关键词: Aerosolization Alpha-1-antitrypsin (AAT) BPIFA1 Biotherapies CFTR ENaC Goblet cell metaplasia Inflammation Mucociliary clearance Nebulization Neutrophil elastase (NE) Omalizumab PLUNC Pulmozyme

来  源:   DOI:10.1186/s40348-016-0044-8   PDF(Sci-hub)

Abstract:
Asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis (CF) are all chronic pulmonary diseases, albeit with different etiologies, that are characterized by airflow limitation, chronic inflammation, and abnormal mucus production/rheology. Small synthetic molecule-based therapies are commonly prescribed for all three diseases. However, there has been increased interest in \"biologicals\" to treat these diseases. Biologicals typically constitute protein- or peptide-based therapies and are often more potent than small molecule-based drugs. In this review, we shall describe the pros and cons of several different biological-based therapies for respiratory disease, including dornase alfa, a recombinant DNAase that reduces mucus viscosity and short palate lung and nasal epithelial clone 1 (SPLUNC1)-derived peptides that treat Na(+) hyperabsorption and rebalance CF airway surface liquid homeostasis.
摘要:
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