2014
DOI: 10.1164/rccm.201405-0859pp
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IL-17 in Severe Asthma. Where Do We Stand?

Abstract: Asthma is a major chronic disease ranging from mild to severe refractory disease and is classified into various clinical phenotypes. Severe asthma is difficult to treat and frequently requires high doses of systemic steroids. In some cases, severe asthma even responds poorly to steroids. Several studies have suggested a central role of IL-17 (also called IL-17A) in severe asthma. Indeed, high levels of IL-17 are found in induced sputum and bronchial biopsies obtained from patients with severe asthma. The recen… Show more

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Cited by 295 publications
(215 citation statements)
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References 89 publications
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“…ERK5 has been identified to be part of an IL-17-mediated signaling cascade that drives keratinocyte proliferation and tumorigenesis (39). IL-17A is also overexpressed in conditions of chronic inflammation such as asthma and is thought to mediate airway neutrophilia through the induction of additional cytokines from target cells (40)(41)(42). After preincubation with compound, BEAS-2B cells were stimulated with the proinflammatory cytokine IL-17A.…”
Section: Resultsmentioning
confidence: 99%
“…ERK5 has been identified to be part of an IL-17-mediated signaling cascade that drives keratinocyte proliferation and tumorigenesis (39). IL-17A is also overexpressed in conditions of chronic inflammation such as asthma and is thought to mediate airway neutrophilia through the induction of additional cytokines from target cells (40)(41)(42). After preincubation with compound, BEAS-2B cells were stimulated with the proinflammatory cytokine IL-17A.…”
Section: Resultsmentioning
confidence: 99%
“…It is typically well controlled with b2-receptor agonists and corticosteroids. However, 5-10% of asthmatics have particularly poorly controlled severe disease that is frequently associated with a neutrophilic infiltrate alongside elevated levels of IL-17A, the prototypical cytokine of T helper 17 (Th17) cells, throughout the airways (1). Chronic obstructive pulmonary disease (COPD), another respiratory disease that is predicted to be the third leading cause of mortality by 2020, is also characterized by elevated levels of IL-17A in the bronchial submucosa and peripheral blood (2).…”
Section: Clinical Relevancementioning
confidence: 99%
“…They are increased during infection induced exacerbations, yet use of the anti-inflammatory macrolide azithromycin has proved disappointing [49,50]. Neutrophilic inflammation is particularly associated with Th17 responses and disease severity in asthma [51]. However, much of these data come from murine models that have used ovalbumin and therefore translation to patients is questionable.…”
Section: The Role Of Neutrophils In Asthma and Relationships With Remmentioning
confidence: 99%