Understanding the immunology of asthma: Pathophysiology, biomarkers, and treatments for asthma endotypes

被引:195
作者
Gans, Melissa D. [1 ]
Gavrilova, Tatyana [1 ]
机构
[1] Montefiore Med Ctr, Div Allergy & Immunol, 1525 Blondell Ave, Bronx, NY 10461 USA
关键词
Asthma; Immunology; Pathophysiology; Phenotypes; Review; Biomarkers; EXHALED NITRIC-OXIDE; INHALED CORTICOSTEROIDS; ALLERGIC-ASTHMA; BRONCHIAL THERMOPLASTY; LUNG-FUNCTION; VITAMIN-D; SAFETY; MANAGEMENT; EFFICACY; IGE;
D O I
10.1016/j.prrv.2019.08.002
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Asthma is a common disease in paediatrics and adults with a significant morbidity, mortality, and financial burden worldwide. Asthma is now recognized as a heterogeneous disease and emerging clinical and laboratory research has elucidated understanding of asthma's underlying immunology. The future of asthma is classifying asthma by endotype through connecting discernible characteristics with immunological mechanisms. This comprehensive review of the immunology of asthma details the currently known pathophysiology and clinical practice biomarkers in addition to forefront biologic and targeted therapies for all of the asthma endotypes. By understanding the immunology of asthma, practitioners will be able to diagnose patients by asthma endotype and provide personalized, biomarker-driven treatments to effectively control patients' asthma. (c) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:118 / 127
页数:10
相关论文
共 59 条
[1]   Relationships among aeroallergen sensitization, peripheral blood eosinophils, and periostin in pediatric asthma development [J].
Anderson, Halie M. ;
Lemanske, Robert F., Jr. ;
Arron, Joseph R. ;
Holweg, Cecile T. J. ;
Rajamanickam, Victoria ;
Gangnon, Ronald E. ;
Gern, James E. ;
Jackson, Daniel J. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2017, 139 (03) :790-796
[2]  
Bartlett N, 2018, AM J RESP CRIT CARE, V197
[3]   Global strategy for asthma management and prevention: GINA executive summary [J].
Bateman, E. D. ;
Hurd, S. S. ;
Barnes, P. J. ;
Bousquet, J. ;
Drazen, J. M. ;
FitzGerald, M. ;
Gibson, P. ;
Ohta, K. ;
O'Byrne, P. ;
Pedersen, S. E. ;
Pizzichini, E. ;
Sullivan, S. D. ;
Wenzel, S. E. ;
Zar, H. J. .
EUROPEAN RESPIRATORY JOURNAL, 2008, 31 (01) :143-178
[4]   Seasonal variation of asthma control, lung function tests and allergic inflammation in relation to vitamin D levels: a prospective annual study [J].
Batmaz, Sehra Birgul ;
Arikoglu, Tugba ;
Tamer, Lulufer ;
Eskandari, Gulcin ;
Kuyucu, Semanur .
POSTEPY DERMATOLOGII I ALERGOLOGII, 2018, 35 (01) :99-105
[5]   The role of oral methotrexate as a steroid sparing agent in refractory eosinophilic asthma [J].
Bilocca, David ;
Hargadon, B. ;
Pavord, I. D. ;
Green, R. H. ;
Brightling, C. E. ;
Bradding, P. ;
Wardlaw, A. J. ;
Martin, N. ;
Murphy, A. C. ;
Siddiqui, S. .
CHRONIC RESPIRATORY DISEASE, 2018, 15 (01) :85-87
[6]   Efficacy and safety of benralizumab for patients with severe asthma uncontrolled with high-dosage inhaled corticosteroids and long-acting β2-agonists (SIROCCO): a randomised, multicentre, placebo-controlled phase 3 trial [J].
Bleecker, Eugene R. ;
FitzGerald, J. Mark ;
Chanez, Pascal ;
Papi, Alberto ;
Weinstein, Steven F. ;
Barker, Peter ;
Sproule, Stephanie ;
Gilmartin, Geoffrey ;
Aurivillius, Magnus ;
Werkstrom, Viktoria ;
Goldman, Mitchell .
LANCET, 2016, 388 (10056) :2115-2127
[7]   ASSOCIATION OF ASTHMA WITH SERUM IGE LEVELS AND SKIN-TEST REACTIVITY TO ALLERGENS [J].
BURROWS, B ;
MARTINEZ, FD ;
HALONEN, M ;
BARBEE, RA ;
CLINE, MG .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (05) :271-277
[8]   Combined Analysis of Asthma Safety Trials of Long-Acting β2-Agonists [J].
Busse, William W. ;
Bateman, Eric D. ;
Caplan, Arthur L. ;
Kelly, H. William ;
O'Byrne, Paul M. ;
Rabe, Klaus F. ;
Chinchilli, Vernon M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2018, 378 (26) :2497-2505
[9]   Sublingual immunotherapy: World Allergy Organization position paper 2013 update [J].
Canonica, Giorgio Walter ;
Cox, Linda ;
Pawankar, Ruby ;
Baena-Cagnani, Carlos E. ;
Blaiss, Michael ;
Bonini, Sergio ;
Bousquet, Jean ;
Calderon, Moises ;
Compalati, Enrico ;
Durham, Stephen R. ;
van Wijk, Roy Gerth ;
Larenas-Linnemann, Desiree ;
Nelson, Harold ;
Passalacqua, Giovanni ;
Pfaar, Oliver ;
Rosario, Nelson ;
Ryan, Dermot ;
Rosenwasser, Lanny ;
Schmid-Grendelmeier, Peter ;
Senna, Gianenrico ;
Valovirta, Erkka ;
Van Bever, Hugo ;
Vichyanond, Pakit ;
Wahn, Ulrich ;
Yusuf, Osman .
WORLD ALLERGY ORGANIZATION JOURNAL, 2014, 7
[10]   Reslizumab Compared with Benralizumab in Patients with Eosinophilic Asthma: A Systematic Literature Review and Network Meta-Analysis [J].
Casale, Thomas B. ;
Pacou, Maud ;
Mesana, Laura ;
Farge, Gaelle ;
Sun, Shawn X. ;
Castro, Mario .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 2019, 7 (01) :122-+