Eosinophilic pneumonia pathophysiology: Difference between revisions

Jump to navigation Jump to search
Priyamvada Singh (talk | contribs)
Sudarshana Datta (talk | contribs)
No edit summary
 
(10 intermediate revisions by 5 users not shown)
Line 1: Line 1:
__NOTOC__
{{Eosinophilic pneumonia}}
{{Eosinophilic pneumonia}}
{{CMG}} {{AE}} [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh13579@gmail.com]


'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:mgibson@perfuse.org] Phone:617-632-7753; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh@perfuse.org]
==Overview==
==Overview==
[[Eosinophil granulocyte|Eosinophils]] migrate to inflammatory sites in tissues in response to [[Chemokine|chemokines]] like CCL11, CCL24, CCL5,, and certain [[Leukotriene|leukotrienes]] like [[leukotriene B4]]. When [[Eosinophil granulocyte|eosinophils]] are activated, they release [[Eosinophilic|eosinophilic granules]]. Following activation, [[Eosinophil granulocyte|eosinophils]] effector functions include production of [[Reactive oxygen species|reactive oxygen products]] such as [[superoxide]] and [[peroxide]] produced by [[eosinophil peroxidase]], growth factors such as TGF beta and [[Cytokine|cytokines]] such as IL-1, IL-2, and [[Tumor necrosis factor-alpha|TNF alpha]].
== Pathophysiology ==
== Pathophysiology ==
[[image:Eosinophil.jpg|thumb|200px|left|Image of an eosinophil]]
=== Development of esopinophils ===
Eosinophilic pneumonia can develop in several different ways depending on the underlying cause of the disease. Eosinophils are thought to play a central role in defending the body against infection by parasites. Many diseases, such as [[asthma]] and [[eczema]], are caused when eosinophils overreact to environmental triggers and release an excess of chemicals ([[cytokine]]s) such as [[histamine]]. The common characteristic among different causes of EP is eosinophil overreaction or dysfunction in the lung.
* [[Eosinophil granulocyte|Eosinophils]] differentiate from [[Myeloid|myeloid precursor cells]]. IL-5 controls the development of [[Eosinophil granulocyte|eosinophils]] in the [[bone marrow]].
 
* Prior to their exit from the [[bone marrow]], [[Eosinophil granulocyte|eosinophils]] produce many secondary granule proteins.
=== Medications and environmental exposures ===
* [[Eosinophil granulocyte|Eosinophils]] migrate to inflammatory sites in tissues in response to [[Chemokine|chemokines]] like CCL11, CCL24, CCL5, and certain leukotrienes like [[leukotriene B4]].
Medications, [[drug of abuse|drugs of abuse]], and environmental exposures may all trigger eosinophil dysfunction. Medications such [[NSAIDs]] (ie [[ibuprofen]]), [[nitrofurantoin]], [[phenytoin]], [[L-tryptophan]], and [[ampicillin]] and drugs of abuse such as inhaled [[heroin]] and [[cocaine]] may trigger an [[allergy|allergic]] response which results in EP. Chemicals such as [[sulfite]]s, aluminum [[silicate]], and [[cigarette]] [[smoke]] can cause EP when inhaled. A [[New York City]] [[firefighter]] developed EP after inhalation of [[dust]] from the [[World Trade Center]] on [[September 11, 2001]].{{ref|Rom}}
* When [[Eosinophil granulocyte|eosinophils]] are activated, they release [[Eosinophilic|eosinophilic granules]].
 
* Following activation, [[Eosinophil granulocyte|eosinophils]] effector functions include production of reactive oxygen products such as [[superoxide]] and [[peroxide]] produced by [[eosinophil peroxidase]], growth factors such as TGF beta and [[Cytokine|cytokines]] such as [[IL-1]][[Interleukin 2|IL-2]], and [[Tumor necrosis factor-alpha|TNF alpha]].
=== Parasitic infections ===
* These products cause direct cytotoxicity, upregulation of chemoattraction, expression of adhesion molecules, regulation of [[vascular permeability]], and contraction of smooth muscle cells.
Parasites cause EP in three different ways. Parasites can either invade the lung, live in the lung as part of their [[Biological life cycle|life cycle]], or be spread to the lung by the bloodstream. Eosinophils migrate to the lung in order to fight the parasites and EP results. Important parasites which invade the lung include ''[[Paragonimus]]'' [[lung fluke]]s and the tapeworms ''[[Echinococcus]]'' and ''[[cysticercosis|Taenia solium]]''. Important parasites which inhabit the lung as part of their normal life cycle include the worms ([[helminth]]s) ''[[Ascaris lumbricoides]]'', ''[[Strongyloides stercoralis]]'' and the [[hookworm]]s ''[[Ancylostoma duodenale]]'' and ''[[Necator americanus]]''. When EP is caused by this last group, it is often called "[[Löffler's syndrome]]". The final group of parasites cause EP when a large number of eggs are carried into the lungs by the bloodstream. This can include ''[[Trichinella spiralis]]'', ''Strongyloides stercoralis'', ''Ascaris lumbricoides'', the hookworms, and the [[Schistosoma|schistosomes]].{{ref|Weller}}
* [[Eosinophil granulocyte|Eosinophils]] interact with [[Basophil granulocyte|basophils]], [[Endothelium|endothelial cells]], [[Macrophage|macrophages]], [[Platelet|platelets]], [[Fibroblast|fibroblasts]], and [[Mast cell|mast cells]] through cell membrane signaling molecules and receptors including Toll-like receptors and receptors for [[Cytokine|cytokines]], [[Antibody|immunoglobulins]], and [[complement]].
 
=== AEP and CEP ===
The causes for both AEP and CEP are unknown as of [[2005]]. There is some suspicion that at least AEP is the result of the body's response to some unidentified environmental agent.


==References==
==References==
{{reflist|2}}
{{reflist|2}}


[[Category:Diseaase]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
 
[[Category:Pneumonia|Pneumonia]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]


{{WH}}
{{WH}}
{{WS}}
{{WS}}

Latest revision as of 19:46, 28 March 2018

Pneumonia Main Page

Eosinophilic pneumonia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Eosinophilic pneumonia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Eosinophilic pneumonia pathophysiology On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Eosinophilic pneumonia pathophysiology

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Eosinophilic pneumonia pathophysiology

CDC onEosinophilic pneumonia pathophysiology

Eosinophilic pneumonia pathophysiology in the news

Blogs on Eosinophilic pneumonia pathophysiology

Directions to Hospitals Treating Eosinophilic pneumonia

Risk calculators and risk factors for Eosinophilic pneumonia pathophysiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Priyamvada Singh, M.D. [2]

Overview

Eosinophils migrate to inflammatory sites in tissues in response to chemokines like CCL11, CCL24, CCL5,, and certain leukotrienes like leukotriene B4. When eosinophils are activated, they release eosinophilic granules. Following activation, eosinophils effector functions include production of reactive oxygen products such as superoxide and peroxide produced by eosinophil peroxidase, growth factors such as TGF beta and cytokines such as IL-1, IL-2, and TNF alpha.

Pathophysiology

Development of esopinophils

References

Template:WH Template:WS