Abstract
Recognition of asthma as a heterogeneous disease revealed different potential molecular targets and urged the development of targeted, customized treatment modalities. Evidence was provided for different inflammatory subsets of asthma and more recently, further refined to T helper (Th)2-high and Th2-low subphenotypes with different responsiveness to standard and targeted pharmacotherapy. Given these differences in immunology and pathophysiology, proof of concept studies of novel treatment modalities for asthma should be performed in adequate, well-defined phenotypes. In this review, we describe both existing and novel biomarkers of Th2-inflammation in asthma that can be applied to classify asthma subphenotypes in clinical studies and for treatment monitoring.
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Zuzana Diamant has served on an advisory board (Aerocrine) and served as a consultant for various companies (Hall Allergy Hexal, Mundipharma, Urogenix, Profess, QPS Netherlands).
Leif Bjermer has served on advisory boards and received payment for giving lectures.
Ellen Tufvesson declares that she has no conflict of interest.
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With regard to the author’s research cited in this paper, all institutional and national guidelines for the care and use of laboratory animals were followed. In addition, all procedures were followed in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000 and 2008.
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Diamant, Z., Tufvesson, E. & Bjermer, L. Which Biomarkers Are Effective for Identifying Th2-Driven Inflammation in Asthma?. Curr Allergy Asthma Rep 13, 477–486 (2013). https://doi.org/10.1007/s11882-013-0376-6
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DOI: https://doi.org/10.1007/s11882-013-0376-6