The National Natural Science Foundation of China
神经生长因子是一种对神经生长、分化起到营养作用的肽类,其在哮喘发病过程中被认为是连接神经-内分泌-免疫网络的桥梁,作用机制可能如下:a.神经生长因子引起气道神经解剖结构和功能变化,促进气道神经末梢合成和释放递质,有助于气道重构的形成;b.神经生长因子能够增强变应原特异性IgE抗体的表达,促进肥大细胞、嗜酸性粒细胞、淋巴细胞等在气道聚集,诱导其释放炎症介质,改变免疫应答平衡状态;c.神经生长因子可能启动肾上腺髓质细胞冗余性,使其向神经细胞转变,导致髓质细胞内分泌功能削弱,使肾上腺素合成、释放和再摄取功能障碍,最终导致循环中肾上腺素达不到维持气道舒张状态所需水平.
Nerve growth factor, a kind of neurotrophic factor, plays an important role in neuronal development, differentiation, survival and neurogenesis, and is considered as a link between neuroendocrine system and immune system in asthma attack. The possible mechanism of effects of nerve growth factor on asthma is as follows: (1) nerve growth factor changes airway innervation, and facilitates the synthesis and release of neurotransmitter in nerve terminal, which will contribute to airway remodeling; (2) nerve growth factor induces eosinophils aggregation, proliferation and releasing inflammatory factor, which will lead to the abnormality of immunologic response; (3) nerve growth factor triggers the redundancy of adrenal medullary cells, which results in adrenal medullary cell to nerve cell transition, and then the impairment of chromaffin cell endocrine secretion function. As a result, the concentrations of adrenaline in circulation are not competent to relieve the bronchoconstriction in asthmatic attack.
冯俊涛,胡成平.神经生长因子启动哮喘神经-内分泌-免疫网络功能失衡[J].生物化学与生物物理进展,2008,35(3):241-245 FENG Jun-Tao, HU Cheng-Ping. Neuro-Immuno-Endocrine Modulation by Nerve Growth Factor in Asthma[J]. Progress in Biochemistry and Biophysics,2008,35(3):241-245
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