New targets for type 2-low asthma

Asthma is characterized by airway obstruction and inflammation, and presents significant diagnostic and treatment challenges. The concept of endotypes has improved understanding of the mechanisms of asthma and has stimulated the development of effective treatment strategies. Sputum profiles may be u...

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Main Authors: Quang Luu Quoc, Youngwoo Choi, Gyu-Young Hur, Hae-Sim Park
Format: Article
Language:English
Published: The Korean Association of Internal Medicine 2024-03-01
Series:The Korean Journal of Internal Medicine
Subjects:
Online Access:http://www.kjim.org/upload/kjim-2023-299.pdf
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author Quang Luu Quoc
Youngwoo Choi
Gyu-Young Hur
Hae-Sim Park
author_facet Quang Luu Quoc
Youngwoo Choi
Gyu-Young Hur
Hae-Sim Park
author_sort Quang Luu Quoc
collection DOAJ
description Asthma is characterized by airway obstruction and inflammation, and presents significant diagnostic and treatment challenges. The concept of endotypes has improved understanding of the mechanisms of asthma and has stimulated the development of effective treatment strategies. Sputum profiles may be used to classify asthma into two major inflammatory types: type 2-high (T2H) and type 2-low (T2L) asthma. T2H, characterized by elevated type 2 inflammation, has been extensively studied and several effective biologic treatments have been developed. However, managing T2L is more difficult due to the lack of reliable biomarkers for accurate diagnosis and classification. Additionally, conventional anti-inflammatory therapy does not completely control the symptoms of T2L; therefore, further research is needed to identify effective biologic treatments. This review provides new insights into the clinical characteristics and underlying mechanisms of severe T2L and investigates potential therapeutic approaches to control the disease.
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spelling doaj.art-b669b7d0036f454cb4ca9160f9674cad2024-03-04T04:15:54ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482024-03-0139221522710.3904/kjim.2023.299170893New targets for type 2-low asthmaQuang Luu Quoc0Youngwoo Choi1Gyu-Young Hur2Hae-Sim Park3 Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea Department of Biomaterials Science (BK21 FOUR Program), College of Natural Resources and Life Science, Pusan National University, Miryang, Korea Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, KoreaAsthma is characterized by airway obstruction and inflammation, and presents significant diagnostic and treatment challenges. The concept of endotypes has improved understanding of the mechanisms of asthma and has stimulated the development of effective treatment strategies. Sputum profiles may be used to classify asthma into two major inflammatory types: type 2-high (T2H) and type 2-low (T2L) asthma. T2H, characterized by elevated type 2 inflammation, has been extensively studied and several effective biologic treatments have been developed. However, managing T2L is more difficult due to the lack of reliable biomarkers for accurate diagnosis and classification. Additionally, conventional anti-inflammatory therapy does not completely control the symptoms of T2L; therefore, further research is needed to identify effective biologic treatments. This review provides new insights into the clinical characteristics and underlying mechanisms of severe T2L and investigates potential therapeutic approaches to control the disease.http://www.kjim.org/upload/kjim-2023-299.pdfasthmabiomarkermechanismneutrophiltherapeutics
spellingShingle Quang Luu Quoc
Youngwoo Choi
Gyu-Young Hur
Hae-Sim Park
New targets for type 2-low asthma
The Korean Journal of Internal Medicine
asthma
biomarker
mechanism
neutrophil
therapeutics
title New targets for type 2-low asthma
title_full New targets for type 2-low asthma
title_fullStr New targets for type 2-low asthma
title_full_unstemmed New targets for type 2-low asthma
title_short New targets for type 2-low asthma
title_sort new targets for type 2 low asthma
topic asthma
biomarker
mechanism
neutrophil
therapeutics
url http://www.kjim.org/upload/kjim-2023-299.pdf
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