A Barrier to Defend - Models of Pulmonary Barrier to Study Acute Inflammatory Diseases

Pulmonary diseases represent four out of ten most common causes for worldwide mortality. Thus, pulmonary infections with subsequent inflammatory responses represent a major public health concern. The pulmonary barrier is a vulnerable entry site for several stress factors, including pathogens such as...

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Bibliographic Details
Main Authors: Herminghaus Anna
Kozlov Andrey V.
Szabó Andrea
Hantos Zoltán
Gylstorff Severin
Kuebart Anne
Aghapour Mahyar
Wissuwa Bianka
Walles Thorsten
Walles Heike
Coldewey Sina M.
Relja Borna
Format: Article
Published: 2022
Series:FRONTIERS IN IMMUNOLOGY 13
Subjects:
doi:10.3389/fimmu.2022.895100

mtmt:33035614
Online Access:http://publicatio.bibl.u-szeged.hu/24945
Description
Summary:Pulmonary diseases represent four out of ten most common causes for worldwide mortality. Thus, pulmonary infections with subsequent inflammatory responses represent a major public health concern. The pulmonary barrier is a vulnerable entry site for several stress factors, including pathogens such as viruses, and bacteria, but also environmental factors e.g. toxins, air pollutants, as well as allergens. These pathogens or pathogen-associated molecular pattern and inflammatory agents e.g. damage-associated molecular pattern cause significant disturbances in the pulmonary barrier. The physiological and biological functions, as well as the architecture and homeostatic maintenance of the pulmonary barrier are highly complex. The airway epithelium, denoting the first pulmonary barrier, encompasses cells releasing a plethora of chemokines and cytokines, and is further covered with a mucus layer containing antimicrobial peptides, which are responsible for the pathogen clearance. Submucosal antigen-presenting cells and neutrophilic granulocytes are also involved in the defense mechanisms and counterregulation of pulmonary infections, and thus may directly affect the pulmonary barrier function. The detailed understanding of the pulmonary barrier including its architecture and functions is crucial for the diagnosis, prognosis, and therapeutic treatment strategies of pulmonary diseases. Thus, considering multiple side effects and limited efficacy of current therapeutic treatment strategies in patients with inflammatory diseases make experimental in vitro and in vivo models necessary to improving clinical therapy options. This review describes existing models for studyying the pulmonary barrier function under acute inflammatory conditions, which are meant to improve the translational approaches for outcome predictions, patient monitoring, and treatment decision-making. Copyright © 2022 Herminghaus, Kozlov, Szabó, Hantos, Gylstorff, Kuebart, Aghapour, Wissuwa, Walles, Walles, Coldewey and Relja.
Physical Description:16
ISSN:1664-3224