Phenotype overlap in the natural history of asthma
The heterogeneity of asthma makes it challenging to unravel the pathophysiologic mechanisms of the disease. Despite the wealth of research identifying diverse phenotypes, many gaps still remain in our knowledge of the disease's complexity. A crucial aspect is the impact of airborne factors over...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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European Respiratory Society
2023-05-01
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| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/32/168/220201.full |
| _version_ | 1797793366617882624 |
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| author | Fabio L.M. Ricciardolo Giuseppe Guida Francesca Bertolini Antonino Di Stefano Vitina Carriero |
| author_facet | Fabio L.M. Ricciardolo Giuseppe Guida Francesca Bertolini Antonino Di Stefano Vitina Carriero |
| author_sort | Fabio L.M. Ricciardolo |
| collection | DOAJ |
| description | The heterogeneity of asthma makes it challenging to unravel the pathophysiologic mechanisms of the disease. Despite the wealth of research identifying diverse phenotypes, many gaps still remain in our knowledge of the disease's complexity. A crucial aspect is the impact of airborne factors over a lifetime, which often results in a complex overlap of phenotypes associated with type 2 (T2), non-T2 and mixed inflammation. Evidence now shows overlaps between the phenotypes associated with T2, non-T2 and mixed T2/non-T2 inflammation. These interconnections could be induced by different determinants such as recurrent infections, environmental factors, T-helper plasticity and comorbidities, collectively resulting in a complex network of distinct pathways generally considered as mutually exclusive. In this scenario, we need to abandon the concept of asthma as a disease characterised by distinct traits grouped into static segregated categories. It is now evident that there are multiple interplays between the various physiologic, cellular and molecular features of asthma, and the overlap of phenotypes cannot be ignored. |
| first_indexed | 2024-03-13T02:46:16Z |
| format | Article |
| id | doaj.art-3f80ca2bc0294e8fb39101b52fad3f72 |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-03-13T02:46:16Z |
| publishDate | 2023-05-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-3f80ca2bc0294e8fb39101b52fad3f722023-06-28T15:28:52ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172023-05-013216810.1183/16000617.0201-20220201-2022Phenotype overlap in the natural history of asthmaFabio L.M. Ricciardolo0Giuseppe Guida1Francesca Bertolini2Antonino Di Stefano3Vitina Carriero4 Department of Clinical and Biological Sciences, Severe Asthma and Rare Lung Disease Unit, San Luigi Gonzaga University Hospital, University of Turin, Turin, Italy Department of Clinical and Biological Sciences, Severe Asthma and Rare Lung Disease Unit, San Luigi Gonzaga University Hospital, University of Turin, Turin, Italy Department of Clinical and Biological Sciences, Severe Asthma and Rare Lung Disease Unit, San Luigi Gonzaga University Hospital, University of Turin, Turin, Italy Department of Pneumology and Laboratory of Cytoimmunopathology of the Heart and Lung, Istituti Clinici Scientifici Maugeri SpA, IRCCS, Novara, Italy Department of Clinical and Biological Sciences, Severe Asthma and Rare Lung Disease Unit, San Luigi Gonzaga University Hospital, University of Turin, Turin, Italy The heterogeneity of asthma makes it challenging to unravel the pathophysiologic mechanisms of the disease. Despite the wealth of research identifying diverse phenotypes, many gaps still remain in our knowledge of the disease's complexity. A crucial aspect is the impact of airborne factors over a lifetime, which often results in a complex overlap of phenotypes associated with type 2 (T2), non-T2 and mixed inflammation. Evidence now shows overlaps between the phenotypes associated with T2, non-T2 and mixed T2/non-T2 inflammation. These interconnections could be induced by different determinants such as recurrent infections, environmental factors, T-helper plasticity and comorbidities, collectively resulting in a complex network of distinct pathways generally considered as mutually exclusive. In this scenario, we need to abandon the concept of asthma as a disease characterised by distinct traits grouped into static segregated categories. It is now evident that there are multiple interplays between the various physiologic, cellular and molecular features of asthma, and the overlap of phenotypes cannot be ignored.http://err.ersjournals.com/content/32/168/220201.full |
| spellingShingle | Fabio L.M. Ricciardolo Giuseppe Guida Francesca Bertolini Antonino Di Stefano Vitina Carriero Phenotype overlap in the natural history of asthma European Respiratory Review |
| title | Phenotype overlap in the natural history of asthma |
| title_full | Phenotype overlap in the natural history of asthma |
| title_fullStr | Phenotype overlap in the natural history of asthma |
| title_full_unstemmed | Phenotype overlap in the natural history of asthma |
| title_short | Phenotype overlap in the natural history of asthma |
| title_sort | phenotype overlap in the natural history of asthma |
| url | http://err.ersjournals.com/content/32/168/220201.full |
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