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Updated: Oct 1, 2025

Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
Published on: May 10, 2024
Eosinophilic airway diseases: basic science, clinical manifestations and future challenges
Christer Janson1, Leif Bjermer2, Lauri Lehtimäki3,4
1Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Eosinophilic airway diseases are driven by type 2 inflammation. Biologic therapies show promise, but further research is needed to predict treatment response using real-world data from Nordic patient registries.
Area of Science:
- Immunology and Respiratory Medicine
- Focuses on eosinophil function and type 2 inflammation in airway diseases.
Background:
- Eosinophils play crucial roles in both health and disease, regulated by cytokines like interleukin-5.
- Type 2 inflammation (IL-4, IL-5, IL-13) is central to eosinophilic airway diseases such as asthma and EGPA.
Purpose of the Study:
- To review the role of type 2 inflammation in eosinophilic airway diseases.
- To discuss current biologic therapies and identify research challenges.
- To highlight the potential of Nordic patient registries for future research.
Main Methods:
- Literature review of eosinophil function, type 2 inflammation, and biologic therapies.
- Analysis of challenges in predicting treatment response.
- Introduction of the NORdic Dataset for aSThmA Research (NORDSTAR) as a valuable resource.
Main Results:
- Biologic therapies targeting type 2 inflammation offer clinical benefits for eosinophilic diseases.
- Challenges remain in understanding disease progression and identifying predictive biomarkers.
- Nordic asthma registries, like NORDSTAR, offer large-scale, real-world data for research.
Conclusions:
- Further research is essential to optimize targeted treatments for eosinophilic airway diseases.
- Real-world data from large patient registries can identify treatable traits and improve treatment prediction.
- Collaboration using Nordic registries holds significant potential for advancing eosinophilic disease research.
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