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REVIEW ARTICLE Update on the Pathogenic Mechanisms of Isocyanate-induced Asthma Gyu-Young Hur, MD,* Sung-Jin Choi, MD,* Seung-Youp Shin, MD,Þ Sang-Ha Kim, MD, PhD,þ and Hae-Sim Park, MD, PhD* asthmatic patients had experienced persistent asthmatic Background: The pathogenic mechanisms of toluene diisocyanate symptoms even after cessation of exposure to isocyanate. (TDI)Yinduced asthma are not understood clearly. The pathogenic mechanism of occupational asthma is Methods: In this review, we summarized recent data to further complicated by the fact that both immunologic and non- understand the pathogenic mechanisms through recent approach of immunologic pathways may be involved, depending upon the molecular genetic studies, and specific antibody responses to 3Y6 causative agent. In addition, several environmental factors, cellular mechanisms. including the nature of the causative agent and the level and Results: Genetic polymorphism studies suggested the involvement of mode of exposure, affect the pathogenesis of occupational oxidant/antioxidant-related genes and neurogenic inflammatory asthma. In cases involving low-molecular-weight chemicals, response genes. A high-resolution technique of HLA allele suggested particularly TDI, both immunoglobulin E (IgE)Y and non- some HLA genetic markers presenting the phenotype of TDI-induced 3Y7 IgEYmediated pathways have been implicated. Several asthma. The new volatile type of TDIYhuman serum albumin studies examining the role
World Allergy Organization Journal – Springer Journals
Published: Jan 15, 2008
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