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Precision Medicine in Childhood Asthma: Omic Studies of Treatment Response
Javier Perez-Garcia1, Esther Herrera-Luis1, Fabian Lorenzo-Diaz1,2
1Genomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology and Genetics, Universidad de La Laguna, 38200 San Cristóbal de La Laguna, Spain.
Insights
Recent omic studies reveal molecular insights into pediatric asthma treatment response. Findings identify biomarkers for improved management of difficult-to-treat childhood asthma.
Area of Science:
- Pediatric Pulmonology
- Genomics
- Systems Biology
Background:
- Childhood asthma is a complex respiratory condition with significant patient and societal burden.
- Difficult-to-treat asthma in children presents unique management challenges.
- Omic approaches offer novel insights into disease heterogeneity and treatment response.
Purpose of the Study:
- To review recent (2018-2019) findings on pediatric asthma treatment response using diverse omic technologies.
- To summarize the role of genomics, epigenomics, transcriptomics, metabolomics, and microbiome in treatment efficacy.
- To identify potential molecular biomarkers for personalized asthma management.
Main Methods:
- Systematic review of 13 studies published in 2018-2019 focusing on omics and pediatric asthma.
- Analysis of data from genomics, epigenomics, transcriptomics, metabolomics, and microbiome studies.
- Assessment of treatment response to short-acting beta agonists, inhaled corticosteroids, and leukotriene receptor antagonists.
Main Results:
- Identification of novel genetic markers associated with treatment response in pediatric asthma.
- Discovery of epigenetic modifications, metabolites, and microbial signatures influencing treatment outcomes.
- Elucidation of molecular mechanisms underlying variable responses to common asthma medications.
Conclusions:
- Omic data provide valuable insights into the molecular basis of pediatric asthma treatment response.
- Novel biomarkers identified can potentially refine clinical management strategies for childhood asthma.
- Integration of omics with clinical data promises improved therapeutic decisions for pediatric asthma patients.
Abstract:
Asthma is a heterogeneous and multifactorial respiratory disease with an important impact on childhood. Difficult-to-treat asthma is not uncommon among children, and it causes a high burden to the patient, caregivers, and society. This review aims to summarize the recent findings on pediatric asthma treatment response revealed by different omic approaches conducted in 2018-2019. A total of 13 studies were performed during this period to assess the role of genomics, epigenomics, transcriptomics, metabolomics, and the microbiome in the response to short-acting beta agonists, inhaled corticosteroids, and leukotriene receptor antagonists. These studies have identified novel associations of genetic markers, epigenetic modifications, metabolites, bacteria, and molecular mechanisms involved in asthma treatment response. This knowledge will allow us establishing molecular biomarkers that could be integrated with clinical information to improve the management of children with asthma.
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