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Published on: August 25, 2020
The Exposome and Asthma.
Ahila Subramanian1, Sumita B Khatri2
1Department of Allergy and Clinical Immunology, Respiratory Institute, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, CWRU School of Medicine, 9500 Euclid Avenue/A90, Cleveland, OH 4419, USA.
The exposome, encompassing environmental exposures throughout life, interacts with genetic susceptibility to influence asthma development. Understanding these environmental factors is crucial for effective asthma management and advocacy.
Area of Science:
- Environmental Health
- Epidemiology
- Genetics
Background:
- Asthma pathogenesis is influenced by complex interactions between individuals and their environments.
- Both indoor and outdoor environmental exposures contribute to disease development.
- Genetic susceptibility plays a key role in asthma initiation and progression.
Purpose of the Study:
- To highlight the significance of the exposome in asthma.
- To emphasize the interplay between environmental factors and host genetics in asthma.
- To underscore the need for awareness of global environmental changes for health professionals.
Main Methods:
- Literature review on exposome and asthma.
- Analysis of environmental exposure data.
- Consideration of genetic predisposition in asthma.
Main Results:
- Environmental exposures, varying in level and duration, are implicated in asthma.
- The exposome significantly modifies the impact of genetic susceptibility on asthma.
- Global environmental changes present challenges for asthma management.
Conclusions:
- A comprehensive understanding of the exposome is vital for addressing asthma.
- Integrating environmental and genetic information is key to personalized asthma care.
- Health professionals must be informed about environmental exposures to advocate effectively.
Related Concept Videos
Asthma-I: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
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-IV: Nursing Management
First, in...

