Contact of pathogens with the innate immune system will most frequently occur at epithelia, and the biology of the airway epithelium is of considerable importance in asthma. Airway epithelia express a range of innate immune receptors, allowing them to function as a line of first response to pathogens: their ability to detect and respond to pathogens must clearly be substantial, given that they form the main target for most respiratory viruses.

There are also potentially close relationships between epithelial cells and other cells of the innate immune system such as DCs and macrophages.

Cooperative networks that regulate airway inflammation are discussed in more detail below. Interestingly, defective responses to respiratory viruses are evident in epithelial cells from asthmatics, which may be relevant in the pathology of asthma exacerbations, and phenotypic differences in epithelia between asthmatics and normal subjects have been demonstrated. (more…)

Asthma is a continuing problem for healthcare, particularly in the industrialized world. Some 150 million people are estimated to suffer from asthma worldwide, with 5.2 million sufferers in the UK. Hospital admissions for asthma number 69 000 per annum in the UK, including 28 500 children. Approximately 1400 people die from asthma in the UK annually, of whom over 30% are under the age of 65. Asthma costs the UK National Health Service almost £90 million per annum (statistics from Asthma UK, http://www.asthma.org.uk). (more…)