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.

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