PMID- 23094149 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121025 LR - 20230502 IS - 2090-1844 (Electronic) IS - 2090-1836 (Print) IS - 2090-1844 (Linking) VI - 2012 DP - 2012 TI - The immune response and its therapeutic modulation in bronchiectasis. PG - 280528 LID - 10.1155/2012/280528 [doi] LID - 280528 AB - Bronchiectasis (BC) is a chronic pulmonary disease with tremendous morbidity and significant mortality. As pathogen infection has been advocated as a triggering insult in the development of BC, a central role for the immune response in this process seems obvious. Inflammatory cells are present in both the airways as well as the lung parenchyma, and multiple mediators of immune cells including proteases and cytokines or their humoral products are increased locally or in the periphery. Interestingly, a defect in the immune system or suppression of immune response during conditions such as immunodeficiency may well predispose one to the devastating effects of BC. Thus, the outcome of an active immune response as detrimental or protective in the pathogenesis of BC may be dependent on the state of the patient's immunity, the severity of infection, and the magnitude of immune response. Here we reassess the function of the innate and acquired immunity in BC, the major sites of immune response, and the nature of the bioactive mediators. Furthermore, the potential link(s) between an ongoing immune response and structural alterations accompanying the disease and the success of therapies that can modulate the nature and extent of immune response in BC are elaborated upon. FAU - Daheshia, Massoud AU - Daheshia M AD - Department of Pulmonary Medicine, Naval Medical Center San Diego, San Diego, CA 92134, USA. FAU - Prahl, James D AU - Prahl JD FAU - Carmichael, Jacob J AU - Carmichael JJ FAU - Parrish, John S AU - Parrish JS FAU - Seda, Gilbert AU - Seda G LA - eng PT - Journal Article DEP - 20121010 PL - Egypt TA - Pulm Med JT - Pulmonary medicine JID - 101558762 PMC - PMC3474275 EDAT- 2012/10/25 06:00 MHDA- 2012/10/25 06:01 PMCR- 2012/10/10 CRDT- 2012/10/25 06:00 PHST- 2012/06/20 00:00 [received] PHST- 2012/09/04 00:00 [accepted] PHST- 2012/10/25 06:00 [entrez] PHST- 2012/10/25 06:00 [pubmed] PHST- 2012/10/25 06:01 [medline] PHST- 2012/10/10 00:00 [pmc-release] AID - 10.1155/2012/280528 [doi] PST - ppublish SO - Pulm Med. 2012;2012:280528. doi: 10.1155/2012/280528. Epub 2012 Oct 10.