Geriatric Care (Mar 2022)

Role of interleukin-4 and their antagonistic effect in asthma

  • Muhammad Usman Ali Khan,
  • Tasleem Akhtar,
  • Muhammad Yasoob Ali Khan,
  • Muhammad Asif Faheem,
  • Zari Salahuddin,
  • Nasir Muhammad

DOI
https://doi.org/10.4081/gc.2022.10150
Journal volume & issue
Vol. 8, no. 1

Abstract

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Asthma is a chronic inflammatory disease of the lower airways, characterize by wheezing cough, chest tightness along with inflammation of airway and shortness of breath. Allergens like environmental substance are predispose asthmatics patients to allergy. Mast cells produced interleukin (IL)- 4 which either activate signal transducer and activator of transcription 6 (STAT-6) pathway that involved in differentiation of na ve T-cells to TH2 or activation of TH2 cells indirectly. The aim of the current context is to present role of IL-4 in asthma and effect as antagonist. IL-4 results in increased mucus production and involve in IgE synthesis from B cells. IL4 facilitate chemotaxis and aid in displaying of VCAM-1 which attract eosinophil basophils monocytes T-lymphocytes to blood vessel. IL4 inhibit apoptosis either by preventing decrease in BCL-2 level or binding of FasL to Fas (cd32) receptor which result in acute allergic response. Elevated level of IL-4 has greatly adverse impact on asthmatic patients so by decreasing the level of IL-4 will greatly reduce asthma phenotype.

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