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重度哮喘的生物标志物:识别可治疗特征。

Biomarkers in severe asthma: Identifying the treatable trait.

作者信息

Gvalani Aanchal, Athavale Amita, Gupta Disha

机构信息

Medical Affairs, GlaxoSmithKline, Mumbai, Maharashtra, India.

Department of Pulmonary Medicine and EPRC, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

出版信息

Lung India. 2023 Jan-Feb;40(1):59-67. doi: 10.4103/lungindia.lungindia_271_22.

DOI:10.4103/lungindia.lungindia_271_22
PMID:36695260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9894287/
Abstract

Asthma is a chronic condition of bronchial hyper-reactivity associated with inflammation ranges from mild to severe form. It affects 1 - 18% of the population globally and it is estimated that > 300million people in the world have asthma. Of this 5 - 10% have severe asthma. while the proportion of patients suffering from severe are smaller, the morbidity and mortality are higher in this group. With the advances in our understanding of the pathophysiology of asthma there is a need to understand the role of various biomarkers. We live in an era of precision medicine and today there is a clear unmet need to understand targeted therapies. This review aims to raise awareness to the available biomarkers used in clinical practice in India and their role in predicting response to targeted therapies.

摘要

哮喘是一种与炎症相关的支气管高反应性慢性病,炎症程度从轻度到重度不等。全球1%-18%的人口受其影响,据估计,全球有超过3亿人患有哮喘。其中5%-10%为重度哮喘。虽然重度哮喘患者比例较小,但该群体的发病率和死亡率较高。随着我们对哮喘病理生理学认识的进步,有必要了解各种生物标志物的作用。我们生活在精准医学时代,如今明确存在对了解靶向治疗的未满足需求。本综述旨在提高对印度临床实践中使用的现有生物标志物及其在预测靶向治疗反应中的作用的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0403/9894287/86fe5fafc887/LI-40-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0403/9894287/86fe5fafc887/LI-40-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0403/9894287/86fe5fafc887/LI-40-59-g001.jpg

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本文引用的文献

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Biologic Therapies for Severe Asthma.重度哮喘的生物疗法
N Engl J Med. 2022 Jan 13;386(2):157-171. doi: 10.1056/NEJMra2032506.
2
Novel therapeutic approaches targeting endotypes of severe airway disease.针对严重气道疾病表型的新型治疗方法。
Expert Rev Respir Med. 2021 Oct;15(10):1303-1316. doi: 10.1080/17476348.2021.1937132. Epub 2021 Jun 9.
3
Tezepelumab in Adults and Adolescents with Severe, Uncontrolled Asthma.特泽布尔单抗在成人和青少年重症、未控制哮喘中的应用。
N Engl J Med. 2021 May 13;384(19):1800-1809. doi: 10.1056/NEJMoa2034975.
4
The relationship between Feno and effectiveness of mepolizumab and benralizumab in severe eosinophilic asthma.呼出一氧化氮(FeNO)与美泊利单抗和贝那利珠单抗治疗重度嗜酸性粒细胞性哮喘疗效之间的关系。
J Allergy Clin Immunol Pract. 2021 May;9(5):2093-2096.e1. doi: 10.1016/j.jaip.2021.01.008. Epub 2021 Jan 21.
5
Breath biomarkers in asthma: we're getting answers, but what are the important questions?哮喘中的呼吸生物标志物:我们正在得到答案,但重要的问题是什么?
Eur Respir J. 2019 Sep 29;54(3). doi: 10.1183/13993003.01411-2019. Print 2019 Sep.
6
Is IgE or eosinophils the key player in allergic asthma pathogenesis? Are we asking the right question?IgE 还是嗜酸性粒细胞是过敏性哮喘发病机制中的关键因素?我们问的问题对吗?
Respir Res. 2018 Jun 8;19(1):113. doi: 10.1186/s12931-018-0813-0.
7
Mechanisms of immune regulation in allergic diseases: the role of regulatory T and B cells.过敏性疾病中的免疫调节机制:调节性T细胞和B细胞的作用。
Immunol Rev. 2017 Jul;278(1):219-236. doi: 10.1111/imr.12555.
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Effect of treatment with inhaled corticosteroid on serum periostin levels in asthma.吸入性糖皮质激素治疗对哮喘患者血清骨膜蛋白水平的影响。
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