2021
DOI: 10.3389/fphys.2021.691227
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Epithelial Barrier Dysfunction in Chronic Respiratory Diseases

Abstract: Mucosal surfaces are lined by epithelial cells, which provide a complex and adaptive module that ensures first-line defense against external toxics, irritants, antigens, and pathogens. The underlying mechanisms of host protection encompass multiple physical, chemical, and immune pathways. In the lung, inhaled agents continually challenge the airway epithelial barrier, which is altered in chronic diseases such as chronic obstructive pulmonary disease, asthma, cystic fibrosis, or pulmonary fibrosis. In this revi… Show more

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Cited by 81 publications
(75 citation statements)
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References 404 publications
(451 reference statements)
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“…The airway epithelium is composed of ciliated cells that are responsible for removing airborne pathogens and mucus away from lower airways and goblet cells that secrete mucus. In asthma and COPD, the airway epithelial barrier integrity is compromised with increased mucus production and accumulation, resulting in structural changes and airflow obstruction [ 55 , 56 ]. In addition to airway structure, the airway epithelium also contributes airway inflammation releasing pro-inflammatory cytokines such as TNFα and IL-33, which contribute to Th1 and Th2 inflammation, respectively [ 57 , 58 ].…”
Section: Corticosteroid Insensitivity In Asthma and Copd Pathophysiologymentioning
confidence: 99%
“…The airway epithelium is composed of ciliated cells that are responsible for removing airborne pathogens and mucus away from lower airways and goblet cells that secrete mucus. In asthma and COPD, the airway epithelial barrier integrity is compromised with increased mucus production and accumulation, resulting in structural changes and airflow obstruction [ 55 , 56 ]. In addition to airway structure, the airway epithelium also contributes airway inflammation releasing pro-inflammatory cytokines such as TNFα and IL-33, which contribute to Th1 and Th2 inflammation, respectively [ 57 , 58 ].…”
Section: Corticosteroid Insensitivity In Asthma and Copd Pathophysiologymentioning
confidence: 99%
“…The airway epithelium is composed of five cell types including basal, goblet, ciliated, club, brush cells and cells of the diffuse neuroendocrine system ( Carlier et al, 2021 ) To determine whether our LGR5+ organoids cultured on day 12 formed a microarchitecture mimicking the nasal mucosa in vivo , we investigated their expression of functional molecules characteristic of nasal tissues using immunofluorescence, mRNA expression, western blot and FACS analysis. Firstly, we examined the expression of markers for goblet cells (Muc2), cilia (Tubulin) and apical junctional complexes (E-cadherin and ZO-1) by immunofluorescence.…”
Section: Resultsmentioning
confidence: 99%
“…The respiratory epithelium serves as the dominant barrier against P. aeruginosa invasion [16][17][18]. Intact epithelium has strictly controlled paracellular permeability due to the presence of intercellular junctions, primarily tight junction (TJs), and adherens junctions (AJs) [19,20].…”
Section: P Aeruginosa Regulation Of the Cytoskeletal Network In Lung Epithelial Cellsmentioning
confidence: 99%