl Physiol (1985). 2004 Dec;97(6):2029-34 - PubMed
  137. J Cell Biol. 2002 Mar 4;156(5):893-903 - PubMed
  138. Clin Exp Allergy. 2004 Mar;34(3):437-44 - PubMed
  139. J Allergy Clin Immunol. 2004 Aug;114(2 Suppl):S2-17 - PubMed
  140. Am Rev Respir Dis. 1989 Jan;139(1):242-6 - PubMed
  141. Am J Respir Crit Care Med. 2001 Nov 15;164(10 Pt 2):S46-51 - PubMed
  142. Am J Respir Crit Care Med. 2001 Mar;163(3 Pt 1):674-9 - PubMed
  143. FASEB J. 2000 Jul;14(10):1362-74 - PubMed
  144. Am Rev Respir Dis. 1985 Apr;131(4):599-606 - PubMed
  145. Can Respir J. 2010 Jan-Feb;17(1):15-24 - PubMed
  146. J Allergy Clin Immunol. 2001 Feb;107(2):295-301 - PubMed
  147. J Appl Physiol (1985). 1993 Jun;74(6):2615-20 - PubMed
  148. Curr Allergy Asthma Rep. 2008 Nov;8(6):540-7 - PubMed
  149. Thorax. 2002 Apr;57(4):309-16 - PubMed
  150. J Appl Physiol (1985). 2007 Aug;103(2):655-63 - PubMed
  151. Clin Sci (Lond). 2005 Jun;108(6):463-77 - PubMed
  152. J Exp Med. 2001 Sep 17;194(6):809-21 - PubMed
  153. Am Rev Respir Dis. 1993 Nov;148(5):1220-5 - PubMed
  154. Proc Natl Acad Sci U S A. 2001 May 22;98(11):6180-5 - PubMed
  155. J Exp Med. 2007 Oct 29;204(11):2759-69 - PubMed
  156. Allergol Int. 2007 Dec;56(4):331-40 - PubMed
  157. Thorax. 1998 Apr;53(4):248-53 - PubMed
  158. Nat Med. 2004 Oct;10(10):1095-103 - PubMed
  159. Am Rev Respir Dis. 1973 Jan;107(1):99-109 - PubMed
  160. Am J Respir Crit Care Med. 1997 Jul;156(1):229-33 - PubMed
  161. Am J Respir Crit Care Med. 2009 Feb 1;179(3):194-204 - PubMed
  162. Am J Respir Crit Care Med. 1998 Dec;158(6):1945-50 - PubMed
  163. Proc Natl Acad Sci U S A. 1996 Jul 23;93(15):7821-5 - PubMed

Publication Types

Grant support