Pathogenesis and Novel Therapeutics in Asthma Volume II

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: closed (31 May 2024) | Viewed by 5272

Special Issue Editor


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Guest Editor
Department of Internal Medicine, Jagiellonian University Medical College, 30-688 Kraków, Małopolskie, Poland
Interests: allergy; asthma; airway remodeling; autoimmune diseases
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Special Issue Information

Dear Colleagues,

Asthma is a prevalent chronic inflammatory disease of the airways with complex etiology, mechanistic pathways, and variable clinical presentation. Such heterogeneity renders the search for targeted therapies. Currently, the best-known disease phenotype with tailored biological treatment is eosinophilic asthma. However, even in some of these patients, anti-IL5 treatment is ineffective. Furthermore, about a quarter of patients, especially those with a severe phenotype, develop progressive and irreversible airway obstruction, leading to persistent symptoms despite optimized treatment. Therefore, new therapeutic approaches are still needed, particularly in severe asthma. The Special Issue focuses on asthma research referring to modern personalized therapeutic opportunities. Particular interest is directed to novel asthma biomarkers, including molecular and epigenetic ones, providing new light on pathogenesis, phenotyping, and customized therapy in various airway inflammatory patterns of that disease. In addition, research articles on airway epithelial cell dysfunction, airway remodeling, and the overlap between asthma and chronic obstructive pulmonary disease are welcomed.

Dr. Stanislawa Bazan-Socha
Guest Editor

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Keywords

  • asthma
  • pathogenesis
  • biomarkers
  • epithelial cells
  • airway remodeling
  • asthma/COPD overlap
  • biologics
  • new therapies

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Published Papers (2 papers)

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Review

13 pages, 966 KiB  
Review
Obesity and Insulin Resistance in Asthma Pathogenesis and Clinical Outcomes
by Sabina Škrgat, Matevž Harlander and Miodrag Janić
Biomedicines 2024, 12(1), 173; https://doi.org/10.3390/biomedicines12010173 - 12 Jan 2024
Cited by 5 | Viewed by 1702
Abstract
Common inflammatory ground links obesity, insulin resistance, and asthma. As recognition of their interplay, one worsening the natural course of the other, is recognised, questions remain about how to adequately address them altogether to improve clinical outcomes. The present manuscript sheds light on [...] Read more.
Common inflammatory ground links obesity, insulin resistance, and asthma. As recognition of their interplay, one worsening the natural course of the other, is recognised, questions remain about how to adequately address them altogether to improve clinical outcomes. The present manuscript sheds light on the problem, describing possible pathophysiological links, clinical views, and therapeutic challenges, raising questions about what remains to be done, and calling for multidisciplinary treatment of these patients to detect diseases early and adequately address them before they become full-blown and deteriorate their health and quality of life. Full article
(This article belongs to the Special Issue Pathogenesis and Novel Therapeutics in Asthma Volume II)
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14 pages, 1064 KiB  
Review
T2-Low Asthma: A Discussed but Still Orphan Disease
by Francesca Peri, Alessandro Amaddeo, Laura Badina, Massimo Maschio, Egidio Barbi and Sergio Ghirardo
Biomedicines 2023, 11(4), 1226; https://doi.org/10.3390/biomedicines11041226 - 20 Apr 2023
Cited by 7 | Viewed by 2889
Abstract
Asthma affects 10% of the worldwide population; about 5% of cases are severe with the need for target therapies such as biologics. All the biologics approved for asthma hit the T2 pathway of inflammation. T2-high asthma is classified as allergic and non-allergic, whereas [...] Read more.
Asthma affects 10% of the worldwide population; about 5% of cases are severe with the need for target therapies such as biologics. All the biologics approved for asthma hit the T2 pathway of inflammation. T2-high asthma is classified as allergic and non-allergic, whereas T2-low asthma can be further defined as paucigranulocytic asthma, Type 1 and Type-17 inflammation and the neutrophilic form that accounts for 20–30% of all patients with asthma. Neutrophilic asthma’s prevalence is even higher in patients with severe or refractory asthma. We searched Medline and PubMed archives from the past ten years for articles with the subsequent titles: “neutrophilic asthma”, “non-type 2 asthma” and “paucigranulocytic asthma”. We identified 177 articles; 49 were considered relevant by the title and 33 by the reading of the abstract. Most of these articles are reviews (n = 19); only 6 are clinical trials. No study identified an effective treatment. We used the literature reported by these articles to search for further biologic treatments that target pathways different from T2. We identified 177 articles, 93 of which were considered relevant for the review and included in the present article. In conclusion, T2-low asthma remains poorly investigated in terms of biomarkers, especially as a therapeutic orphan disease. Full article
(This article belongs to the Special Issue Pathogenesis and Novel Therapeutics in Asthma Volume II)
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