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Topic:Allergies

Allergies in horses are immune-mediated responses to environmental antigens, such as pollen, dust, mold, food, or insect bites, that result in hypersensitivity reactions. These reactions can manifest as respiratory issues, skin conditions, or gastrointestinal disturbances, impacting the horse's overall health and performance. Common allergic conditions in horses include recurrent airway obstruction (RAO), urticaria, and insect bite hypersensitivity. Understanding the underlying mechanisms of equine allergies is crucial for developing effective management and treatment strategies. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, diagnosis, and management of allergies in horses, as well as their impact on equine welfare and performance.
Furry pet allergens, fungal DNA and microbial volatile organic compounds (MVOCs) in the commercial aircraft cabin environment.
Environmental science. Processes & impacts    May 7, 2013   Volume 15, Issue 6 1228-1234 doi: 10.1039/c3em30928b
Fu X, Lindgren T, Guo M, Cai GH, Lundgren H, Norbäck D.There has been concern about the cabin environment in commercial aircraft. We measured cat, dog and horse allergens and fungal DNA in cabin dust and microbial volatile organic compounds (MVOCs) in cabin air. Samples were collected from two European airline companies, one with cabins having textile seats (TSC) and the other with cabins having leather seats (LSC), 9 airplanes from each company. Dust was vacuumed from seats and floors in the flight deck and different parts of the cabin. Cat (Fel d1), dog (Can f1) and horse allergens (Equ cx) were analyzed by ELISA. Five sequences of fungal DNA we...
Cloning and expression of candidate allergens from Culicoides obsoletus for diagnosis of insect bite hypersensitivity in horses.
Veterinary immunology and immunopathology    March 19, 2013   Volume 153, Issue 3-4 227-239 doi: 10.1016/j.vetimm.2013.03.005
van der Meide NM, Roders N, Sloet van Oldruitenborgh-Oosterbaan MM, Schaap PJ, van Oers MM, Leibold W, Savelkoul HF, Tijhaar E.Insect bite hypersensitivity (IBH) is an IgE-mediated (Type I) hypersensitivity reaction induced by allergens from biting midges of the Culicoides spp. The aim of the present study was to identify, clone and express recombinant allergens from C. obsoletus, the main species found feeding on horses in the Netherlands, by sequence homology searches on the C. obsoletus specific RNA database, with previously described allergens from C. nubeculosus and C. sonorensis. BLAST searches with these described allergens resulted in similarity hits with 7 genes coding for C. obsoletus allergens. These allerg...
Development of an in vitro model system for studying the interaction of Equus caballus IgE with its high-affinity receptor FcɛRI.
Veterinary immunology and immunopathology    February 11, 2013   Volume 153, Issue 1-2 10-16 doi: 10.1016/j.vetimm.2013.01.008
Sabban S, Ye H, Helm B.The binding of immunoglobulin E (IgE) to its high-affinity receptor (FcɛRI) is the central protein interaction in IgE-mediated allergic reactions. The cross-linking of the IgE/FcɛRI complex, through cognate allergens, on the surface of mast cells and basophil cells results in mediator release, and thus leads to the symptoms of type I hypersensitivity responses in mammals. To develop a baseline value for subsequent equine anti-allergy drug and vaccine research, the interaction of equine IgE with its high-affinity FcɛRI receptor was investigated following the cloning and expression of equine ...
Immunogenomic analysis of insect bite hypersensitivity in a model horse population.
Veterinary immunology and immunopathology    January 3, 2013   Volume 152, Issue 3-4 260-268 doi: 10.1016/j.vetimm.2012.12.013
Vychodilova L, Matiasovic J, Bobrova O, Futas J, Klumplerova M, Stejskalova K, Cvanova M, Janova E, Osickova J, Vyskocil M, Sedlinska M, Dusek L....Equine insect bite hypersensitivity (IBH) is a seasonal IgE-mediated dermatosis caused by bites of insects of the genus Culicoides. A familial predisposition for the disease has been shown but, except for the MHC, the genes involved have not been identified so far. An immunogenomic analysis of IBH was performed in a model population of Old Kladruby horses, all living in the same environment. Clinical signs of IBH were used as phenotypic manifestation of IBH. Furthermore, total serum IgE levels were determined in the sera of these horses and used as an independent phenotypic marker for the immu...
Major histocompatibility complex and other allergy-related candidate genes associated with insect bite hypersensitivity in Icelandic horses.
Molecular biology reports    December 30, 2012   Volume 40, Issue 4 3333-3340 doi: 10.1007/s11033-012-2408-z
Klumplerova M, Vychodilova L, Bobrova O, Cvanova M, Futas J, Janova E, Vyskocil M, Vrtkova I, Putnova L, Dusek L, Marti E, Horin P.Insect bite hypersensitivity (IBH) is an allergic dermatitis of horses caused by bites of insects. IBH is a multifactorial disease with contribution of genetic and environmental factors. Candidate gene association analysis of IBH was performed in a group of 89 Icelandic horses all born in Iceland and imported to Europe. Horses were classified in IBH-affected and non-affected based on clinical signs and history of recurrent dermatitis, and on the results of an in vitro sulfidoleukotriene (sLT)-release assay with Culicoides nubeculosus and Simulium vittatum extract. Different genetic markers wer...
[Gluten sensitivity in a horse].
Tijdschrift voor diergeneeskunde    December 12, 2012   Volume 137, Issue 11 741 
van der Kolk H.No abstract available
Genome-wide association study of insect bite hypersensitivity in two horse populations in the Netherlands.
Genetics, selection, evolution : GSE    October 30, 2012   Volume 44, Issue 1 31 doi: 10.1186/1297-9686-44-31
Schurink A, Wolc A, Ducro BJ, Frankena K, Garrick DJ, Dekkers JC, van Arendonk JA.Insect bite hypersensitivity is a common allergic disease in horse populations worldwide. Insect bite hypersensitivity is affected by both environmental and genetic factors. However, little is known about genes contributing to the genetic variance associated with insect bite hypersensitivity. Therefore, the aim of our study was to identify and quantify genomic associations with insect bite hypersensitivity in Shetland pony mares and Icelandic horses in the Netherlands. Methods: Data on 200 Shetland pony mares and 146 Icelandic horses were collected according to a matched case-control design. C...
Equine IgE responses to non-viral vaccine components.
Vaccine    October 23, 2012   Volume 30, Issue 52 7615-7620 doi: 10.1016/j.vaccine.2012.10.029
Gershwin LJ, Netherwood KA, Norris MS, Behrens NE, Shao MX.Vaccination of horses is performed annually or semi-annually with multiple viral antigens, either in a combination vaccine or as separate injections. While this practice undoubtedly prevents infection from such diseases as rabies, equine influenza, West Nile virus, and equine herpes virus, the procedure is not without repercussions. Hypersensitivity reactions, including fatal anaphylactic shock, after vaccination, although uncommon, have increased in incidence in recent years. Studies reported herein document the development of IgE antibodies against non-target antigen components of equine vir...
Reaginic antibodies from horses with recurrent airway obstruction produce mast cell stimulation.
Veterinary research communications    August 12, 2012   Volume 36, Issue 4 251-258 doi: 10.1007/s11259-012-9534-x
Moran G, Folch H, Henriquez C, Ortloff A, Barria M.Reaginic antibodies (IgE and some IgG subclasses) and mast cells play important roles in the induction of type I immediate hypersensitivity reactions. These antibodies bind through their Fc fragment to high affinity receptors (FcεRI) present in the membrane of mast cells and basophils. The cross-linking of the receptor initiates a coordinated sequence of biochemical and morphological events that results in exocytosis of secretory granules containing pre-formed inflammatory mediators, secretion of newly formed lipid mediators, and secretion of cytokines. Previously, several studies have invest...
Risk factors for insect bite hypersensitivity in Friesian horses and Shetland ponies in The Netherlands.
Veterinary journal (London, England : 1997)    July 28, 2012   Volume 195, Issue 3 382-384 doi: 10.1016/j.tvjl.2012.06.037
Schurink A, Podesta SC, Ducro BJ, van Arendonk JA, Frankena K.Insect bite hypersensitivity (IBH) is an equine skin allergy caused by bites of Culicoides spp. and impacts on the welfare of affected horses. The aim of this study was to identify and quantify risk factors for IBH. Data from 3453 Friesian horse mares and 7074 Shetland pony mares scored for IBH by inspectors during obligatory foal inspections were analysed using breed-specific multivariable logistic regression models. The combined effect of month and year of scoring, Province and inspector were significantly associated with IBH in both breeds. In Shetland pony mares, withers height and coat co...
Culicoides obsoletus extract relevant for diagnostics of insect bite hypersensitivity in horses.
Veterinary immunology and immunopathology    July 23, 2012   Volume 149, Issue 3-4 245-254 doi: 10.1016/j.vetimm.2012.07.007
van der Meide NM, Meulenbroeks C, van Altena C, Schurink A, Ducro BJ, Wagner B, Leibold W, Rohwer J, Jacobs F, van Oldruitenborgh-Oosterbaan MM....Insect bite hypersensitivity (IBH) is an allergic dermatitis in horses caused by the bites of Culicoides species. The aim of the present study was to evaluate the applicability of whole body extracts of C. obsoletus (the main species found feeding on horses in the Netherlands), C. nubeculosus (rarely found in The Netherlands) and C. sonorensis (typical for North America) for diagnosis of IBH in horses in The Netherlands. Blood and serum samples of 10 clinically confirmed IBH affected and 10 healthy control horses were used to evaluate the IgE titers (ELISA) against the Culicoides whole body ex...
Inhalant horse allergens and allergies: a review of the literature.
Military medicine    July 20, 2012   Volume 177, Issue 7 877-882 doi: 10.7205/milmed-d-12-00038
Arseneau AM, Hrabak TM, Waibel KH.A wealth of literature exists regarding common allergies to household pets such as cat or dog. Allergy to horse, however, is infrequently discussed in the medical literature despite significant sensitization rates among urban-dwelling subjects without direct exposure to horses. A literature search was conducted in PubMed and additional references were collected from surveying the references of the pulled articles. This review summarizes aspects of IgE-mediated horse allergy including the prevalence and mechanisms for sensitization, clinical presentation, molecular characterization of the major...
Direct and indirect exposure to horse: risk for sensitization and asthma.
Current allergy and asthma reports    June 22, 2012   Volume 12, Issue 5 429-437 doi: 10.1007/s11882-012-0280-5
Liccardi G, Emenius G, Merritt AS, Salzillo A, D'Amato M, D'Amato G.Most studies on the sensitization to horse allergens in populations without professional exposure have been carried out in geographical areas where the rate of horse ownership is high and horse riding is popular. Very few studies have been carried out in populations living in large urban areas. This gap in the literature probably reflects the widespread view that prevalence of horse-related allergy is low in urban populations because the latter are not regularly exposed to horses. On the contrary, we suggest that urban areas constitute a model useful to study potential modalities of exposure a...
Corticosteroids and antigen avoidance decrease airway smooth muscle mass in an equine asthma model.
American journal of respiratory cell and molecular biology    June 21, 2012   Volume 47, Issue 5 589-596 doi: 10.1165/rcmb.2011-0363OC
Leclere M, Lavoie-Lamoureux A, Joubert P, Relave F, Setlakwe EL, Beauchamp G, Couture C, Martin JG, Lavoie JP.Recent studies suggest that airway smooth muscle remodeling is an early event in the course of asthma. Little is known of the effects of long-term antigen avoidance and inhaled corticosteroids on chronically established airway remodeling. We sought to measure the effects of inhaled corticosteroids and antigen avoidance on airway remodeling in the peripheral airways of horses with heaves, a naturally occurring asthma-like disease. Heaves-affected adult horses with ongoing airway inflammation and bronchoconstriction were treated with fluticasone propionate (with and without concurrent antigen av...
Structural and immunologic characterization of bovine, horse, and rabbit serum albumins.
Molecular immunology    June 6, 2012   Volume 52, Issue 3-4 174-182 doi: 10.1016/j.molimm.2012.05.011
Majorek KA, Porebski PJ, Dayal A, Zimmerman MD, Jablonska K, Stewart AJ, Chruszcz M, Minor W.Serum albumin (SA) is the most abundant plasma protein in mammals. SA is a multifunctional protein with extraordinary ligand binding capacity, making it a transporter molecule for a diverse range of metabolites, drugs, nutrients, metals and other molecules. Due to its ligand binding properties, albumins have wide clinical, pharmaceutical, and biochemical applications. Albumins are also allergenic, and exhibit a high degree of cross-reactivity due to significant sequence and structure similarity of SAs from different organisms. Here we present crystal structures of albumins from cattle (BSA), h...
Genome-wide association study of insect bite hypersensitivity in Dutch Shetland pony mares.
Animal genetics    May 14, 2012   Volume 44, Issue 1 44-52 doi: 10.1111/j.1365-2052.2012.02368.x
Schurink A, Ducro BJ, Bastiaansen JW, Frankena K, van Arendonk JA.Insect bite hypersensitivity (IBH) is the most common allergic disease present in horses worldwide. It has been shown that IBH is under genetic control, but the knowledge of associated genes is limited. We conducted a genome-wide association study to identify and quantify genomic regions contributing to IBH in the Dutch Shetland pony population. A total of 97 cases and 91 controls were selected and matched on withers height, coat colour and pedigree to minimise the population stratification. A blood sample was collected from participating Shetland pony mares, their IBH phenotype was scored and...
Evaluation of IgE levels against Culicoides nubeculosus allergens in Belgian warmblood horses.
Communications in agricultural and applied biological sciences    May 9, 2012   Volume 77, Issue 1 218-222 
Peeters LM, Janssens S, Schaffartzik A, Marti E, Buys N.No abstract available
Generation of equine TSLP-specific antibodies and their use for detection of TSLP produced by equine keratinocytes and leukocytes.
Veterinary immunology and immunopathology    April 20, 2012   Volume 147, Issue 3-4 180-186 doi: 10.1016/j.vetimm.2012.04.013
Janda J, Plattet P, Torsteinsdottir S, Jonsdottir S, Zurbriggen A, Marti E.Allergic horses react to innocuous environmental substances by activation of Th2 cells and production of allergen-specific IgE antibodies. The mechanisms leading to Th2 differentiation are not well understood. In humans and mice, epithelial cell-derived thymic stromal lymphopoietin (TSLP) plays a central role in this process. Little is known about equine TSLP (eqTSLP) and its role in allergic diseases and our current knowledge is limited to the assessment of TSLP mRNA expression. In order to be able to study eqTSLP at the protein level, the aim of the present study was to produce recombinant e...
Equine insect bite hypersensitivity: what do we know?
Veterinary immunology and immunopathology    April 3, 2012   Volume 147, Issue 3-4 113-126 doi: 10.1016/j.vetimm.2012.03.017
Schaffartzik A, Hamza E, Janda J, Crameri R, Marti E, Rhyner C.Insect bite hypersensitivity (IBH) is an allergic dermatitis of the horse caused by bites of insects of the genus Culicoides and is currently the best characterized allergic disease of horses. This article reviews knowledge of the immunopathogenesis of IBH, with a particular focus on the causative allergens. Whereas so far hardly any research has been done on the role of antigen presenting cells in the pathogenesis of IBH, recent studies suggest that IBH is characterized by an imbalance between a T helper 2 (Th2) and regulatory T cell (T(reg)) immune response, as shown both locally in the skin...
Comparison of the principal proteins in bovine, caprine, buffalo, equine and camel milk.
The Journal of dairy research    February 27, 2012   Volume 79, Issue 2 185-191 doi: 10.1017/S0022029912000015
Hinz K, O'Connor PM, Huppertz T, Ross RP, Kelly AL.Proteomic analysis of bovine, caprine, buffalo, equine and camel milk highlighted significant interspecies differences. Camel milk was found to be devoid of β-lactoglobulin, whereas β-lactoglobulin was the major whey protein in bovine, buffalo, caprine, and equine milk. Five different isoforms of κ-casein were found in camel milk, analogous to the micro-heterogeneity observed for bovine κ-casein. Several spots observed in 2D-electrophoretograms of milk of all species could tentatively be identified as polypeptides arising from the enzymatic hydrolysis of caseins. The understanding gained f...
A nebulized gelatin nanoparticle-based CpG formulation is effective in immunotherapy of allergic horses.
Pharmaceutical research    February 4, 2012   Volume 29, Issue 6 1650-1657 doi: 10.1007/s11095-012-0686-8
Klier J, Fuchs S, May A, Schillinger U, Plank C, Winter G, Coester C, Gehlen H.In the recent years, nanotechnology has boosted the development of potential drug delivery systems and material engineering on nanoscale basis in order to increase drug specificity and reduce side effects. A potential delivery system for immunostimulating agents such as cytosine-phosphate-guanine-oligodeoxynucleotides (CpG-ODN) needs to be developed to maximize the efficacy of immunotherapy against hypersensitivity. In this study, an aerosol formulation of biodegradable, biocompatible and nontoxic gelatin nanoparticle-bound CpG-ODN 2216 was used to treat equine recurrent airway obstruction in ...
Expression of thymic stromal lymphopoietin in equine recurrent airway obstruction.
Veterinary immunology and immunopathology    January 31, 2012   Volume 146, Issue 1 46-52 doi: 10.1016/j.vetimm.2012.01.019
Klukowska-Rötzler J, Marti E, Lavoie JP, Ainsworth DM, Gerber V, Zurbriggen A, Janda J.Thymic stromal lymphopoietin (TSLP) is a cytokine involved in lymphocyte development. In humans and mice, TSLP drives the differentiation of T helper 2 (Th2) cells and the development of allergic inflammation. The equine TSLP gene has been previously identified and characterized, but its role in the pathogenesis of equine allergic diseases is not known. Our objective was to assess the expression of TSLP in bronchoalveolar lavage (BAL) cells and in primary bronchial epithelial cells (BEC) isolated from horses with recurrent airway obstruction (RAO). RNA was isolated from BAL cells sampled from ...
Replication and fine-mapping of a QTL for recurrent airway obstruction in European Warmblood horses.
Animal genetics    January 26, 2012   Volume 43, Issue 5 627-631 doi: 10.1111/j.1365-2052.2011.02315.x
Shakhsi-Niaei M, Klukowska-Rötzler J, Drögemüller C, Swinburne J, Ehrmann C, Saftic D, Ramseyer A, Gerber V, Dolf G, Leeb T.Recurrent airway obstruction (RAO), or 'heaves', is a common performance-limiting allergic respiratory disease of mature horses. It is related to sensitization and exposure to mouldy hay and has a familial basis with a complex mode of inheritance. In a previous study, we detected a QTL for RAO on ECA 13 in a half-sib family of European Warmblood horses. In this study, we genotyped additional markers in the family and narrowed the QTL down to about 1.5 Mb (23.7-25.2 Mb). We detected the strongest association with SNP BIEC2-224511 (24,309,405 bp). We also obtained SNP genotypes in an independent...
How to improve the hygienic quality of forages for horse feeding.
Journal of the science of food and agriculture    October 17, 2011   Volume 92, Issue 4 975-986 doi: 10.1002/jsfa.4680
Séguin V, Garon D, Lemauviel-Lavenant S, Lanier C, Bouchart V, Gallard Y, Blanchet B, Diquélou S, Personeni E, Ourry A.Improving the hygienic quality of forages for horse nutrition seems to be a reasonable target for decreasing the prevalence of pulmonary diseases. The aim of the experiment was to study the effects of different agricultural practices on the main aero-allergens contained in forages, including breathable dust, fungi, mycotoxins and pollens. Results: Results showed that the late harvest of hay, a second crop or a haylage production provides a good alternative to increase hygienic quality by reducing fungi contamination and breathable dust content. Barn drying of hay, while having no effect on bre...
Intradermal injections of equine allogeneic umbilical cord-derived mesenchymal stem cells are well tolerated and do not elicit immediate or delayed hypersensitivity reactions.
Cytotherapy    September 7, 2011   Volume 13, Issue 10 1180-1192 doi: 10.3109/14653249.2011.602338
Carrade DD, Affolter VK, Outerbridge CA, Watson JL, Galuppo LD, Buerchler S, Kumar V, Walker NJ, Borjesson DL.BACKGROUND AIMS. The use of allogeneic mesenchymal stem cells (MSC) to treat acute equine lesions would greatly expand equine cellular therapy options; however, the safety and antigenicity of these cells have not been well-studied. We hypothesized that equine allogeneic umbilical cord tissue (UCT)-derived MSC would not elicit acute graft rejection or a delayed-type hypersensitivity response when injected intradermally. METHODS. Six Quarterhorse yearlings received 12 intradermal injections (autologous MSC, allogeneic MSC, positive control and negative control, in triplicate) followed by the sam...
Equine atopic skin disease and response to allergen-specific immunotherapy: a retrospective study at the University of California-Davis (1991-2008).
Veterinary dermatology    July 21, 2011   Volume 23, Issue 1 29-e7 doi: 10.1111/j.1365-3164.2011.01001.x
Stepnik CT, Outerbridge CA, White SD, Kass PH.This retrospective study reports on the clinical presentation of equine atopic skin disease and evaluates response to treatment with allergen-specific immunotherapy (ASIT) based on intradermal testing and/or serum testing. Computerized medical records from January 1991 to December 2008 yielded 54 horses included in the study. Presenting clinical signs (CS) included urticaria (n=28), pruritus (n=8) or both (n=18). Forty-one of 54 horses received ASIT, and response to ASIT (n=32) was evaluated via telephone survey. Eighty-four per cent (n=27) of owners reported that ASIT reduced their horse's CS...
Immunostimulation of bronchoalveolar lavage cells from recurrent airway obstruction-affected horses by different CpG-classes bound to gelatin nanoparticles.
Veterinary immunology and immunopathology    July 20, 2011   Volume 144, Issue 1-2 79-87 doi: 10.1016/j.vetimm.2011.07.009
Klier J, May A, Fuchs S, Schillinger U, Plank C, Winter G, Gehlen H, Coester C.Recurrent airway obstruction (RAO) in horses has become a common problem in stabled horses in industrialized countries and deserves new therapeutic strategies. CpG-oligodeoxynucleotides (CpG-ODNs) were developed as effective immunostimulating agents to induce a Th2/Th1 shift. These agents showed a beneficial therapeutic effect in allergic diseases with predominant Th2 immunoresponse. CpG-ODN delivery by gelatin nanoparticles (GNPs) resulted in enhanced cellular uptake in murine and human in vitro studies and was a starting point for the present trial. The aim of this study was to identify an o...
The evaluation of selected parameters of cellular nonspecific immunity in normal and allergic horses.
Polish journal of veterinary sciences    July 5, 2011   Volume 14, Issue 2 287-288 doi: 10.2478/v10181-011-0045-4
Wilkołek P, Szczepanik M, Gołyński M, Adamek L, Pomorska A, Maj-Martyniuk M, Sitkowski W.The main aim of this study was to compare selected nonspecific immunity parameters in 14 allergic and 12 healthy horses. Each animal was assessed according to the following parameters: in vitro functional capacity of phagocytic cells using the nitro blue tetrazolium chloride reduction test, both spontaneous (NBT) and zymozan stimulated (NBTs), and ingestion capacity of phagocytic cells using a phagocytic index test (IF) and percentage of phagocytosing neutrophils activity (%KF). Differences were demonstrated between the group of allergic horses, especially with severe allergy symptoms, and hea...
CD4+CD25+ T cells expressing FoxP3 in Icelandic horses affected with insect bite hypersensitivity.
Veterinary immunology and immunopathology    June 6, 2011   Volume 148, Issue 1-2 139-144 doi: 10.1016/j.vetimm.2011.05.033
Hamza E, Steinbach F, Marti E.Insect bite hypersensitivity (IBH) is an IgE-mediated dermatitis caused by bites of midges from the genus Culicoides. We have shown previously that peripheral blood mononuclear cells (PBMC) from IBH-affected horses produce higher levels of IL-4 and lower levels of IL-10 and TGF-β1 than those from healthy horses, suggesting that IBH is associated with a reduced regulatory immune response. FoxP3 is a crucial marker of regulatory T cells (Tregs). Here we have determined the proportion of CD4(+)CD25(+)FoxP3(+) T cells by flow cytometry in PBMC directly after isolation or after stimulation with Cu...
Increased apoptosis of CD4 and CD8 T lymphocytes in the airways of horses with recurrent airway obstruction.
Veterinary research communications    May 19, 2011   Volume 35, Issue 7 447-456 doi: 10.1007/s11259-011-9482-x
Moran G, Buechner-Maxwell VA, Folch H, Henriquez C, Galecio JS, Perez B, Carrasco C, Barria M.Recurrent airway obstruction (RAO, also known as equine heaves) is an inflammatory condition similar to human asthma caused by exposure of susceptible horses to poorly ventilated stable environments. The disease is characterized by neutrophilic airway inflammation, mucus hypersecretion and reversible bronchoconstriction. This inflammatory process is mediated by several factors, including antibodies, cytokines, resident cells of the airway and inflammatory cellular components that arrive in the respiratory tract. An increasing body of evidence has lent support to the concept that a dysregulatio...
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