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Omics for the future in asthma

Abstract

Asthma is a common, complex, multifaceted disease. It comprises multiple phenotypes, which might benefit from treatment with different types of innovative targeted therapies. Refining these phenotypes and understanding their underlying biological structure would help to apply precision medicine approaches. Using different omics methods, such as (epi)genomics, transcriptomics, proteomics, metabolomics, microbiomics, and exposomics, allowed to view and investigate asthma from diverse angles. Technological advancement led to a large increase in the application of omics studies in the asthma field. Although the use of omics technologies has reduced the gap between bench to bedside, several design and methodological challenges still need to be tackled before omics can be applied in asthma patient care. Collaborating under a centralized harmonized work frame (such as in consortia, under consistent methodologies) could help worldwide research teams to tackle these challenges. In this review, we discuss the transition of single biomarker research to multi-omics studies. In addition, we deliberate challenges such as the lack of standardization of sampling and analytical methodologies and validation of findings, which comes in between omics and personalized patient care. The future of omics in asthma is encouraging but not completely clear with some unanswered questions, which have not been adequately addressed before. Therefore, we highlight these questions and emphasize on the importance of fulfilling them.

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Correspondence to Anke H. Maitland-van der Zee.

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AHM has been reimbursed for visiting the ATS by Chiesi, received a fee for participating in advisory boards for Boehringer Ingelheim and Astra Zeneca, and received an unrestricted research grant from GSK. ADK received grants/research support from several companies of Janssen, GSK, Nutricia Research, Friesland Campina, and NTRC.

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This article is a contribution to the special issue on Asthma: Novel developments from bench to bedside - Guest Editor: Bianca Schaub

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Abdel-Aziz, M.I., Neerincx, A.H., Vijverberg, S.J. et al. Omics for the future in asthma. Semin Immunopathol (2020). https://doi.org/10.1007/s00281-019-00776-x

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Keywords

  • Omics
  • Biomarkers
  • Precision medicine
  • Integration
  • Phenotypes
  • Challenges