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Astım Patogenezi

Pathogenesis of asthma

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Abstract (2. Language): 
Asthma is one ofthe commonest diseases in children and adults in many countries. The prevaience of asthma has dramaticaily increased in recent years. The development of asthma depend on an interaction between genetic factors, environmental exposure to allergens, and nonspesific adjuvant factors such as tobacco smoke, air poilu-tion, and viral infections. These factors initiates a sehes of immunological changes, resulting in ainvay inftamma-fion. The airway inflammatory process is characterized by chronic eosinophilic and Th2 type lymphocytic infiltra-tion. Although the knowledge about asthma pathogenesis has increased, the prevaience of asthma has not decreased. Therefore, the asthma stili is a threat for the society's health at the beginning of the 21si century.
Abstract (Original Language): 
Astım dünyanın pek çok ülkesinde gerek çocukların gerekse erişkinlerin en sık görülen hastalıklarından birisidir. Astımın; genetik yatkınlık, viral enfeksiyonlar, inhaler allerjenler, hava kirliliği ve sigara dumanı gibi birçok faktörün neden olduğu hava yolu inflamasyonu ile karakterize bir hastalık olduğu anlaşılmıştır. Bu infiamasyonun temelinde Th2 tip lenfositlerin ve eozinofillerin Önemli rol oynadığı gösterilmiştir. Ancak astımın patogenezi konusundaki bil¬gilerimizin artması, astım prevelansındaki artışı engelleyememiştir. Bu nedenle 21. yüzyılın başlarında bulun¬duğumuz şu yıllarda astım, önemli bir sağlık sorunu olma özelliğini hala korumaktadır.
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REFERENCES

References: 

1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. National Heart, Lung, Blood InstituteA/VHO VVorkshop Report. National Institute of Health. 1995; Publication no: 95-3659.
2. Bochner PGM, Undem BJ, Lichtenstein FP. Immunological aspects of allergic asthma. Ann Rev ImmunoM 994; 12: 295-335.
3. Host A, Halken S. The role of allergy in childhood asth-ma. Allergy 2000; 55: 600-8.

4. Humbert M, Menz G, Ying S, Corrigan CJ, Robînson DS, Durham SR, Kay B. The immunopathology of extrinsic (atopic) and intrinsic (non-atopic) asthma: more similarities than differences. Immunology Today 1999; 20: 528-33.
5. The International Study of Asthma and Allergies İn Childhood (ISAAC) Steering Committee. Worldwide variation in prevaience of symptorns of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet 1998; 351: 1225-32.

6. Karaman O. Türkmen M, Uzuner N. Allergic disease prevaience in İzmir. Allergy 1997; 52; 689-90.
7. Kendirli GS, Altintas DU. Alpaslan N. Akmanlar N. Yurdakul Z, Bolat B. Prevaience of childhood allergic diseases in Adana. Southern Turkey. Eur J Epidemiol 1998: 14: 347-50.
8. Küçükhödük S, Aydın M. Çetinkaya F, Dinç H, Gürses N, Saraçlar Y, The prevaience of astma and other aller¬gic diseases in a province of Turkey. Türk J Pediatr 1996: 38: 149-53.
9. Sapan N. Prevaience of allergic diseases in school children in Bursa. Uludağ Univ Tıp Fak Derg 1994; 21: 165-9.
10. Saraçlar Y, Yiğit S. Adalioglu G. Tuncer A, Tuncbilek E. Prevaience of allergic diseases and influencing factors in primary-school children in the Ankara Region of Turkey. J Asthma 1997; 34: 23-30.
11. Tanaç R. Kurugöl Z. Demir E. Özdoğru E. Ege Bölgesi'nde 10-17 yaş grubu okul çocuklarında allerjik hastalıkların prevalansı. Çocuk sağlığı ve Hast Derg 1996; 39: 77-85.
12. Siy MR. Allergic Disorders. İn: Behrman RE, Kliegman RM. Arvin AM. editors. Nelson Textbook of Pediatrics. 16th ed. WB Sounders Company. USA. 2000; p: 664¬80.
13. Mazzarella G, Bianco A. Catena E. Th1/th2 lymphocyte poiarization in asthma. Allergy 2000: 55: Supple 61: 6¬9.
14. Chihara J, Yasuba H. Tsuda A, Urayama O. Saito N. Honda K, Kayaba H, Yamashita T. Kuhmoto F, Yamada H. Elevatİon of plasma level of RANTES dur-ing asthma attacks. J Allergy Clin Immunol 1997: 100: S52-5.
15. Folkard SG, Westwick J. Millar AB. Production of IL-8, RANTES and MCP-1 in intrinsic and extrinsic asthmat-ics. Eur Respir J 1997; 10: 2097-104.
16. VValsh GM. Advances in the immunobiology of eosinophils and their role in diseases. Critical Reviews in Clinİcai Laboratory Sciences 1999; 36: 453-96.
17. Holgate ST. The cellular and mediator basis of asthma in relation to natural history. Lancet 1997; 350 (Suppl 2): 5-9.
18. Barnes KC, Marsh DG. The genetics and compİexity of allergy and asthma. Immunotogy Today 1998: 19: 325¬32.
19. Barnes KC. Atopy and asthma genes - where do we stand? Allergy 2000; 55: 803-17.

20. Leung DYM. Immunologic basis of chronic allergic dis-ease; clinical messages from the laboratory blench. Pediatric Res 1997; 42: 559-68.
21. Shirakawa T, Deichmann KA. Izıhara K. Mao XQ. Adra CN. Hopkin JM. Atopy and asthma: genetic variants of IL-4 and IL-13 signalling. Immunology Today 2000; 21: 60-4.
22. Miles EA. VVarner JA. Jones AC Colwell BM, Bryant TN. VVarner JO. Peripheral blood mononuclear celi pro-liferation responses in the first year of life in babies born of allergic parent. Clin Exp Allergy 1996; 26: 780-8.
23. Shirakawa T. Enomoto T, Shîmaru S, Hopkin JM. The inverse association between tuberculin response and atopic disorders. Science 1997: 275: 77-9.
24. Gerard C. Rollins BJ. Chemokines and disease. Nature Immunology 2001; 2: 108-15.
25. Marone G. Asthma: recent advances. Immunolgy Today 1998; 19: 5-9.
26. Yssel H. Graux H. Characterization of T celi subpopu-lations involved in the pathogenesis of asthma and allergic diseases. Int Arch Allergy Immunol 2000; 121: 10-8.
27. Homey B. Zlotnik A. Chemokines in allergy. Current Opinion in Immunology 1999; 11: 626-34.
28. Zeibecoglou K. Yİng S, Yamada T. North J. Burham J. Bungre J, Meng Qui. Kay Barry, Robinson DS. İncreased mature and immature CCR3 messenger RNA+ eosinophils in bone marrow from patients with atopic asthma compared with atopic and nonatopic control subjects. J Allergy Clin Immunol 1999; 103: 99¬106.
29. Sampson AP. The role of eosinophils and neutrophils in inflammation. Clinical and Experimental Aliergy 2000: 30: Suppl 1: 22-7.
30. Simon HU. Alam R. Regulation of eosinophil apoptosis: Transduction of survival and death signals. Int Arch Immunol 1999; 118: 7-14.
31. Bousquet J. Chanez P. Lacoste JY, VVhite R, Vic P, Godard P. Mİchel FB. Asthma: a disease remodelling the airways. Allergy 1992; 47: 3-11.
32. Elias JA. Airway remodelling in asthma. Am J Respir Crit Care Med 2000; 161: S168-71.
33. Foster PS, Mould AW, Yang M. Mackenzie J. Mattes J, Hogan SP. Mahalingam S, Mckenzie ANJ. Rothenberg ME, Young IG, Matthaei Kİ, Webb DC. Elemental sig¬nals regulating eosinophil accumulation in the lung. Immunological Rev 2001; 179: 173-81.

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