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Published on: April 13, 2010
Early Prediction of Asthma
Sergio de Jesus Romero-Tapia1, José Raúl Becerril-Negrete2, Jose A Castro-Rodriguez3
1Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico.
Insights
Early asthma prediction in children is crucial. This review summarizes key factors, including lung function, allergies, medical history, and epigenetic markers like DNA methylation, to identify high-risk children using various prediction models.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
- Genetics and Epigenetics
Background:
- Asthma in children presents with variable clinical manifestations and diverse underlying mechanisms.
- Early identification of children at high risk for developing asthma is essential for timely intervention.
- Asthma onset typically occurs within the first five years of life, necessitating robust prediction models.
Purpose of the Study:
- To review and summarize predictive factors for childhood asthma.
- To highlight epigenetic factors influencing asthma risk and progression.
- To compare various asthma prediction tools, including machine learning approaches.
Main Methods:
- Literature review focusing on predictive factors for childhood asthma.
- Analysis of clinical data, including lung function, allergic comorbidities, and medical history.
- Examination of epigenetic mechanisms such as DNA methylation, microRNA expression, and histone modification.
- Evaluation of machine learning models for asthma prediction.
Main Results:
- Lung function, allergic comorbidity, and medical history are significant predictors of asthma course.
- Epigenetic factors including DNA methylation, microRNA expression, and histone modifications play a role in asthma risk.
- Various prediction tools, including advanced machine learning algorithms, have been developed and show promise.
Conclusions:
- Accurate early prediction of childhood asthma is achievable through comprehensive assessment of clinical, historical, and molecular data.
- Epigenetic biomarkers offer novel avenues for identifying children at risk of developing asthma.
- Integrating diverse predictive factors and utilizing advanced computational tools can improve asthma management strategies.
Abstract:
The clinical manifestations of asthma in children are highly variable, are associated with different molecular and cellular mechanisms, and are characterized by common symptoms that may diversify in frequency and intensity throughout life. It is a disease that generally begins in the first five years of life, and it is essential to promptly identify patients at high risk of developing asthma by using different prediction models. The aim of this review regarding the early prediction of asthma is to summarize predictive factors for the course of asthma, including lung function, allergic comorbidity, and relevant data from the patient's medical history, among other factors. This review also highlights the epigenetic factors that are involved, such as DNA methylation and asthma risk, microRNA expression, and histone modification. The different tools that have been developed in recent years for use in asthma prediction, including machine learning approaches, are presented and compared. In this review, emphasis is placed on molecular mechanisms and biomarkers that can be used as predictors of asthma in children.
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