Insights into endotoxin-mediated lung inflammation and future treatment strategies

Expert Rev Respir Med. 2018 Nov;12(11):941-955. doi: 10.1080/17476348.2018.1523009. Epub 2018 Oct 3.

Abstract

Airway inflammatory disorders are prevalent diseases in need of better management and new therapeutics. Immunotherapies offer a solution to the problem of corticosteroid resistance. Areas covered: The current review focuses on lipopolysaccharide (Gram-negative bacterial endotoxin)-mediated inflammation in the lung and the animal models used to study related diseases. Endotoxin-induced lung pathology is usually initiated by antigen presenting cells (APC). We will discuss different subsets of APC including lung dendritic cells and macrophages, and their role in responding to endotoxin and environmental challenges. Expert commentary: The pharmacotherapeutic considerations to combat airway inflammation should cost-effectively improve quality of life with sustainable and safe strategies. Selectively targeting APCs in the lung offer the potential for a promising new strategy for the better management and treatment of inflammatory lung disease.

Keywords: Airway inflammation; COPD; anti-inflammatories; antigen presenting cells; asthma; endotoxin.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Allergens / immunology
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Asthma / immunology*
  • Bacteria / immunology
  • Cell Adhesion Molecules / metabolism
  • Disease Models, Animal
  • Drug Carriers / metabolism
  • Endotoxins / immunology*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology
  • Immunity, Innate
  • Lipid A / analogs & derivatives
  • Lipid A / pharmacology
  • Lipopolysaccharides / antagonists & inhibitors
  • Lipopolysaccharides / immunology
  • Myeloid Cells / immunology
  • Nanoparticles
  • Neutrophils / metabolism
  • Protease Inhibitors / pharmacology
  • Pulmonary Disease, Chronic Obstructive / immunology*
  • Respiratory Distress Syndrome / immunology
  • Toll-Like Receptors / metabolism

Substances

  • Allergens
  • Anti-Inflammatory Agents
  • Cell Adhesion Molecules
  • Drug Carriers
  • E5564
  • Endotoxins
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Lipid A
  • Lipopolysaccharides
  • Protease Inhibitors
  • Toll-Like Receptors