PMID- 19016800 OWN - NLM STAT- MEDLINE DCOM- 20090213 LR - 20090108 IS - 1365-2222 (Electronic) IS - 0954-7894 (Linking) VI - 39 IP - 1 DP - 2009 Jan TI - The danger within: endogenous danger signals, atopy and asthma. PG - 12-9 LID - 10.1111/j.1365-2222.2008.03118.x [doi] AB - In allergic asthmatics, airway inflammation is triggered by specific (inhalation of allergen such as house dust mite allergen and pollen spores) or non-specific triggers (such as air pollutants and viral infection). Most of these inhaled particles are immunologically inert. Dendritic cells (DCs) are essential for priming and T helper-2 differentiation of naive T cells towards aeroallergens. Contamination of antigens with pattern-associated molecular patterns (PAMPs), such as lipopolysaccharide (LPS), is required to activate DCs to mount an immune response. Damage-associated molecular patterns (DAMPs), such as uric acid and adenosine triphosphate (ATP), also contribute to the induction of inflammation by activation and recruitment of various inflammatory cells. Compelling evidence suggests that a tight collaboration between PAMPs and DAMPs is needed to start an immune response to allergens. Several studies have recently demonstrated an important role of endogenous danger signals at the inception and maintenance phase of allergic disease. Further research into this area should focus on the possible role of these factors in maintenance of chronic disease and induction of airway remodelling. FAU - Willart, M A M AU - Willart MA AD - Laboratory of Immunoregulation and Mucosal Immunity, Department of Pulmonary Medicine, Ghent University, Ghent, Belgium. Monique.willart@ugent.be FAU - Lambrecht, B N AU - Lambrecht BN LA - eng PT - Journal Article PT - Review DEP - 20081030 PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 0 (Antigens) RN - 0 (Lipopolysaccharides) SB - IM MH - Animals MH - Antigen Presentation MH - Antigens/*immunology MH - *Asthma/immunology/physiopathology MH - Dendritic Cells/*immunology MH - Humans MH - *Hypersensitivity, Immediate/immunology/physiopathology MH - Inflammation/immunology/physiopathology MH - Lipopolysaccharides/*immunology MH - Lymphocyte Activation MH - Mice MH - T-Lymphocytes/immunology MH - Th2 Cells/immunology RF - 83 EDAT- 2008/11/20 09:00 MHDA- 2009/02/14 09:00 CRDT- 2008/11/20 09:00 PHST- 2008/11/20 09:00 [pubmed] PHST- 2009/02/14 09:00 [medline] PHST- 2008/11/20 09:00 [entrez] AID - CEA3118 [pii] AID - 10.1111/j.1365-2222.2008.03118.x [doi] PST - ppublish SO - Clin Exp Allergy. 2009 Jan;39(1):12-9. doi: 10.1111/j.1365-2222.2008.03118.x. Epub 2008 Oct 30.