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Updated: Jan 21, 2026

A Traditional Chinese Medicine Characteristic Therapy for Bronchial Asthma: Moxibustion
Published on: May 12, 2023
Asthma from immune pathogenesis to precision medicine.
Kareem Khalaf1, Giovanni Paoletti2, Francesca Puggioni2
1Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
Asthma involves diverse immune mechanisms (endotypes) causing varied symptoms (phenotypes). Identifying these endotypes enables personalized treatments, especially for severe asthma, using targeted biological agents.
Area of Science:
- Immunology
- Pulmonology
- Pharmacology
Background:
- Asthma presents with diverse clinical features (phenotypes) driven by distinct immunological pathways (endotypes).
- Understanding these endotypes is key for accurate patient stratification and developing targeted therapies.
Purpose of the Study:
- To review the immunological mechanisms underlying asthma pathogenesis.
- To discuss the phenotypic variations in asthma.
- To explore novel biological agents and precision medicine approaches for specific asthma endotypes.
Main Methods:
- Literature review of immunological mechanisms in asthma.
- Analysis of asthma phenotypes and their association with endotypes.
- Discussion of targeted therapies, including novel biological agents.
Main Results:
- Asthma pathogenesis involves multiple complex immunological endotypes.
- Phenotypic diversity reflects underlying endotypic differences.
- Precision medicine, using targeted agents, is emerging as a crucial approach for severe asthma.
Conclusions:
- Identifying asthma endotypes is essential for personalized treatment strategies.
- Novel biological agents offer targeted therapies for specific immunological pathways.
- Precision medicine is vital for managing severe asthma effectively.
Related Concept Videos
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-I: Introduction
What is the Immune System?
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
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:

