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Published on: November 4, 2010
Advances in pediatric and adult asthma
Stanley J Szefler1, Andrea Apter
1Division of Clinical Pharmacology, Department of Pediatrics, National Jewish Medical and Research Center, Denver, Colo 80206, USA. szeflers@njc.org
Insights
Recent research on asthma origins and persistence in children and adults is reviewed. Advances in genetics and biomarkers are paving the way for individualized asthma management strategies.
Area of Science:
- Pulmonology and Respiratory Medicine
- Genetics and Genomics
- Clinical Pharmacology
Background:
- Previous reviews covered asthma genetics, upper airway management, costs, and early intervention.
- Current review focuses on the origins and persistence of asthma in pediatric and adult populations.
Purpose of the Study:
- To review recent publications (2004 onwards) on asthma pathogenesis.
- To highlight advances in genetics, pharmacogenetics, respiratory infections, biomarkers, and pharmacotherapy.
- To discuss the implications for future asthma management strategies.
Main Methods:
- Literature review of journal publications from 2004 and recent key medical journal articles.
- Synthesis of information on asthma genetics, pathogenesis, and emerging biomarkers.
- Analysis of pharmacogenetic and pharmacotherapy advancements.
Main Results:
- Significant progress in understanding asthma pathogenesis through genetic research.
- Identification of key biomarkers for asthma assessment.
- Emerging role of pharmacogenetics in tailoring asthma treatments.
- Increased understanding of the impact of respiratory infections on asthma.
Conclusions:
- New insights into asthma pathogenesis are emerging from genetic and biomarker research.
- These advancements are expected to drive a shift towards individualized asthma management.
- Future asthma care will likely move from group-based strategies to personalized approaches.
Abstract:
Last year's review on adult and pediatric asthma highlighted reports related to asthma genetics, the importance of upper airway management, the costs of asthma, and the importance of early recognition and intervention. This year we will organize our discussion to review recent reports related to the origins and persistence of asthma in both adults and children. We highlight Journal publications from 2004, along with recent key publications from other medical journals, to provide a perspective on the rapidly developing areas of genetics, including pharmacogenetics, respiratory infection, biomarker measurements, and asthma pharmacotherapy. This new understanding of the pathogenesis of asthma combined with clinical applications of genetics and biomarkers should lead to new management strategies. Asthma management is likely to change in the coming years from a strategy directed to the best outcome in groups of patients to an individualized approach to assessment and management.
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