Asthma

New York: Researchers have identified a critical cellular “off” switch for the inflammatory immune response that contributes to asthma attacks. The switch is composed of regulatory proteins that control an immune signalling mechanism in cells, the study said.

“Asthma patients are constantly firing through this pathway because those proteins are stuck in the ‘on’ position, without proper control by other proteins that shut down this reaction,” said Nicola Heller, Assistant Professor at Johns Hopkins University School of Medicine in the US.

Asthma has been correlated with an overabundance of one type of immune cell called M2 macrophages in the lungs. In a non-asthmatic person, the M2 macrophages activate to clean up inhaled allergens and foreign particles, and then deactivate when the irritant is broken down.

However, in people with asthma, the M2 cells and the chemical signals they emit linger and call in other cells that cause inflammation that can trigger an asthma attack with the classic symptoms of difficulty breathing, wheezing and shortness of breath.

Over time, the lung is changed by secretions from the M2 cells, which cause the lung tissue to remodel itself, contributing to irreversible obstruction and poor lung function. “If you prevent these cells from becoming the M2 type, you can potentially stop the continued inflammation and long-term structural changes,” Heller said.

The researchers believe that the findings, reported in the Journal of Biological Chemistry, also have implications for treatment of cancer and other disorders, such as obesity, in which M2 macrophage cells play a regulatory role in tumour growth and fat deposition.