山东大学耳鼻喉眼学报 ›› 2026, Vol. 40 ›› Issue (6): 70-75.

• 气道变态反应性疾病:从机制到实践 • 上一篇    

端粒功能障碍诱导ROS促发气道Th2型炎症的机制研究

苏依琳1,薛金梅1,2   

  1. 1.山西医科大学 第二临床医学院, 山西 太原 030000;
    2.山西医科大学第二医院 耳鼻咽喉头颈外科/气道过敏疾病快速诊断及精准治疗山西省重点实验室, 山西 太原 030001
  • 发布日期:2026-11-03
  • 通讯作者: 薛金梅. E-mail:xjment@126.com
  • 基金资助:
    国家自然科学基金面上项目(81970865);“四个一批”科技兴医创新计划项目(2022XM06);山西省回国留学人员科研资助项目(2021-172);山西省留学回国人员科技活动择优资助项目(20240049)

Mechanism of telomere dysfunction inducing ROS-promoted airway Th2-type inflammation

SU Yilin1, XUE Jinmei1,2   

  1. 1. The Second Clinical Medical College, Shanxi Medical University, Taiyuan 030000, Shanxi, China2. Department of Otorhinolaryngology & Head and Neck Surgery, The Second Hospital of Shanxi Medical University/Shanxi Engineering Research Center of AI Intelligent Big Data Platform for Airway Allergy Control and Demonstration/Shanxi Key Laboratory of Rapid Diagnosis and Precision Treatment of Airway Allergic Diseases/Shanxi Provincial Key Laboratory of Neuroimmune Research on Inflammatory Diseases of Airway, Taiyuan 030001, Shanxi, China
  • Published:2026-11-03

摘要: 气道Th2型炎症发病率渐长、临床疗效差。端粒功能障碍与气道Th2型炎症性疾病之间存在着一定的关联。目前国内外研究成果表明,端粒功能障碍可以通过驱动线粒体功能障碍、诱导氧化还原失调促使产生活性氧(reactive oxygen species, ROS),进而引起炎症介质级联反应,最终导致Th2型炎症。本文综述了该主题的研究发现,进一步探讨可能的机制,希望以此开发新的干预措施,为相关疾病的研究及治疗提供新思路和新进展。

关键词: 端粒功能障碍, 活性氧, Th2型炎症, 变应性鼻炎, 慢性鼻-鼻窦炎, 哮喘

Abstract: Th2-mediated airway inflammation has emerged as a global health concern due to its increasing prevalence and poor clinical outcomes. A correlation exists between telomere dysfunction and Th2-mediated airway inflammatory diseases. Current research findings from both domestic and international studies indicate that telomere dysfunction can drive mitochondrial dysfunction, induce redox imbalance to promote reactive oxygen species(ROS)production, thereby triggering a cascade of inflammatory mediators, ultimately leading to Th2-mediated inflammation. This paper reviews research findings on the subject and further explores potential mechanisms, with the aim of developing new interventions and providing fresh insights and advances for the study and treatment of related diseases.

Key words: Telomere dysfunction, ROS, Th2-type inflammation, Allergic rhinitis, Chronic rhinosinusitis, Allergic asthma

中图分类号: 

  • R765.21
[1] Busse W W, Kraft M, Rabe K F, et al. Understanding the key issues in the treatment of uncontrolled persistent asthma with type 2 inflammation[J]. Eur Respir J, 2021, 58(2): 2003393. DOI: 10.1183/13993003.03393-2020
[2] Kim B, Rothenberg M E, Sun X, et al. Neuroimmune interplay during type 2 inflammation: symptoms, mechanisms, and therapeutic targets in atopic diseases[J]. J Allergy Clin Immunol, 2024, 153(4): 879-893. DOI: 10.1016/j.jaci.2023.08.017
[3] Giombi F, Pace G M, Pirola F, et al. Airways type-2 related disorders: multiorgan, systemic or syndemic disease?[J]. Int J Mol Sci, 2024, 25(2): 730. DOI: 10.3390/ijms25020730
[4] Gavia-García G, Rosado-Pérez J, Arista-Ugalde T L, et al. Telomere length and oxidative stress and its relation with metabolic syndrome components in the aging[J]. Biology(Basel), 2021, 10(4): 253. DOI: 10.3390/biology10040253
[5] Jones-Weinert C, Mainz L, Karlseder J. Telomere function and regulation from mouse models to human ageing and disease[J]. Nat Rev Mol Cell Biol, 2025, 26(4): 297-313. DOI: 10.1038/s41580-024-00800-5
[6] 赵兵, 周斌. 人胃黏膜端粒功能障碍与慢性萎缩性胃炎的相关性研究[J]. 中华消化杂志, 2023, 43(1): 4751. DOI: 10.3760/cma.j.cn311367-20220921-00468
[7] Glorieux C, Liu S H, Trachootham D, et al. Targeting ROS in cancer: rationale and strategies[J]. Nat Rev Drug Discov, 2024, 23(8): 583-606. DOI: 10.1038/s41573-024-00979-4
[8] Shim H S, Iaconelli J, Shang X Y, et al. TERT activation targets DNA methylation and multiple aging hallmarks[J]. Cell, 2024, 187(15): 4030-4042.e13. DOI: 10.1016/j.cell.2024.05.048
[9] Piñeiro-Hermida S, Martínez P, Blasco M A. Short and dysfunctional telomeres protect from allergen-induced airway inflammation[J]. Aging Cell, 2021, 20(5): e13352. DOI: 10.1111/acel.13352
[10] Smith E M, Pendlebury D F, Nandakumar J. Structural biology of telomeres and telomerase[J]. Cell Mol Life Sci, 2020, 77(1): 61-79. DOI: 10.1007/s00018-019-03369-x
[11] Mir S M, Samavarchi Tehrani S, Goodarzi G, et al. Shelterin complex at telomeres: implications in ageing[J]. Clin Interv Aging, 2020, 15: 827-839. DOI: 10.2147/CIA.S256425
[12] Heba A C, Toupance S, Arnone D, et al. Telomeres: New players in immune-mediated inflammatory diseases?[J]. J Autoimmun, 2021, 123: 102699. DOI: 10.1016/j.jaut.2021.102699
[13] Lin J, Epel E. Stress and telomere shortening: insights from cellular mechanisms[J]. Ageing Res Rev, 2022, 73: 101507. DOI: 10.1016/j.arr.2021.101507
[14] Lex K, Maia Gil M, Lopes-Bastos B, et al. Telomere shortening produces an inflammatory environment that increases tumor incidence in zebrafish[J]. Proc Natl Acad Sci USA, 2020, 117(26): 15066-15074. DOI: 10.1073/pnas.1920049117
[15] Xue J M, Liu Z Z, Liao Y, et al. Undersized telomeres in regulatory T cells link to the pathogenesis of allergic rhinitis[J]. iScience, 2023, 27(1): 108615. DOI: 10.1016/j.isci.2023.108615
[16] Sies H, Jones D P. Reactive oxygen species(ROS)as pleiotropic physiological signalling agents[J]. Nat Rev Mol Cell Biol, 2020, 21(7): 363-383. DOI: 10.1038/s41580-020-0230-3
[17] 周颖东, 张梦娴, 王青玲, 等. 氧化应激在老年性聋发病机制中的研究进展[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 72-78,91. DOI: 10.6040/j.issn.1673-3770.0.2022.518
[18] Zhang J, Wei Y H, Yue Y B, et al. RIPK4 promotes oxidative stress and ferroptotic death through the downregulation of ACSM1[J]. Proc Natl Acad Sci USA, 2024, 121(40): e2410628121. DOI: 10.1073/pnas.2410628121
[19] 中华医学会变态反应学分会. 2型炎症性疾病机制及靶向治疗专家共识[J]. 中华医学杂志, 2022, 102(42): 3349-3373. DOI: 10.3760/cma.j.cn112137-20220628-01431
[20] Zang Y, Liu S R, Rao Z B, et al. Retinoid X receptor gamma dictates the activation threshold of group 2 innate lymphoid cells and limits type 2 inflammation in the small intestine[J]. Immunity, 2023, 56(11): 2542-2554. DOI: 10.1016/j.immuni.2023.08.019
[21] Vlaykov A N, Tacheva T T, Vlaykova T I, et al. Serum and local IL-4, IL-5, IL-13 and immunoglobulin E in allergic rhinitis[J]. Postepy Dermatol Alergol, 2020, 37(5): 719-724. DOI: 10.5114/ada.2020.100483
[22] Chakravarti D, Hu B L, Mao X Z, et al. Telomere dysfunction activates YAP1 to drive tissue inflammation[J]. Nat Commun, 2020, 11(1): 4766. DOI: 10.1038/s41467-020-18420-w
[23] Lanna A, Vaz B, D'Ambra C, et al. An intercellular transfer of telomeres rescues T cells from senescence and promotes long-term immunological memory[J]. Nat Cell Biol, 2022, 24(10): 1461-1474. DOI: 10.1038/s41556-022-00991-z
[24] Chakravarti D, LaBella K A, DePinho R A. Telomeres: history, health, and hallmarks of aging[J]. Cell, 2021, 184(2): 306-322. DOI: 10.1016/j.cell.2020.12.028
[25] Dong H, Xia Y Y, Jin S L, et al. Nrf2 attenuates ferroptosis-mediated IIR-ALI by modulating TERT and SLC7A11[J]. Cell Death Dis, 2021, 12(11): 1027. DOI: 10.1038/s41419-021-04307-1
[26] Gao X Y, Yu X, Zhang C, et al. Telomeres and mitochondrial metabolism: implications for cellular senescence and age-related diseases[J]. Stem Cell Rev Rep, 2022, 18(7): 2315-2327. DOI: 10.1007/s12015-022-10370-8
[27] Miwa S, Kashyap S, Chini E, et al. Mitochondrial dysfunction in cell senescence and aging[J]. J Clin Invest, 2022, 132(13): e158447. DOI: 10.1172/JCI158447
[28] Chen Z, Han F F, Du Y, et al. Hypoxic microenvironment in cancer: molecular mechanisms and therapeutic interventions[J]. Signal Transduct Target Ther, 2023, 8(1): 70. DOI: 10.1038/s41392-023-01332-8
[29] Lee J H, Paull T T. Cellular functions of the protein kinase ATM and their relevance to human disease[J]. Nat Rev Mol Cell Biol, 2021, 22(12): 796-814. DOI: 10.1038/s41580-021-00394-2
[30] Batsios G, Taglang C, Gillespie A M, et al. Imaging telomerase reverse transcriptase expression in oligodendrogliomas using hyperpolarized δ-[1-13C] -gluconolactone[J]. Neurooncol Adv, 2023, 5(1): vdad092. DOI: 10.1093/noajnl/vdad092
[31] Wiley C D, Campisi J. The metabolic roots of senescence: mechanisms and opportunities for intervention[J]. Nat Metab, 2021, 3(10): 1290-1301. DOI: 10.1038/s42255-021-00483-8
[32] Reis J, Gorgulla C, Massari M, et al. Targeting ROS production through inhibition of NADPH oxidases[J]. Nat Chem Biol, 2023, 19(12): 1540-1550. DOI: 10.1038/s41589-023-01457-5
[33] Niu B Y, Liao K X, Zhou Y X, et al. Application of glutathione depletion in cancer therapy: Enhanced ROS-based therapy, ferroptosis, and chemotherapy[J]. Biomaterials, 2021, 277: 121110. DOI: 10.1016/j.biomaterials.2021.121110
[34] Maniaci A, Via L L, Lechien J R, et al. Hearing loss and oxidative stress: a comprehensive review[J]. Antioxidants(Basel), 2024, 13(7): 842. DOI: 10.3390/antiox13070842
[35] Li J, Xu P L, Chen S S. Research progress on mitochondria regulating tumor immunity[J]. Zhejiang Da Xue Xue Bao Yi Xue Ban, 2024, 53(1): 1-14. DOI: 10.3724/zdxbyxb-2023-0484
[36] Wang Y, Yuan H L, Shen D, et al. Artemisinin attenuated ischemic stroke induced pyroptosis by inhibiting ROS/TXNIP/NLRP3/Caspase-1 signaling pathway[J]. Biomed Pharmacother, 2024, 177: 116894. DOI: 10.1016/j.biopha.2024.116894
[37] 刘玉卓, 吕威, 王威清. 单细胞转录组测序技术在呼吸道2型炎性疾病中的研究进展[J]. 中华耳鼻咽喉头颈外科杂志, 2023, 58(12): 1266-1271. DOI: 10.3760/cma.j.cn115330-20230413-00169
[38] 韩晋博, 王威清, 朱真真, 等. 慢性鼻窦炎的鼻腔黏膜上皮细胞研究进展[J].中华耳鼻咽喉头颈外科杂志, 2022, 57(1): 78-81. DOI: 10.3760/cma.j.cn115330-20210303-00103
[39] Rehman R, Jaiswal A, Agrawal A, et al. Ku70 modulation alleviates murine allergic asthma features and restores mitochondrial function in lungs[J]. Mitochondrion, 2021, 57: 76-87. DOI: 10.1016/j.mito.2020.12.005
[40] Chang-Chien J, Kuo M L, Tseng Y L, et al. Differential effects of long- and short-term exposure to PM2.5 on accelerating telomere shortening: from in vitro to epidemiological studies[J]. Ecotoxicol Environ Saf, 2024, 281: 116650. DOI: 10.1016/j.ecoenv.2024.116650
[41] Guo Q, Jin Y Z, Chen X Y, et al. NF-κB in biology and targeted therapy: new insights and translational implications[J]. Signal Transduct Target Ther, 2024, 9(1): 53. DOI: 10.1038/s41392-024-01757-9
[42] Karadogan B, Beyaz S, Gelincik A, et al. Evaluation of oxidative stress biomarkers and antioxidant parameters in allergic asthma patients with different level of asthma control[J]. J Asthma, 2022, 59(4): 663-672. DOI: 10.1080/02770903.2020.1870129
[43] Nagasaki T, Schuyler A J, Zhao J M, et al. 15LO1 dictates glutathione redox changes in asthmatic airway epithelium to worsen type 2 inflammation[J]. J Clin Invest, 2022, 132(1): e151685. DOI: 10.1172/JCI151685
[44] Wang X F, Xu W J, Wang F F, et al. Telomere length and development of systemic lupus erythematosus: a mendelian randomization study[J]. Arthritis Rheumatol, 2022, 74(12): 1984-1990. DOI: 10.1002/art.42304
[1] 胡慧璇,潘莉,廖闻曦,冯彦. 黄花蒿花粉变应原舌下滴剂治疗单一致敏与多重致敏变应性鼻炎患者的疗效及依从性研究[J]. 山东大学耳鼻喉眼学报, 2026, 40(6): 22-29.
[2] 梁绍钦,林歆胜,李佳佳. 健康信念模型三维干预对慢性鼻-鼻窦炎的影响[J]. 山东大学耳鼻喉眼学报, 2026, 40(6): 30-39.
[3] 圣昕月,张标新,刘业海,吴飞虎,蔡恩,徐静. 穴位按摩联合耳穴贴压治疗中-重度持续性变应性鼻炎的疗效观察[J]. 山东大学耳鼻喉眼学报, 2026, 40(6): 40-45.
[4] 刘丹凤,潘庆春,封雪飞,李昊佚,任健,李代波. 老年过敏性鼻炎患者哮喘共病风险预测列线图:多因素模型的构建与临床验证[J]. 山东大学耳鼻喉眼学报, 2026, 40(6): 54-62.
[5] 冯思聪,于晓岚,娄丹. 基于囊泡组织Ki67、GM-CSF表达评估Messerklinger中鼻甲成形术对慢性鼻-鼻窦炎合并鼻息肉的效果[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 31-39.
[6] 吕倩,唐源,顾子君,施赛磊,刘萍,万文锦. 变应性鼻炎患者疾病获益感现状及影响因素分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 21-28.
[7] 顾敏,陆美萍. 纳米药物输送系统在变应性鼻炎过敏原免疫治疗中的应用进展[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 106-111.
[8] 秦娜娜,李玉芬,孙雨浩,魏健,李钦. 基于TGF-β1/Smad信号通路探讨白细胞介素13受体α2对变应性鼻炎大鼠鼻黏膜组织重塑的影响[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 71-77.
[9] 熊琴, 张砚, 乌日娜, 李锋, 唐力行. 鼻用糖皮质激素在儿童中的应用[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 160-167.
[10] 许雪萌,樊磊,喻望博,蒋芝月,潘晨,黄泳芹. 奥马珠单抗联合特异性免疫治疗变应性鼻炎疗效的Meta分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 26-33.
[11] 刘怡君,谷悦,官大宇,杨玉成,沈暘. 翼管神经切断术在难治性变应性鼻炎中远期临床疗效和安全性[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 42-48.
[12] 张婷,王美兰,高映勤. 白细胞介素35在变应性鼻炎中的研究进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 139-147.
[13] 陈铭,柯冰冰,崔雅琦,吴翠萍,陈正侬,李春燕,殷善开. NAD+对顺铂所致毛细胞氧化应激损伤的拮抗作用及相关基因表达调控[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 11-18.
[14] 张竹萍,彭孜灿,肖振龙,李程,喻迪,王兴龙,陈伟,郭蓓. 新型鼻分泌物嗜酸粒细胞阳离子蛋白-髓过氧化物酶试纸在变应性鼻炎中的应用价值[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 129-134.
[15] 曹正勇,李小波. 慢性鼻-鼻窦炎合并哮喘术后短程局部使用糖皮质激素辅助治疗的安全性和有效性[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 43-50.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!