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Published on: August 7, 2017
Biomarkers to predict asthma in wheezing preschool children
M A G E Bannier1, K D G van de Kant1, Q Jöbsis1
1Department of Paediatric Respiratory Medicine, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, Maastricht, The Netherlands.
Insights
Predicting asthma in wheezing children is challenging. Advanced
Area of Science:
- Pediatric Pulmonology
- Biomarker Discovery
- Genomics and Omics
Background:
- Wheezing is common in preschool children, but predicting asthma is difficult with current clinical tools.
- Conventional methods lack reliability for early asthma diagnosis in young children.
- The need for improved diagnostic strategies is critical for timely intervention.
Purpose of the Study:
- To review the potential of predictive biomarkers for early asthma diagnosis in wheezing preschool children.
- To explore the role of 'omics' approaches in identifying novel asthma indicators.
- To assess the feasibility of non-invasive methods for asthma prediction.
Main Methods:
- Comprehensive review of studies on predictive biomarkers in various sample types.
- Analysis of 'omics' data including genomics, proteomics, metabolomics, and 'breath-omics'.
- Evaluation of non-invasive techniques like lung function testing and exhaled breath analysis.
Main Results:
- Gene expression and exhaled breath profiles show promise for early asthma prediction.
- 'Omics' approaches allow simultaneous study of hundreds of potential biomarkers.
- Non-invasive methods are evolving but face implementation challenges.
Conclusions:
- A holistic approach combining clinical data, blood tests, lung function, and breath analysis is likely needed for accurate asthma prediction.
- Further development of non-invasive predictive biomarkers is crucial.
- Improved early diagnosis will aid clinical decision-making and treatment for preschool children with asthma.
Abstract:
Wheezing in preschool children is a very common symptom. An adequate prediction of asthma in these children is difficult and cannot be reliably assessed with conventional clinical tools. The study of potential predictive biomarkers in various media, ranging from invasive sampling (e.g. bronchoscopy) to non-invasive sampling (lung function testing and exhaled breath analysis), was comprehensively reviewed. The evolution in biomarker discovery has resulted in an 'omics' approach, in which hundreds of biomarkers in the field of genomics, proteomics, metabolomics, and 'breath-omics' can be simultaneously studied. First, results on gene expression and exhaled breath profiles in predicting an early asthma diagnosis are promising. However, many hurdles need to be overcome before clinical implementation is possible. To reliably predict asthma in a wheezing child, probably a holistic approach is needed, combining clinical information with blood sampling, lung function tests, and potentially exhaled breath analysis. The further development of predictive, non-invasive biomarkers may eventually improve an early asthma diagnosis in wheezing preschool children and assist clinicians in early treatment decision-making.
Related Concept Videos
Asthma I: Introduction
Asthma III: Clinical Manifestations
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma

