Understanding and targeting molecular mechanisms of respiratory diseases
- Publication Type:
- Thesis
- Issue Date:
- 2022
Embargoed
Filename | Description | Size | |||
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01front.pdf | contents and abstract | 797.52 kB | |||
02whole.pdf | thesis | 9.03 MB |
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Metabolic homeostasis in immune cells is essential for mediating key physiological and pathological processes, including cell proliferation, differentiation, inflammation, and death. The investigations described in this thesis provide strong evidence that mitochondrial dysfunction, oxidative stress, and altered metabolism play essential roles in the pathogenesis of the chronic respiratory diseases, chronic obstructive pulmonary disease (COPD) and severe asthma. Mitochondrial dysfunction drives inflammation that is a hallmark feature of chronic respiratory diseases. The use of metabolic modulators specifically target mitochondria and limit inflammation. In addition, treatment with metabolic modulators provides a better understanding of changes in macrophage polarisation, mitochondrial dysfunction, metabolic changes, and oxidative stress in chronic respiratory diseases. Using representative mouse models, we have shown for the first time that increased glycolysis may play a crucial role in driving the pathogenesis of chronic respiratory diseases while increased oxidative phosphorylation may promote anti-inflammatory effects. Thus, mitochondrial dysfunction, mitochondrial reactive oxygen species (mtROS) and altered metabolism are important in driving inflammation. Our findings emphasise that specific inhibitors of ROS and metabolic modulators could be translated into novel treatment strategies to mitigate the highlighted chronic respiratory diseases in the respiratory clinic.
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