2020
DOI: 10.1111/all.14421
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Epithelial cell dysfunction, a major driver of asthma development

Abstract: Asthma is a chronic inflammatory airway disease characterized by coughing, wheezing, chest tightness, variable airflow limitation and airway hyper-responsiveness (AHR) 1 to environmental specific (allergens such as house dust mite (HDM), pollen and animal dander) and nonspecific (eg tobacco smoke, air pollution) stimuli. Asthma is a heterogeneous disease with a complex aetiology. Allergen-induced asthma is the most common form, with atopy and allergic sensitization being identified as major risk factors. 2 Oth… Show more

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Cited by 184 publications
(162 citation statements)
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References 161 publications
(356 reference statements)
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“…1 Accordingly, repeated injury, repair, and regeneration of the airway epithelium following exposure to environmental factors and inflammation results in histological changes and functional abnormalities in the airway mucosal epithelium, which are associated with the pathophysiology of asthma. 2 Epigenetics is defined by heritable changes in gene expression without changes in the DNA sequence. 3 Regulation of gene expression is mediated by different mechanisms such as DNA methylation, histone modifications, and RNA-associated silencing by small non-coding RNAs.…”
Section: Inhibition Of Cpg Methylation Improves the Barrier Integrity Of Bronchial Epithelial Cells In Asthmamentioning
confidence: 99%
“…1 Accordingly, repeated injury, repair, and regeneration of the airway epithelium following exposure to environmental factors and inflammation results in histological changes and functional abnormalities in the airway mucosal epithelium, which are associated with the pathophysiology of asthma. 2 Epigenetics is defined by heritable changes in gene expression without changes in the DNA sequence. 3 Regulation of gene expression is mediated by different mechanisms such as DNA methylation, histone modifications, and RNA-associated silencing by small non-coding RNAs.…”
Section: Inhibition Of Cpg Methylation Improves the Barrier Integrity Of Bronchial Epithelial Cells In Asthmamentioning
confidence: 99%
“…The interaction of HDM allergen inhalation and airway epithelial cells has been shown to directly cause airway epithelium dysfunction [36]. Due to the activation of airway epithelial cells responding to HDM allergen, a series of epithelial-derived cytokines are rapidly released, and simultaneously recruit neighboring innate and adaptive immune cells, which are essential for the pathogenesis of asthma.…”
Section: Discussionmentioning
confidence: 99%
“…One group of genes associated with asthma are related to the epithelial barrier function (see summary in ref. [ 33 ]); these include PCDH1 (protocadherin-1), which is involved in cell adhesion and epithelial barrier formation [ 34 ] and CDHR3 (cadherin-related family member 3), which is also involved in cell adhesion as well as epithelial polarity and is the receptor for rhinovirus (RV) C, where the risk variant could increase susceptibility to infection [ 35 , 36 , 37 ]. Additionally, ORMDL3 (orosomucoid-like 3) has been linked to asthma in several populations [ 38 , 39 , 40 ], and its corresponding protein may be involved in cell adhesion and integrity; when increased, it has been shown to promote airway remodeling and hyperresponsiveness [ 41 ].…”
Section: Genetic Associations With Asthma Linked To the Airway Epimentioning
confidence: 99%