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Biological Therapies Targeting the Type 2 Inflammatory Pathway in Severe Asthma (Review)

Overview
Journal Exp Ther Med
Specialty Pathology
Date 2021 Oct 4
PMID 34603531
Citations 10
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Abstract

Asthma is a variable chronic respiratory disease characterized by airway inflammation and hyperresponsiveness, bronchoconstriction, and mucus hypersecretion. While most patients with asthma achieve good control of the disease, 5-10% experience severe symptoms and recurrent exacerbation despite the maximal offered therapy with inhaled corticosteroids and long acting bronchodilators. In previous years, novel biological therapies have become available, and various asthma phenotypes that are characterized by specific biomarkers have been identified. Currently approved biological agents target inflammatory molecules of the type 2 inflammatory pathway, and are effective at decreasing the frequency of asthma attacks, controlling symptoms and decreasing use of systemic steroids. The present study reviewed the effectiveness and safety profile of the currently approved biological drugs and provided an overview of the assessment of patients with severe asthma who are potentially suitable for biological therapy, in order to help clinicians to select the most appropriate biological agent.

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References
1.
Busse W . Biological treatments for severe asthma: where do we stand?. Curr Opin Allergy Clin Immunol. 2018; 18(6):509-518. DOI: 10.1097/ACI.0000000000000487. View

2.
Pham T, Damera G, Newbold P, Ranade K . Reductions in eosinophil biomarkers by benralizumab in patients with asthma. Respir Med. 2016; 111:21-9. DOI: 10.1016/j.rmed.2016.01.003. View

3.
King G, James A, Harkness L, Wark P . Pathophysiology of severe asthma: We've only just started. Respirology. 2018; 23(3):262-271. DOI: 10.1111/resp.13251. View

4.
Ultsch M, Bevers J, Nakamura G, Vandlen R, Kelley R, Wu L . Structural basis of signaling blockade by anti-IL-13 antibody Lebrikizumab. J Mol Biol. 2013; 425(8):1330-9. DOI: 10.1016/j.jmb.2013.01.024. View

5.
Eger K, Bel E . The emergence of new biologics for severe asthma. Curr Opin Pharmacol. 2019; 46:108-115. DOI: 10.1016/j.coph.2019.05.005. View