结核与肺部疾病杂志 ›› 2023, Vol. 4 ›› Issue (1): 78-84.doi: 10.19983/j.issn.2096-8493.20220136

• 综述 • 上一篇    下一篇

儿童哮喘与百日咳关系机制的研究进展

闫金燕1, 李小敏2, 马香3()   

  1. 1山东大学附属儿童医院感染性疾病科,济南 250022
    2山东省聊城市东昌府区妇幼保健院儿科,聊城 252000
    3山东大学附属儿童医院呼吸科/济南市儿童呼吸病重点实验室,济南 250022
  • 收稿日期:2022-08-23 出版日期:2023-02-20 发布日期:2023-02-09
  • 通信作者: 马香 E-mail:maxiang0176@163.com
  • 基金资助:
    济南市卫健委科技计划项目(2022-2-163);济南市卫健委科技计划项目(2021-1-41);济南市卫健委科技计划项目(2020-4-89)

Research progress on the mechanism of there relationship between asthma and pertussisin children

Yan Jinyan1, Li Xiaomin2, Ma Xiang3()   

  1. 1Department of Infectious Diseases, Children’s Hospital Affiliated to Shandong University, Ji’nan 250022, China
    2Department of Pediatrics,Maternal and Child Health Hospital, Dongchangfu District, Liaocheng 252000, China
    3Department of Respiratory Diseases, Children’s Hospital Affiliated to Shandong University/Key Laboratory of Pediatric Respiratory Diseases, Ji’nan Children’s Hospital, Ji’nan 250022, China
  • Received:2022-08-23 Online:2023-02-20 Published:2023-02-09
  • Contact: Ma Xiang E-mail:maxiang0176@163.com
  • Supported by:
    Science and Technology Plan Project of Ji’nan Municipal Health Commission(2022-2-163);Science and Technology Plan Project of Ji’nan Municipal Health Commission(2021-1-41);Science and Technology Plan Project of Ji’nan Municipal Health Commission(2020-4-89)

摘要:

支气管哮喘是常见的慢性气道疾病,其主要病理机制为气道炎症及气道重塑,与多种呼吸道病原感染相关。由于近年来全球范围出现“百日咳重现”,百日咳与哮喘的关系也引起了学者们的广泛关注。大量的临床研究提示百日咳与哮喘之间具有相关性,但其相关机制尚未明确。作者对两者之间的相关机制研究在分子、细胞和组织水平进行了综述。在分子水平,百日咳感染可以导致气道炎症及气道重塑。在细胞水平,百日咳感染后可通过百日咳毒素诱导细胞骨架重组,丧失细胞连接的完整性,引发气道炎症,促进气道重塑。在组织水平,百日咳毒素和气管细胞毒素均可引起明显的呼吸道组织学改变,包括气管细胞毒素对纤毛呼吸上皮的挤压和破坏,导致气道炎症及气道重塑。

关键词: 儿童, 百日咳, 哮喘

Abstract:

Bronchial asthma is a common chronic respiratory disease, and its main pathological mechanism is airway inflammation and airway remodeling, which is associated with a variety of respiratory pathogenic infections. In recent years, the relationship between pertussis and asthma has been paid more and more attention because of the recurrence of pertussis all over the world. The correlation between pertussis and asthma has been suggested by a large number of clinical studies, but the related mechanism is not yet clear. The molecular, cellular and tissue-level mechanisms involved in these two mechanisms are reviewed in this paper. Pertussis infection can cause airway inflammation and airway remodeling at the molecular level. After pertussis infection,pertussis toxin can induce cytoskeletal reorganization, and then lose the integrity of cell junctions, trigger airway inflammation, and promote airway remodeling, at the cellular level. Both pertussis toxin and tracheal cytotoxin can cause significant airway histological changes, including extrusion and destruction of ciliated respiratory epithelium by tracheal cytotoxin, leading to airway inflammation and airway remodeling.

Key words: Children, Asthma, Pneumonia

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