Advances in asthma pathophysiology: stepping forward from the Maurizio Vignola experience
- PMID: 25726552
- PMCID: PMC9487772
- DOI: 10.1183/09059180.10011114
Advances in asthma pathophysiology: stepping forward from the Maurizio Vignola experience
Abstract
Maurizio Vignola was a superb and innovative researcher, who wrote seminal papers on the biology of airway epithelium in asthma. Inflammation and remodelling were the main topics of his research, mostly conducted in biopsy specimens from patients with asthma of variable severity, encompassing the entire spectrum of the disease from mild to severe asthma. His observations contributed to define the biology of asthma as we know it today, and opened the way to the personalised treatment of asthma. His group has successfully continued to investigate the biology and clinical aspects of bronchial asthma, with major interest in the clinical use of biomarkers to monitor disease activity, and in the development of new therapeutic perspectives. This review summarises the latest work on these topics proudly conducted by Maurizio's closest collaborators. The results indicate significant progress in our understanding of asthma in the last 10 years, in particular increased knowledge of the complex interaction between inflammatory and remodelling pathways, improved recognition of biological and clinical asthma phenotypes, and development of new treatment strategies, especially for patients with severe corticosteroid-resistant asthma.
Copyright ©ERS 2015.
Conflict of interest statement
Conflict of interest: None declared.
References
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- Vignola AM, Chanez P, Campbell AM, et al. . Airway inflammation in mild intermittent and in persistent asthma. Am J Respir Crit Care Med 1998; 157: 403–409. - PubMed
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- Vignola AM, Chiappara G, Siena L, et al. . Proliferation and activation of bronchial epithelial cells in corticosteroid-dependent asthma. J Allergy Clin Immunol 2001; 108: 738–746. - PubMed
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- Vignola AM, Bonsignore G, Siena L, et al. . ICAM-1 and α3β1 expression by bronchial epithelial cells and their in vitro modulation by inflammatory and anti-inflammatory mediators. Allergy 2000; 55: 931–939. - PubMed
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- Vignola AM, Chanez P, Chiappara G, et al. . Evaluation of apoptosis of eosinophils, macrophages, and T lymphocytes in mucosal biopsy specimens of patients with asthma and chronic bronchitis. J Allergy Clin Immunol 1999; 103: 563–573. - PubMed
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