Novel insights into the study of goblet cell hypersecretion in allergic rhinitis

Goblet cell hypersecretion is a hallmark of airway inflammation and is driven by complex neuroimmune regulation involving submucosal glands and goblet cells. Although studies have focused on mast cell degranulation as a critical driver of nasal secretion, the role of goblet cells in this process is...

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Main Authors: Xiaojia Zhu, Fengli Cheng, Hongying Duan, Sirui Fu, Changqing Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1525928/full
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author Xiaojia Zhu
Xiaojia Zhu
Fengli Cheng
Hongying Duan
Hongying Duan
Sirui Fu
Sirui Fu
Changqing Zhao
author_facet Xiaojia Zhu
Xiaojia Zhu
Fengli Cheng
Hongying Duan
Hongying Duan
Sirui Fu
Sirui Fu
Changqing Zhao
author_sort Xiaojia Zhu
collection DOAJ
description Goblet cell hypersecretion is a hallmark of airway inflammation and is driven by complex neuroimmune regulation involving submucosal glands and goblet cells. Although studies have focused on mast cell degranulation as a critical driver of nasal secretion, the role of goblet cells in this process is relatively under-researched. In allergic airway inflammation, goblet cells exhibit metaplasia and hypersecretion. However, allergen exposure does not directly trigger goblet cell degranulation, raising questions regarding the underlying mechanisms of these reactions. The activation of enteric neurons promotes goblet cell degranulation by stimulating the calcitonin gene-related peptide (CGRP)–receptor active modification protein-1 (RAMP1) axis. Meanwhile, airway goblet cells express various neuropeptide receptors, and their activation by neuropeptides such as substance P and CGRP induces mucus secretion, exacerbating allergic rhinitis-associated hypersecretion. Thus, although previously less recognised, the neuron–goblet cell signalling axis plays a critical role in allergic rhinitis mucus secretion. This review highlights current research on the neuroimmune mechanisms underlying goblet cell metaplasia and degranulation, focusing on allergic rhinitis, so as to guide clinical treatment strategies.
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issn 1664-3224
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publisher Frontiers Media S.A.
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series Frontiers in Immunology
spelling doaj-art-4211fe7cdaec429ab9382bd76173cc832025-01-31T06:40:17ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011610.3389/fimmu.2025.15259281525928Novel insights into the study of goblet cell hypersecretion in allergic rhinitisXiaojia Zhu0Xiaojia Zhu1Fengli Cheng2Hongying Duan3Hongying Duan4Sirui Fu5Sirui Fu6Changqing Zhao7Department of Otolaryngology–Head and Neck Surgery, The Second Hospital, Shanxi Medical University, Taiyuan, ChinaShanxi Medical University, Taiyuan, ChinaDepartment of Otolaryngology–Head and Neck Surgery, The Second Hospital, Shanxi Medical University, Taiyuan, ChinaDepartment of Otolaryngology–Head and Neck Surgery, The Second Hospital, Shanxi Medical University, Taiyuan, ChinaShanxi Medical University, Taiyuan, ChinaDepartment of Otolaryngology–Head and Neck Surgery, The Second Hospital, Shanxi Medical University, Taiyuan, ChinaShanxi Medical University, Taiyuan, ChinaDepartment of Otolaryngology–Head and Neck Surgery, The Second Hospital, Shanxi Medical University, Taiyuan, ChinaGoblet cell hypersecretion is a hallmark of airway inflammation and is driven by complex neuroimmune regulation involving submucosal glands and goblet cells. Although studies have focused on mast cell degranulation as a critical driver of nasal secretion, the role of goblet cells in this process is relatively under-researched. In allergic airway inflammation, goblet cells exhibit metaplasia and hypersecretion. However, allergen exposure does not directly trigger goblet cell degranulation, raising questions regarding the underlying mechanisms of these reactions. The activation of enteric neurons promotes goblet cell degranulation by stimulating the calcitonin gene-related peptide (CGRP)–receptor active modification protein-1 (RAMP1) axis. Meanwhile, airway goblet cells express various neuropeptide receptors, and their activation by neuropeptides such as substance P and CGRP induces mucus secretion, exacerbating allergic rhinitis-associated hypersecretion. Thus, although previously less recognised, the neuron–goblet cell signalling axis plays a critical role in allergic rhinitis mucus secretion. This review highlights current research on the neuroimmune mechanisms underlying goblet cell metaplasia and degranulation, focusing on allergic rhinitis, so as to guide clinical treatment strategies.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1525928/fullairway inflammationallergic rhinitisgoblet cellmucus secretionmetaplasianeuroimmune regulation
spellingShingle Xiaojia Zhu
Xiaojia Zhu
Fengli Cheng
Hongying Duan
Hongying Duan
Sirui Fu
Sirui Fu
Changqing Zhao
Novel insights into the study of goblet cell hypersecretion in allergic rhinitis
Frontiers in Immunology
airway inflammation
allergic rhinitis
goblet cell
mucus secretion
metaplasia
neuroimmune regulation
title Novel insights into the study of goblet cell hypersecretion in allergic rhinitis
title_full Novel insights into the study of goblet cell hypersecretion in allergic rhinitis
title_fullStr Novel insights into the study of goblet cell hypersecretion in allergic rhinitis
title_full_unstemmed Novel insights into the study of goblet cell hypersecretion in allergic rhinitis
title_short Novel insights into the study of goblet cell hypersecretion in allergic rhinitis
title_sort novel insights into the study of goblet cell hypersecretion in allergic rhinitis
topic airway inflammation
allergic rhinitis
goblet cell
mucus secretion
metaplasia
neuroimmune regulation
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1525928/full
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