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Updated: Jun 12, 2026

Three-Dimensional Cell Culture Models to Investigate the Epithelial Barrier in Eosinophilic Esophagitis
Published on: May 10, 2024
Asthma: eosinophil disease, mast cell disease, or both?
1Department of Infection, Immunity and Inflammation, Institute for Lung Health, University of Leicester, UK. pbradding@hotmail.com.
Mast cells, not eosinophils, are key players in asthma. Targeting mast cell interactions with airway smooth muscle offers new treatment possibilities for this common respiratory disease.
Area of Science:
- Immunology
- Respiratory Medicine
- Cell Biology
Background:
- Eosinophils have been traditionally implicated in asthma pathophysiology.
- Recent studies question the central role of eosinophils in asthma.
- Some asthma patients lack airway eosinophils, while eosinophilic bronchitis shows high eosinophilia without asthma.
Purpose of the Study:
- To investigate the role of mast cells in asthma pathophysiology.
- To explore the interaction between mast cells and airway structural cells in asthma.
- To identify potential therapeutic targets for asthma treatment.
Main Methods:
- Histological examination of asthmatic airways.
- Localization studies of immune cells within airway tissues.
- Analysis of cell-cell interactions and mediator release.
Main Results:
- Mast cells are present in all airways of asthma patients, localizing to submucosal glands and airway smooth muscle.
- Mast cells interact specifically with airway structural cells via adhesion and localized mediator release.
- Mast cell localization within airway smooth muscle bundles is significant for asthma development and progression.
Conclusions:
- Mast cells, rather than eosinophils, appear to be critical orchestrators in asthma.
- The interaction between mast cells and airway smooth muscle is a key factor in asthma.
- Targeting the mast cell-airway smooth muscle axis presents a promising therapeutic strategy for asthma.
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