Type-2 inflammatory mediators as targets for precision medicine in children
- PMID: 33236434
- DOI: 10.1111/pai.13340
Type-2 inflammatory mediators as targets for precision medicine in children
Abstract
The prevalence, heterogeneity, and severity of type 2 inflammatory diseases, including asthma and atopic dermatitis, continue to rise, especially in children and adolescents. Type 2 inflammation is mediated by both innate and adaptive immune cells and sustained by a specific subset of cytokines, such as interleukin (IL)-4, IL-5,IL-13, and IgE. IL-4 and IL-13 are considered signature type 2 cytokines, as they both have a pivotal role in many of the pathobiologic changes featured in asthma and atopic dermatitis. Several biologics targeting IL-4, IL-5, and IL-13, as well as IgE, have been proposed to treat severe allergic disease in the pediatric population with promising results. A better definition of type 2 inflammatory pathways is essential to implement targeted therapeutic strategies.
Keywords: asthma; atopic dermatitis; biologics; children; type 2 inflammation.
© 2020 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.
References
REFERENCES
-
- Licari A, Castagnoli R, Marseglia A, et al. Dupilumab to treat type 2 inflammatory diseases in children and adolescents. Paediatr Drugs. 2020;22:295-310.
-
- Leonardi S, Vitaliti G, Marseglia GL, et al. Function of the airway epithelium in asthma. J BiolRegulHomeost Agents. 2012;26(1 Suppl):S41-S48.
-
- La Rosa M, Lionetti E, Leonardi S, et al. Specific immunotherapy in children: the evidence. Int J Immunopathol Pharmacol. 2011;24(4 Suppl):69-78.
-
- Ciprandi G, Marseglia GL, Castagnoli R, et al. From IgE to clinical trials of allergic rhinitis. Expert Rev Clin Immunol. 2015;11(12):1321-1333.
-
- Licari A, Manti S, Castagnoli R, et al. Targeted therapy for severe asthma in children and adolescents: current and future perspectives. Paediatr Drugs. 2019;21(4):215-237.
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