Clinical & Experimental Allergy,
Journal Year:
2019,
Volume and Issue:
50(1), P. 5 - 14
Published: Sept. 10, 2019
The
Th2
cytokines
interleukin
4
(IL-4)
and
IL-13
the
heterodimeric
IL-4
receptor
(IL-4R)
complexes
that
they
interact
with
play
a
key
role
in
pathogenesis
of
allergic
disorders.
Dupilumab
is
humanized
IgG4
monoclonal
antibody
targets
alpha
chain
(IL-4Rα),
common
to
both
IL-4R
complexes:
type
1
(IL-4Rα/γc;
specific)
2
(IL-4Rα/IL-13Rα1;
specific).
In
this
review,
we
detail
current
state
knowledge
different
signalling
pathways
coupled
examine
possible
mechanisms
action
survey
its
clinical
efficacy
development
widening
spectrum
applications
relevant
emphasis
on
precision
medicine
approaches
blockade
involved
diseases.
Frontiers in Immunology,
Journal Year:
2019,
Volume and Issue:
10
Published: July 3, 2019
Macrophages
are
a
heterogeneous
population
of
immune
cells
playing
several
and
diverse
functions
in
homeostatic
responses.
The
broad
spectrum
macrophage
depends
on
both
heterogeneity
plasticity
these
cells,
which
highly
specialized
sensing
the
microenvironment
modify
their
properties
accordingly.
Although
it
is
clear
that
phenotypes
difficult
to
categorize
should
be
seen
as
plastic
adaptable,
they
can
simplified
into
two
extremes:
pro-inflammatory
(M1)
an
anti-inflammatory/pro-resolving
(M2)
profile.
Based
this
definition,
M1
macrophages
able
start
sustain
inflammatory
responses,
secreting
cytokines,
activating
endothelial
inducing
recruitment
other
inflamed
tissue;
hand,
M2
promote
resolution
inflammation,
phagocytose
apoptotic
drive
collagen
deposition,
coordinate
tissue
integrity,
release
anti-inflammatory
mediators.
Dramatic
switches
cell
metabolism
accompany
phenotypic
functional
changes
macrophages.
In
particular,
rely
mainly
glycolysis
present
breaks
TCA
cycle
result
accumulation
itaconate
(a
microbicide
compound)
succinate.
Excess
succinate
leads
Hypoxia
Inducible
Factor
1
(HIF1)
stabilization
that,
turn,
activates
transcription
glycolytic
genes,
thus
sustaining
On
contrary,
more
dependent
oxidative
phosphorylation
(OXPHOS),
intact
provides
substrates
for
complexes
electron
transport
chain
(ETC).
Moreover,
pro-
characterized
by
specific
pathways
regulate
lipids
amino
acids
affect
All
metabolic
adaptations
support
activities
well
polarization
contexts.
aim
review
discuss
recent
findings
linking
metabolism.
Cell Research,
Journal Year:
2015,
Volume and Issue:
25(7), P. 771 - 784
Published: June 5, 2015
Activation
of
macrophages
and
dendritic
cells
(DCs)
by
pro-inflammatory
stimuli
causes
them
to
undergo
a
metabolic
switch
towards
glycolysis
away
from
oxidative
phosphorylation
(OXPHOS),
similar
the
Warburg
effect
in
tumors.
However,
it
is
only
recently
that
mechanisms
responsible
for
this
reprogramming
have
been
elucidated
more
detail.
The
transcription
factor
hypoxia-inducible
factor-1α
(HIF-1α)
plays
an
important
role
under
conditions
both
hypoxia
normoxia.
withdrawal
citrate
tricarboxylic
acid
(TCA)
cycle
has
shown
be
critical
lipid
biosynthesis
DCs.
Interference
with
process
actually
abolishes
ability
DCs
activate
T
cells.
Another
TCA
intermediate,
succinate,
activates
HIF-1α
promotes
inflammatory
gene
expression.
These
new
insights
are
providing
us
deeper
understanding
innate
immunity.
The Journal of Immunology,
Journal Year:
2017,
Volume and Issue:
198(3), P. 1006 - 1014
Published: Jan. 23, 2017
Abstract
Macrophages
become
activated
initiating
innate
immune
responses.
Depending
on
the
signals,
macrophages
obtain
an
array
of
activation
phenotypes,
described
by
broad
terms
M1
or
M2
phenotype.
The
PI3K/Akt/mTOR
pathway
mediates
signals
from
multiple
receptors
including
insulin
receptors,
pathogen-associated
molecular
pattern
cytokine
adipokine
and
hormones.
As
a
result,
Akt
converges
inflammatory
metabolic
to
regulate
macrophage
responses
modulating
their
is
family
three
serine-threonine
kinases,
Akt1,
Akt2,
Akt3.
Generation
mice
lacking
individual
Akt,
PI3K,
mTOR
isoforms
utilization
RNA
interference
technology
have
revealed
that
signaling
components
distinct
isoform-specific
roles
in
biology
disease
regulation,
controlling
cytokines,
miRNAs,
functions
phagocytosis,
autophagy,
cell
metabolism.
Herein,
we
review
current
knowledge
role
macrophages,
focusing
M1/M2
polarization
highlighting
isoform–specific
functions.
Immunological Reviews,
Journal Year:
2014,
Volume and Issue:
262(1), P. 153 - 166
Published: Oct. 15, 2014
Summary
Initiation
and
progression
of
atherosclerosis
depend
on
local
inflammation
accumulation
lipids
in
the
vascular
wall.
Although
many
cells
are
involved
development
atherosclerosis,
macrophages
fundamental
contributors.
For
nearly
a
decade,
phenotypic
heterogeneity
plasticity
has
been
studied.
In
atherosclerotic
lesions,
submitted
to
large
variety
micro‐environmental
signals,
such
as
oxidized
cytokines,
which
influence
polarization
activation
resulting
dynamic
plasticity.
The
macrophage
phenotype
spectrum
is
characterized,
at
extremes,
by
classical
M1
induced
T‐helper
1
(Th‐1)
cytokines
alternative
M2
Th‐2
cytokines.
can
be
further
classified
into
M2a,
M2b,
M2c,
M2d
subtypes.
More
recently,
additional
plaque‐specific
phenotypes
have
identified,
termed
Mox,
Mhem,
M4.
Understanding
mechanisms
functional
consequences
will
contribute
determine
their
potential
role
lesion
plaque
stability.
Furthermore,
research
could
lead
novel
therapeutic
approaches
counteract
cardiovascular
diseases
atherosclerosis.
present
review
summarizes
our
current
knowledge
subsets
plaques
mechanism
behind
modulation
phenotype.