Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Department of Clinical Immunology and Allergology of Saratov State Medical University, Saratov, Russia.
J Allergy Clin Immunol. 2020 Jun;145(6):1529-1534. doi: 10.1016/j.jaci.2020.02.001. Epub 2020 Feb 18.
Asthma is a severe and chronic disabling disease affecting more than 300 million people worldwide. Although in the past few drugs for the treatment of asthma were available, new treatment options are currently emerging, which appear to be highly effective in certain subgroups of patients. Accordingly, there is a need for biomarkers that allow selection of patients for refined and personalized treatment strategies. Recently, serological chip tests based on microarrayed allergen molecules and peptides derived from the most common rhinovirus strains have been developed, which may discriminate 2 of the most common forms of asthma, that is, allergen- and virus-triggered asthma. In this perspective, we argue that classification of patients with asthma according to these common trigger factors may open new possibilities for personalized management of asthma.
哮喘是一种严重且慢性的致残性疾病,影响着全球超过 3 亿人。尽管过去有一些治疗哮喘的药物,但目前新的治疗选择正在出现,这些治疗方法似乎对某些特定亚组的患者非常有效。因此,需要有生物标志物来选择适合精细化和个性化治疗策略的患者。最近,已经开发出基于过敏原分子和最常见鼻病毒株衍生肽的微阵列血清芯片检测方法,可区分 2 种最常见的哮喘类型,即过敏原和病毒引发的哮喘。从这个角度来看,我们认为根据这些常见的触发因素对哮喘患者进行分类可能为哮喘的个体化管理开辟新的可能性。