May 17, 2015

The immunoregulatory and fibrotic roles of activin A in allergic asthma




Clinical & Experimental Allergy



  • Open Access

Authors 

    Summary

    Activin A, a member of the TGF-β superfamily of cytokines, was originally identified as an inducer of follicle hormone release, but has since been ascribed roles in normal physiological processes, as an immunoregulatory cytokine and as a driver of fibrosis. In the last 10-15 years it has also become abundantly clear that activin A plays an important role in the regulation of asthmatic inflammation and airway remodelling. 
    This review provides a brief introduction to the activin A/TGF-β superfamily, focussing on the regulation of receptors and signalling pathways. We examine the contradictory evidence for generalised pro- versus anti-inflammatory effects of activin A in inflammation, before appraising its role in asthmatic inflammation and airway remodelling specifically by evaluating data from both murine models and clinical studies. We identify key issues to be addressed, paving the way for safe exploitation of modulation of activin A function for treatment of allergic asthma and other inflammatory lung diseases.

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