Villamañán Elena, Laorden Daniel, Granda Paula, Sobrino Carmen, De Andrés Susana, Carpio Carlos, Domínguez-Ortega Javier, Romero David, Mariscal Pablo, De Las Vecillas Leticia, Quirce Santiago, Álvarez-Sala Rodolfo
Department of Pharmacy, Hospital La Paz, IdiPAZ, 28046 Madrid, Spain.
Department of Pneumology, Hospital La Paz, Universidad Autónoma de Madrid, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.
J Clin Med. 2024 Nov 26;13(23):7152. doi: 10.3390/jcm13237152.
Advances in knowledge about clinical features, physiology, and underlying immunology are leading to targeted therapies and a new era of therapies. Biological treatments for severe asthma have changed the way this disease is managed, especially in patients who do not respond adequately to conventional treatments with corticosteroids and bronchodilators. These treatments block the action of different molecules involved in the immune response and in the inflammation of the airways, bronchoconstriction, bronchial hyperresponsiveness, and excessive mucus production. Currently, there are sufficient real-life data to corroborate the good results obtained in clinical trials by these type of drugs for severe asthma patients. Observational studies reveal their efficacy and safety, reducing exacerbations, leading to fewer emergency room visits and hospitalizations, and improving quality of life with better asthma control and better functional status.
在临床特征、生理学及基础免疫学方面的知识进展正引领着靶向治疗以及治疗新时代的到来。重度哮喘的生物治疗改变了这种疾病的管理方式,尤其是对于那些对皮质类固醇和支气管扩张剂常规治疗反应不佳的患者。这些治疗阻断了参与免疫反应以及气道炎症、支气管收缩、支气管高反应性和黏液过度分泌的不同分子的作用。目前,有足够的实际数据来证实这类药物在重度哮喘患者临床试验中所取得的良好效果。观察性研究揭示了它们的疗效和安全性,可减少病情加重,减少急诊就诊和住院次数,并通过更好地控制哮喘和改善功能状态来提高生活质量。