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• Of pleiotropy and trajectories: does the TGF-beta pathway link childhood asthma and chronic obstructive pulmonary disease?

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         headline:Alternatively activated macrophages; a double-edged sword in allergic asthma
         description:Macrophages are heterogenous phagocytic cells with an important role in the innate immunity. They are, also, significant contributors in the adaptive immune system. Macrophages are the most abundant immune cells in the lung during allergic asthma, which is the most common chronic respiratory disease of both adults and children. Macrophages activated by Th1 cells are known as M1 macrophages while those activated by IL-4 and IL-13 are called alternatively activated macrophages (AAM) or M2 cells. AAM are subdivided into four distinct subtypes (M2a, M2b, M2c and M2d), depending on the nature of inducing agent and the expressed markers. IL-4 is the major effector cytokine in both alternative activation of macrophages and pathogenesis of asthma. Thus, the role of M2a macrophages in asthma is a major concern. However, this is controversial. Therefore, further studies are required to improve our knowledge about the role of IL-4-induced macrophages in allergic asthma, through precisive elucidation of the roles of specific M2a proteins in the pathogenesis of asthma. In the current review, we try to illustrate the different functions of M2a macrophages (protective and pathogenic roles) in the pathogenesis of asthma, including explanation of how different M2a proteins and markers act during the pathogenesis of allergic asthma. These include surface markers, enzymes, secreted proteins, chemokines, cytokines, signal transduction proteins and transcription factors. AAM is considered a double-edged sword in allergic asthma. Finally, we recommend further studies that focus on increased selective expression or suppression of protective and pathogenic M2a markers.
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      headline:Alternatively activated macrophages; a double-edged sword in allergic asthma
      description:Macrophages are heterogenous phagocytic cells with an important role in the innate immunity. They are, also, significant contributors in the adaptive immune system. Macrophages are the most abundant immune cells in the lung during allergic asthma, which is the most common chronic respiratory disease of both adults and children. Macrophages activated by Th1 cells are known as M1 macrophages while those activated by IL-4 and IL-13 are called alternatively activated macrophages (AAM) or M2 cells. AAM are subdivided into four distinct subtypes (M2a, M2b, M2c and M2d), depending on the nature of inducing agent and the expressed markers. IL-4 is the major effector cytokine in both alternative activation of macrophages and pathogenesis of asthma. Thus, the role of M2a macrophages in asthma is a major concern. However, this is controversial. Therefore, further studies are required to improve our knowledge about the role of IL-4-induced macrophages in allergic asthma, through precisive elucidation of the roles of specific M2a proteins in the pathogenesis of asthma. In the current review, we try to illustrate the different functions of M2a macrophages (protective and pathogenic roles) in the pathogenesis of asthma, including explanation of how different M2a proteins and markers act during the pathogenesis of allergic asthma. These include surface markers, enzymes, secreted proteins, chemokines, cytokines, signal transduction proteins and transcription factors. AAM is considered a double-edged sword in allergic asthma. Finally, we recommend further studies that focus on increased selective expression or suppression of protective and pathogenic M2a markers.
      datePublished:2020-02-05T00:00:00Z
      dateModified:2020-02-05T00:00:00Z
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         Asthma
         Human/mice
         IL-4
         Lung
         Macrophages
         Biomedicine
         general
         Medicine/Public Health
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      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Microbiology & Immunology, School of Medicine, Assiut University, Assiut, Egypt
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China
      name:Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China

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