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KMID : 1143120140040010019
Asia Pacific Allergy
2014 Volume.4 No. 1 p.19 ~ p.24
Airway remodelling in asthma: role for mechanical forces
Manuyakorn Wiparat

Abstract
Asthma is a chronic airway inflammatory disease with functional and structural changes, leading to bronchial hyperresponsiveness and airflow obstruction. Airway structural changes or airway remodelling consist of epithelial injury, goblet cell hyperplasia, subepithelial layer thickening, airway smooth muscle hyperplasia and angiogenesis. These changes were previously considered as a consequence of chronic airway inflammation. Even though inhaled corticosteroids can suppress airway inflammation, the natural history of asthma is still unaltered after inhaled corticosteroid treatment. As such there is increasing evidence for the role of mechanical forces within the asthmatic airway contributing to airway structural changes.
KEYWORD
Asthma, Airway remodelling, Mechanical forces
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