An Emerging Role for Exhaled Nitric Oxide in Guiding Biological Treatment in Severe Asthma.


Journal

Current medicinal chemistry
ISSN: 1875-533X
Titre abrégé: Curr Med Chem
Pays: United Arab Emirates
ID NLM: 9440157

Informations de publication

Date de publication:
2020
Historique:
received: 15 11 2019
revised: 15 03 2020
accepted: 16 03 2020
pubmed: 15 7 2020
medline: 5 2 2021
entrez: 15 7 2020
Statut: ppublish

Résumé

Asthma is a heterogeneous disease with regard to the inflammatory pathways activated. In recent years, biologic drugs (monoclonal antibodies) directed towards specific components of type 2 inflammation have been approved for the treatment of severe asthma. Phenotyping of patients with severe asthma and evaluation of biomarkers have been recommended to help identify patients who are candidates for treatment with biologics and to monitor treatment responses. Fractional exhaled Nitric Oxide (FeNO) is a biomarker of type 2 inflammation in asthma, signaling activation of Interleukin (IL)-4/IL-13 pathway. FeNO could be useful to assess treatment response or identify candidates for a specific drug that acts on type 2 inflammation mechanisms linked to Nitric Oxide (NO) production, such as the IL-4/IL-13 pathway or upstream processes. The value of FeNO as a biomarker predictive of responses to the biologics available for treating severe asthma is discussed based on the published studies at the moment of the review.

Identifiants

pubmed: 32660394
pii: CMC-EPUB-108140
doi: 10.2174/0929867327666200713184659
doi:

Substances chimiques

Anti-Asthmatic Agents 0
Antibodies, Monoclonal 0
Biomarkers 0
Interleukin-13 0
Nitric Oxide 31C4KY9ESH

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7159-7167

Informations de copyright

Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.

Auteurs

Giovanni Rolla (G)

Department of Medical Sciences, Allergy and Clinical Immunology AO Mauriziano, University of Torino, Torino, Italy

Enrico Heffler (E)

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
Personalized Medicine, Asthma and Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy

Stefano Pizzimenti (S)

Respiratory Medicine Unit, National Health System, ASL Città di Torino, Torino, Italy

Alain Michils (A)

Chest Department, Erasme University Hospital, Université libre de Bruxelles, Brussels, Belgium

Andrei Malinovschi (A)

Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden

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Classifications MeSH