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Importance of oxidative stress in the pathogenesis and treatment of asthma

Riedl, Marc A; Nel, Andre E

Current Opinion in Allergy and Clinical Immunology: February 2008 - Volume 8 - Issue 1 - p 49–56
doi: 10.1097/ACI.0b013e3282f3d913
Mechanisms of allergy and adult asthma: Edited by Stephen T. Holgate and J. Andrew Grant
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Purpose of review The purpose of the current review is to summarize recent evidence demonstrating the important role of oxidative stress in asthma pathogenesis. The therapeutic implications of these findings will be presented.

Recent findings Mechanistically, the effect of oxidative stress on dendritic cells has been demonstrated to have a potent effect on Th1/Th2 skewing of the immune response. Investigations of gene–environment interactions have identified genetic polymorphisms associated with individual susceptibility to pollutant-induced respiratory oxidative stress. The effects of current asthma therapy on oxidative stress are currently unclear, but previous trials using conventional antioxidant therapy in asthma have been largely ineffective. Recent investigations have identified two promising broad-based therapeutic approaches: Nrf2 pathway activation and the use of thiol precursors. Preliminary data suggest that fullerene nanomaterials and dietary interventions may also have potential benefits in asthma.

Summary Our current understanding of the role of oxidative stress in asthma suggests that antioxidant therapy may be important in optimizing asthma treatment and prevention. The future success of antioxidant asthma therapy will require strategies with broad effects on airway redox equilibrium and the selection of appropriate target populations.

aSection of Clinical Immunology and Allergy, Division of Pulmonary and Critical Care Medicine, USA

bAsthma and Allergic Disease Clinical Research Center, Division of Nanomedicine, UCLA David Geffen School of Medicine, Los Angeles, California, USA

Correspondence to Marc A. Riedl, MD, MS, Assistant Professor of Medicine, Section of Clinical Immunology and Allergy, Division of Pulmonary and Critical Care Medicine, UCLA David Geffen School of Medicine, 10833 Le Conte Ave, 37-131 CHS, Los Angeles, CA 90095, USA Tel: +1 310 206 4345; e-mail: mriedl@mednet.ucla.edu

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