New targets for type 2-low asthma

被引:0
作者
Quoc, Quang Luu [1 ,2 ]
Choi, Youngwoo [3 ]
Hur, Gyu-Young [4 ]
Park, Hae-Sim [1 ,2 ]
机构
[1] Ajou Univ, Sch Med, Dept Allergy & Clin Immunol, 164 Worldcup Ro, Suwon, South Korea
[2] Ajou Univ, Dept Biomed Sci, Grad Sch, Suwon, South Korea
[3] Pusan Natl Univ, Coll Nat Resources & Life Sci, Dept Biomat Sci, BK21 FOUR Program, Miryang, South Korea
[4] Korea Univ, Coll Med, Dept Internal Med, Seoul, South Korea
关键词
Asthma; Biomarker; Mechanism; Neutrophil; Therapeutics; NECROSIS-FACTOR-ALPHA; AIRWAY INFLAMMATION; DOUBLE-BLIND; EXTRACELLULAR VESICLES; PERSISTENT ASTHMA; CXCR2; ANTAGONIST; SPUTUM; HETEROGENEITY; MODERATE; BIOMARKERS;
D O I
10.3904/kjim.2023.299
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Asthma is characterized by airway obstruction and inflammation, and presents significant diagnostic and treatment challenges. The concept of endotypes has improved understanding of the mechanisms of asthma and has stimulated the development of effective treatment strategies. Sputum profiles may be used to classify asthma into two major inflammatory types: type 2-high (T2H) and type 2-low (T2L) asthma. T2H, characterized by elevated type 2 inflammation, has been extensively studied and several effective biologic treatments have been developed. However, managing T2L is more difficult due to the lack of reliable biomarkers for accurate diagnosis and classification. Additionally, conventional anti-inflammatory therapy does not completely control the symptoms of T2L; therefore, further research is needed to identify effective biologic treatments. This review provides new insights into the clinical characteristics and underlying mechanisms of severe T2L and investigates potential therapeutic approaches to control the disease.
引用
收藏
页码:215 / 227
页数:13
相关论文
共 85 条
[51]   Epithelial Autoantigen-Specific IgG Antibody Enhances Eosinophil Extracellular Trap Formation in Severe Asthma [J].
Lee, Dong-Hyun ;
Jang, Jae-Hyuk ;
Sim, Soyoon ;
Choi, Youngwoo ;
Park, Hae-Sim .
ALLERGY ASTHMA & IMMUNOLOGY RESEARCH, 2022, 14 (05) :479-493
[52]   Immunoregulatory effects of Lactococcus lactis-derived extracellular vesicles in allergic asthma [J].
Lee, Dong-Hyun ;
Park, Han-Ki ;
Lee, Hee-Ra ;
Sohn, Hyeukjun ;
Sim, Soyoon ;
Park, Hyeon Ju ;
Shin, Yoo Seob ;
Kim, Yoon-Keun ;
Choi, Youngwoo ;
Park, Hae-Sim .
CLINICAL AND TRANSLATIONAL ALLERGY, 2022, 12 (03)
[53]   Type I Interferons: Distinct Biological Activities and Current Applications for Viral Infection [J].
Li, Shi-fang ;
Gong, Mei-jiao ;
Zhao, Fu-rong ;
Shao, Jun-jun ;
Xie, Yin-li ;
Zhang, Yong-guang ;
Chang, Hui-yun .
CELLULAR PHYSIOLOGY AND BIOCHEMISTRY, 2018, 51 (05) :2377-2396
[54]   INEXAS: A Phase 2 Randomized Trial of On-demand Inhaled Interferon Beta-1a in Severe Asthmatics [J].
McCrae, Christopher ;
Olsson, Marita ;
Gustafson, Per ;
Malmgren, Anna ;
Aurell, Malin ;
Fageras, Malin ;
Da Silva, Carla A. ;
Cavallin, Anders ;
Paraskos, Jonathan ;
Karlsson, Karin ;
Wingren, Cecilia ;
Monk, Phillip ;
Marsden, Richard ;
Harrison, Tim .
CLINICAL AND EXPERIMENTAL ALLERGY, 2021, 51 (02) :273-283
[55]   Sputum neutrophil counts are associated with more severe asthma phenotypes using cluster analysis [J].
Moore, Wendy C. ;
Hastie, Annette T. ;
Li, Xingnan ;
Li, Huashi ;
Busse, William W. ;
Jarjour, Nizar N. ;
Wenzel, Sally E. ;
Peters, Stephen P. ;
Meyers, Deborah A. ;
Bleecker, Eugene R. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2014, 133 (06) :1557-+
[56]   Clinical, functional and inflammatory characteristics in patients with paucigranulocytic stable asthma: Comparison with different sputum phenotypes [J].
Ntontsi, P. ;
Loukides, S. ;
Bakakos, P. ;
Kostikas, K. ;
Papatheodorou, G. ;
Papathanassiou, E. ;
Hillas, G. ;
Koulouris, N. ;
Papiris, S. ;
Papaioannou, A. I. .
ALLERGY, 2017, 72 (11) :1761-1767
[57]   Efficacy and safety of a CXCR2 antagonist, AZD5069, in patients with uncontrolled persistent asthma: a randomised, double-blind, placebo-controlled trial [J].
O'Byrne, Paul M. ;
Metev, Hristo ;
Puu, Margareta ;
Richter, Kai ;
Keen, Christina ;
Uddin, Mohib ;
Larsson, Bengt ;
Cullberg, Marie ;
Nair, Parameswaran .
LANCET RESPIRATORY MEDICINE, 2016, 4 (10) :797-806
[58]   IL-17-high asthma with features of a psoriasis immunophenotype [J].
Oestling, Joergen ;
van Geest, Marleen ;
Schofield, James P. R. ;
Jevnikar, Zala ;
Wilson, Susan ;
Ward, Jonathan ;
Lutter, Rene ;
Shaw, Dominick E. ;
Bakke, Per S. ;
Caruso, Massimo ;
Dahlen, Sven-Erik ;
Fowler, Stephen J. ;
Horvath, Ildiko ;
Krug, Norbert ;
Montuschi, Paolo ;
Sanak, Marek ;
Sandstrom, Thomas ;
Sun, Kai ;
Pandis, Ioannis ;
Auffray, Charles ;
Sousa, Ana R. ;
Guo, Yike ;
Adcock, Ian M. ;
Howarth, Peter ;
Chung, Kian Fan ;
Bigler, Jeanette ;
Sterk, Peter J. ;
Skipp, Paul J. ;
Djukanovic, Ratko ;
Vaarala, Outi ;
Ahmed, H. ;
Auffray, C. ;
Bakke, P. ;
Bansal, A. T. ;
Baribaud, F. ;
Bates, S. ;
Bel, E. H. ;
Bigler, J. ;
Bisgaard, H. ;
Boedigheimer, M. J. ;
Bonnelykke, K. ;
Brandsma, J. ;
Brinkman, P. ;
Bucchioni, E. ;
Burg, D. ;
Bush, A. ;
Caruso, M. ;
Chaiboonchoe, A. ;
Chanez, P. ;
Chung, K. F. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2019, 144 (05) :1198-1213
[59]   Tezepelumab: A Potential New Biological Therapy for Severe Refractory Asthma [J].
Pelaia, Corrado ;
Pelaia, Giulia ;
Crimi, Claudia ;
Maglio, Angelantonio ;
Gallelli, Luca ;
Terracciano, Rosa ;
Vatrella, Alessandro .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2021, 22 (09)
[60]   Evidence for a cross-talk between human neutrophils and Th17 cells [J].
Pelletier, Martin ;
Maggi, Laura ;
Micheletti, Alessandra ;
Lazzeri, Elena ;
Tamassia, Nicola ;
Costantini, Claudio ;
Cosmi, Lorenzo ;
Lunardi, Claudio ;
Annunziato, Francesco ;
Romagnani, Sergio ;
Cassatella, Marco A. .
BLOOD, 2010, 115 (02) :335-343