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Immunomodulator Therapy of Asthma

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Encyclopedia of Medical Immunology
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Synonyms

Bronchial asthma

Definition

The working definition of asthma taken from the National Asthma Education and Prevention Program Expert Panel Report 3: “Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role: in particular, mast cells, eosinophils, neutrophils (especially in sudden onset, fatal exacerbations, occupational asthma, and patients who smoke), T lymphocytes, macrophages, and epithelial cells. In susceptible individuals, this inflammation causes recurrent episodes of coughing (particularly at night or early in the morning), wheezing, breathlessness, and chest tightness. These episodes are usually associated with widespread but variable airflow obstruction that is often reversible either spontaneously or with treatment” (Busse et al. 2007).

Immunomodulator Therapy

The standard therapy for the treatment of bronchial asthma is the use of inhaled corticosteroids in association with a short acting bronchodilator, as the...

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References

  • Busse WW, Boushey HA, et al. National Asthma Education and Prevention Program. Expert panel report 3. Guidlines for the diagnosis and management of asthma. NIH Publication Number 08-5846 (2007). http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf. Retrieved Oct 2007.

  • Busse WW, Katial R, et al. Safety profile, pharmacokinetics, and biologic activity of MEDI-563, an anti-IL-5 receptor alpha antibody, in a phase I study of subjects with mild asthma. J Allergy Clin Immunol. 2010;125(6):1237–44. e1232.

    PubMed  CAS  Google Scholar 

  • Castro M, Mathur S, et al. Reslizumab for poorly controlled, eosinophilic asthma: a randomized, placebo-controlled study. Am J Respir Crit Care Med. 2011;184(10):1125–32.

    PubMed  CAS  Google Scholar 

  • Flood-Page P, Swenson C, et al. A study to evaluate safety and efficacy of mepolizumab in patients with moderate persistent asthma. Am J Respir Crit Care Med. 2007;176(11):1062–71.

    PubMed  CAS  Google Scholar 

  • Gauvreau GM, Boulet LP, et al. Antisense therapy against CCR3 and the common beta chain attenuates allergen-induced eosinophilic responses. Am J Respir Crit Care Med. 2008;177(9):952–8.

    PubMed  CAS  Google Scholar 

  • Gauvreau GM, Pageau R, et al. Dose–response effects of TPI ASM8 in asthmatics after allergen. Allergy. 2011;66(9):1242–8.

    PubMed  CAS  Google Scholar 

  • Ghazi A, Trikha A, et al. Benralizumab – a humanized mAb to IL-5Ralpha with enhanced antibody-dependent cell-mediated cytotoxicity – a novel approach for the treatment of asthma. Expert Opin Biol Ther. 2012;12(1):113–8.

    PubMed  CAS  PubMed Central  Google Scholar 

  • Haldar P, Brightling CE, et al. Mepolizumab and exacerbations of refractory eosinophilic asthma. N Engl J Med. 2009;360(10):973–84.

    PubMed  CAS  PubMed Central  Google Scholar 

  • Lafeuille MH, Dean J, et al. Impact of omalizumab on emergency-department visits, hospitalizations, and corticosteroid use among patients with uncontrolled asthma. Ann Allergy Asthma Immunol. 2012;109(1):59–64.

    PubMed  CAS  Google Scholar 

  • Molfino NA, Gossage D, et al. Molecular and clinical rationale for therapeutic targeting of interleukin-5 and its receptor. Clin Exp Allergy: J Br Soc Allergy Clin Immunol. 2012;42(5):712–37.

    CAS  Google Scholar 

  • Nair P, Pizzichini MM, et al. Mepolizumab for prednisone-dependent asthma with sputum eosinophilia. N Engl J Med. 2009;360(10):985–93.

    PubMed  CAS  Google Scholar 

  • Sweeney J, Brightling CE, et al. Clinical management and outcome of refractory asthma in the UK from the British Thoracic Society Difficult Asthma Registry. Thorax. 2012;67:754–6.

    PubMed  PubMed Central  Google Scholar 

  • Vennera MD, Perez De Llano L, et al. Omalizumab therapy in severe asthma: experience from the Spanish Registry-some new approaches. J Asthma. 2012;49(4):416–22.

    CAS  Google Scholar 

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Correspondence to Catherine R. Weiler .

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Weiler, C.R. (2014). Immunomodulator Therapy of Asthma. In: Mackay, I.R., Rose, N.R., Ledford, D.K., Lockey, R.F. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9194-1_533

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  • DOI: https://doi.org/10.1007/978-1-4614-9194-1_533

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