Advancing precision medicine in asthma : Evolution of treatment outcomes

Copyright © 2023 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved..

The article discusses the historical evolution of asthma treatment and highlights recent advancements in personalized medicine, specifically the use of biologics in severe asthma therapy and its potential combination with allergen immunotherapy (AIT). One of the major breakthroughs of biologics is their potential effect on airway remodeling, a crucial aspect of asthma chronicity. The article introduces the concept of disease-modifying antiasthmatic drugs, which aim to modify the course of asthma and possibly modulate or prevent airway remodeling. Furthermore, the critical importance of patient-centered outcome measures to evaluate the efficacy and effectiveness of asthma treatments is emphasized, with the innovative concept of asthma remission introduced as a potential outcome. Recent studies suggest that AIT can be used as an additional therapy to biologic agents for the treatment of allergic asthma. The combination of these treatments has been shown to induce improved clinical outcomes. However, AIT is actually not recommended for use in patients with severe asthma, but encouraging results from studies investigating the combined use of AIT and biologics indicate a novel approach to exploring these treatment modalities. In conclusion, the introduction of biologics and AIT has changed the scenario of respiratory allergy treatment, from a "one size fits all" approach to embracing "individual treatments.".

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:152

Enthalten in:

The Journal of allergy and clinical immunology - 152(2023), 4 vom: 01. Okt., Seite 835-840

Sprache:

Englisch

Beteiligte Personen:

Canonica, Giorgio Walter [VerfasserIn]
Varricchi, Gilda [VerfasserIn]
Paoletti, Giovanni [VerfasserIn]
Heffler, Enrico [VerfasserIn]
Virchow, Johann Christian [VerfasserIn]

Links:

Volltext

Themen:

Airways remodeling
Allergen immunotherapy
Asthma treatments
Biologics
Clinical remission
Journal Article
Review

Anmerkungen:

Date Revised 06.10.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jaci.2023.07.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360317278