Emerging Biologics in Severe Asthma

被引:11
作者
Pavord, Ian D. [1 ,2 ]
Hilvering, Bart [1 ,2 ,3 ]
Shrimanker, Rahul [1 ,2 ]
机构
[1] Univ Oxford, Dept Resp Med, Old Rd, Oxford OX3 7LE, England
[2] Univ Oxford, Nuffield Dept Med, Old Rd Campus, Oxford OX3 7FZ, England
[3] Univ Med Ctr, Dept Resp Med, Lab Translat Immunol, Heidelberglaan 100, NL-3584 CX Utrecht, Netherlands
关键词
Severe asthma; Biomarkers; Type-2; cytokines; Anti-IL-5; Anti-IL-13; Anti-IL-4&13; OBSTRUCTIVE PULMONARY-DISEASE; SEVERE EOSINOPHILIC ASTHMA; SEVERE PERSISTENT ASTHMA; PLACEBO-CONTROLLED TRIAL; TO-SEVERE ASTHMA; DOUBLE-BLIND; MONOCLONAL-ANTIBODY; AIRWAY INFLAMMATION; SPUTUM EOSINOPHILIA; CXCR2; ANTAGONIST;
D O I
10.1016/j.iac.2016.04.001
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Asthma is characterized by typical symptoms, variable airway obstruction and airway inflammation. Most patients with asthma are well controlled when treated with inhaled corticosteroids. However, around 10% have severe asthma, and remain symptomatic and/or at risk of asthma attacks despite maximum inhaled therapy. Identification of eosinophilic airways inflammation is particularly important as biological agents blocking interleukin (IL)-5, IL-13 and both IL-4 and 13 are effective treatments in this sub-group. The future will be identification of potentially responsive patients on the basis of biomarkers rather than arbitrary physiological patterns of disease, and targeted treatment with specific cytokine blockade.
引用
收藏
页码:609 / +
页数:16
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