KMID : 1225720220140050447
|
|
Allergy, Asthma & Immunology Research : AAIR 2022 Volume.14 No. 5 p.447 ~ p.464
|
|
Evolving Concept of Severe Asthma: Transition From Diagnosis to Treatable Traits
|
|
Park So-Young
Kang Sung-Yoon Song Woo-Jung Kim Joo-Hee
|
|
Abstract
|
|
|
In recent decades, the concept of severe asthma has evolved from an umbrella term encompassing patients with high-intensity treatment needs to a clinical syndrome with heterogeneous, albeit distinct, pathophysiological processes. Biased and unbiased cluster approaches have been used to identify several clinical phenotypes. In parallel, cellular and molecular approaches allow for the development of biological therapies, especially targeting type 2 (T2) cytokine pathways. Although T2-biologics have significantly improved clinical outcomes for patients with severe asthma in real-world practice, questions on the proper use of biologics remain open. Furthermore, a subset of severe asthma patients remains poorly controlled. The unmet needs require a new approach. The ¡°treatable traits¡± concept has been suggested to address a diversity of pathophysiological factors in severe asthma and overcome the limitations of existing treatment strategies. With a tailored therapy that targets the treatable traits in individual patients, better personalized medical care and outcomes should be achieved.
|
|
KEYWORD
|
|
Asthma, biological products, endophenotypes, precision medicine, cytokines, outcomes, biologics, omics
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|