Childhood asthma phenotypes and endotypes: a glance into the mosaic

Abstract Background Asthma is an inflammatory lung disease that constitutes the most common noncommunicable chronic disease in childhood. Childhood asthma shows large heterogeneity regarding onset of disease, symptoms, severity, prognosis, and response to therapy. Main body Evidence suggests that th...

Full description

Bibliographic Details
Main Authors: Francesco Foppiano, Bianca Schaub
Format: Article
Language:English
Published: SpringerOpen 2023-08-01
Series:Molecular and Cellular Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s40348-023-00159-1
_version_ 1797559120603119616
author Francesco Foppiano
Bianca Schaub
author_facet Francesco Foppiano
Bianca Schaub
author_sort Francesco Foppiano
collection DOAJ
description Abstract Background Asthma is an inflammatory lung disease that constitutes the most common noncommunicable chronic disease in childhood. Childhood asthma shows large heterogeneity regarding onset of disease, symptoms, severity, prognosis, and response to therapy. Main body Evidence suggests that this variability is due to distinct pathophysiological mechanisms, which has led to an exhaustive research effort to understand and characterize these distinct entities currently designated as “endotypes.” Initially, studies focused on identifying specific groups using clinical variables yielding different “clinical phenotypes.” In addition, the identification of specific patterns based on inflammatory cell counts and cytokine data has resulted in “inflammatory endotypes.” More recently, an increasing number of molecular data from high-throughput technology (“omics” data) have allowed to investigate more complex “molecular endotypes.” Conclusion A better definition and comprehension of childhood asthma heterogeneity is key for improving diagnosis and treatment. This review aims at summarizing the current knowledge on this topic and discusses some limitations in their application as well as recommendations for future studies.
first_indexed 2024-03-10T17:40:56Z
format Article
id doaj.art-8b2392aa1c3d4312bdf21ae2c6465bc5
institution Directory Open Access Journal
issn 2194-7791
language English
last_indexed 2024-03-10T17:40:56Z
publishDate 2023-08-01
publisher SpringerOpen
record_format Article
series Molecular and Cellular Pediatrics
spelling doaj.art-8b2392aa1c3d4312bdf21ae2c6465bc52023-11-20T09:41:57ZengSpringerOpenMolecular and Cellular Pediatrics2194-77912023-08-0110111210.1186/s40348-023-00159-1Childhood asthma phenotypes and endotypes: a glance into the mosaicFrancesco Foppiano0Bianca Schaub1Department of Pulmonary and Allergy, Dr. Von Hauner Children’s Hospital, LMU MunichDepartment of Pulmonary and Allergy, Dr. Von Hauner Children’s Hospital, LMU MunichAbstract Background Asthma is an inflammatory lung disease that constitutes the most common noncommunicable chronic disease in childhood. Childhood asthma shows large heterogeneity regarding onset of disease, symptoms, severity, prognosis, and response to therapy. Main body Evidence suggests that this variability is due to distinct pathophysiological mechanisms, which has led to an exhaustive research effort to understand and characterize these distinct entities currently designated as “endotypes.” Initially, studies focused on identifying specific groups using clinical variables yielding different “clinical phenotypes.” In addition, the identification of specific patterns based on inflammatory cell counts and cytokine data has resulted in “inflammatory endotypes.” More recently, an increasing number of molecular data from high-throughput technology (“omics” data) have allowed to investigate more complex “molecular endotypes.” Conclusion A better definition and comprehension of childhood asthma heterogeneity is key for improving diagnosis and treatment. This review aims at summarizing the current knowledge on this topic and discusses some limitations in their application as well as recommendations for future studies.https://doi.org/10.1186/s40348-023-00159-1Childhood asthmaAsthmaPhenotypesEndotypes
spellingShingle Francesco Foppiano
Bianca Schaub
Childhood asthma phenotypes and endotypes: a glance into the mosaic
Molecular and Cellular Pediatrics
Childhood asthma
Asthma
Phenotypes
Endotypes
title Childhood asthma phenotypes and endotypes: a glance into the mosaic
title_full Childhood asthma phenotypes and endotypes: a glance into the mosaic
title_fullStr Childhood asthma phenotypes and endotypes: a glance into the mosaic
title_full_unstemmed Childhood asthma phenotypes and endotypes: a glance into the mosaic
title_short Childhood asthma phenotypes and endotypes: a glance into the mosaic
title_sort childhood asthma phenotypes and endotypes a glance into the mosaic
topic Childhood asthma
Asthma
Phenotypes
Endotypes
url https://doi.org/10.1186/s40348-023-00159-1
work_keys_str_mv AT francescofoppiano childhoodasthmaphenotypesandendotypesaglanceintothemosaic
AT biancaschaub childhoodasthmaphenotypesandendotypesaglanceintothemosaic