Asthma develops when an inhaled allergen or an infection attracts inflammatory cells into the lung's airways. These cells induce increased production of mucus and also release cytokines, substances that trigger inflammation and make the airways constrict. Previously, scientists believed that this inflammatory process is orchestrated by T helper cells, or Th2 cells. But Umetsu, Akbari and colleagues have found that rather than Th2 cells, asthma patients' lungs have an excess of a much rarer group of cells called natural killer T-cells, or NKT-cells. Studying mice, they showed that NKT-cells can directly cause asthma, even when Th2 cells are completely absent, and that they release the same cytokines as Th2 cells. Targeting NKT-cells may be a better way to treat asthma, the researchers believe.

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