Immunologic, microbial, and epithelial interactions in atopic dermatitis

被引:139
作者
Brunner, Patrick M. [1 ]
Leung, Donald Y. M. [2 ]
Guttman-Yassky, Emma [3 ,4 ]
机构
[1] Rockefeller Univ, Lab Investigat Dermatol, 1230 York Ave, New York, NY 10021 USA
[2] Natl Jewish Hlth, Dept Pediat, Denver, CO USA
[3] Icahn Sch Med Mt Sinai, Dept Dermatol, 1 Gustav L Levy Pl, New York, NY 10029 USA
[4] Icahn Sch Med Mt Sinai, Lab Inflammatory Skin Dis, 1 Gustav L Levy Pl, New York, NY 10029 USA
基金
美国国家卫生研究院;
关键词
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; THYMIC STROMAL LYMPHOPOIETIN; CUTANEOUS LYMPHOCYTE ANTIGEN; STAPHYLOCOCCUS-AUREUS; SKIN MICROBIOME; DOUBLE-BLIND; T-CELLS; PHOSPHODIESTERASE INHIBITOR; ANTIMICROBIAL PEPTIDES; TOPICAL TREATMENT;
D O I
10.1016/j.anai.2017.09.055
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Objective: To provide an overview of studies contributing to the understanding of immunologic, microbial, and epithelial interactions in atopic dermatitis. Data Sources: PubMed literature review (2000-2017) and meeting abstracts from recent international dermatology conferences. Study Selections: Articles discussing primarily human disease. Results: Clinical studies showed that atopic dermatitis is a type 2 immune-centered disease with a systemic inflammatory component but with heterogeneous treatment responses. This suggests that other factors are likely involved in shaping the skin disease phenotype, including microbial dysbiosis and epidermal barrier dysfunction. Conclusion: Recent clinical investigation has significantly expanded our knowledge on disease pathogenesis in atopic dermatitis, and current and future clinical trials will most likely further help to elucidate this complex, heterogeneous skin disease. (C) 2017 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:34 / 41
页数:8
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