A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention

Lungs are important respiratory organs primarily involved in gas exchange. Lungs interact directly with the environment and their primary function is affected by several inflammatory responses caused by allergens, inflammatory mediators, and pathogens, eventually leading to disease. The immune archi...

Full description

Bibliographic Details
Main Authors: Indiwari Gopallawa, Ruchika Dehinwal, Vaibhav Bhatia, Vikramsingh Gujar, Narendra Chirmule
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1119564/full
_version_ 1797854976360316928
author Indiwari Gopallawa
Ruchika Dehinwal
Vaibhav Bhatia
Vikramsingh Gujar
Narendra Chirmule
author_facet Indiwari Gopallawa
Ruchika Dehinwal
Vaibhav Bhatia
Vikramsingh Gujar
Narendra Chirmule
author_sort Indiwari Gopallawa
collection DOAJ
description Lungs are important respiratory organs primarily involved in gas exchange. Lungs interact directly with the environment and their primary function is affected by several inflammatory responses caused by allergens, inflammatory mediators, and pathogens, eventually leading to disease. The immune architecture of the lung consists of an extensive network of innate immune cells, which induce adaptive immune responses based on the nature of the pathogen(s). The balance of immune responses is critical for maintaining immune homeostasis in the lung. Infection by pathogens and physical or genetic dysregulation of immune homeostasis result in inflammatory diseases. These responses culminate in the production of a plethora of cytokines such as TSLP, IL-9, IL-25, and IL-33, which have been implicated in the pathogenesis of several inflammatory and autoimmune diseases. Shifting the balance of Th1, Th2, Th9, and Th17 responses have been the targets of therapeutic interventions in the treatment of these diseases. Here, we have briefly reviewed the innate and adaptive i3mmune responses in the lung. Genetic and environmental factors, and infection are the major causes of dysregulation of various functions of the lung. We have elaborated on the impact of inflammatory and infectious diseases, advances in therapies, and drug delivery devices on this critical organ. Finally, we have provided a comprehensive compilation of different inflammatory and infectious diseases of the lungs and commented on the pros and cons of different inhalation devices for the management of lung diseases. The review is intended to provide a summary of the immunology of the lung, with an emphasis on drug and device development.
first_indexed 2024-04-09T20:16:05Z
format Article
id doaj.art-152630092b4946f39c15b2a949716aa2
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-04-09T20:16:05Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-152630092b4946f39c15b2a949716aa22023-03-31T08:12:17ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.11195641119564A four-part guide to lung immunology: Invasion, inflammation, immunity, and interventionIndiwari Gopallawa0Ruchika Dehinwal1Vaibhav Bhatia2Vikramsingh Gujar3Narendra Chirmule4Clinical Pharmacology & Safety Sciences, Biopharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, United StatesDepartment of Microbiology, Division of Infectious Disease, Brigham Women’s Hospital, Harvard Medical School, Howard Hughes Medical Institute, Boston, MA, United StatesR&D Department, Lamark Biotech, Vellore, IndiaDepartment of Anatomy and Cell Biology, Oklahoma State University Center for Health Sciences, Tulsa, OK, United StatesR&D Department, SymphonyTech Biologics, Philadelphia, PA, United StatesLungs are important respiratory organs primarily involved in gas exchange. Lungs interact directly with the environment and their primary function is affected by several inflammatory responses caused by allergens, inflammatory mediators, and pathogens, eventually leading to disease. The immune architecture of the lung consists of an extensive network of innate immune cells, which induce adaptive immune responses based on the nature of the pathogen(s). The balance of immune responses is critical for maintaining immune homeostasis in the lung. Infection by pathogens and physical or genetic dysregulation of immune homeostasis result in inflammatory diseases. These responses culminate in the production of a plethora of cytokines such as TSLP, IL-9, IL-25, and IL-33, which have been implicated in the pathogenesis of several inflammatory and autoimmune diseases. Shifting the balance of Th1, Th2, Th9, and Th17 responses have been the targets of therapeutic interventions in the treatment of these diseases. Here, we have briefly reviewed the innate and adaptive i3mmune responses in the lung. Genetic and environmental factors, and infection are the major causes of dysregulation of various functions of the lung. We have elaborated on the impact of inflammatory and infectious diseases, advances in therapies, and drug delivery devices on this critical organ. Finally, we have provided a comprehensive compilation of different inflammatory and infectious diseases of the lungs and commented on the pros and cons of different inhalation devices for the management of lung diseases. The review is intended to provide a summary of the immunology of the lung, with an emphasis on drug and device development.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1119564/fulllungimmunityinflammationinvasionintervention
spellingShingle Indiwari Gopallawa
Ruchika Dehinwal
Vaibhav Bhatia
Vikramsingh Gujar
Narendra Chirmule
A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention
Frontiers in Immunology
lung
immunity
inflammation
invasion
intervention
title A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention
title_full A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention
title_fullStr A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention
title_full_unstemmed A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention
title_short A four-part guide to lung immunology: Invasion, inflammation, immunity, and intervention
title_sort four part guide to lung immunology invasion inflammation immunity and intervention
topic lung
immunity
inflammation
invasion
intervention
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1119564/full
work_keys_str_mv AT indiwarigopallawa afourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT ruchikadehinwal afourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT vaibhavbhatia afourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT vikramsinghgujar afourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT narendrachirmule afourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT indiwarigopallawa fourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT ruchikadehinwal fourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT vaibhavbhatia fourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT vikramsinghgujar fourpartguidetolungimmunologyinvasioninflammationimmunityandintervention
AT narendrachirmule fourpartguidetolungimmunologyinvasioninflammationimmunityandintervention