Molecular mechanisms and clinical impact of biologic therapies in severe asthma

Hiroki Tashiro1, Yuki Kuwahara1, Yuki Kurihara1

  • 1Division of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Saga Prefecture, 849-8501, Japan.

Respiratory Investigation
|December 6, 2024
PubMed

Insights

Biologic therapies offer new hope for severe asthma by targeting specific molecular pathways, improving patient outcomes. Understanding these mechanisms is key to developing future, personalized treatments for severe asthma.

Area of Science:

  • Pulmonology and Immunology
  • Pharmacology

Background:

  • Severe asthma presents significant challenges, often requiring systemic corticosteroids with adverse effects.
  • Current treatments for severe asthma have limitations, necessitating novel therapeutic approaches.
  • Molecular-targeted biologic therapies have emerged as a promising treatment modality.

Purpose of the Study:

  • To review the molecular mechanisms of current biologic therapies for severe asthma.
  • To discuss the clinical impact and efficacy of these biologic treatments.
  • To explore potential future molecular targets for novel biologic therapies in severe asthma.

Main Methods:

  • Literature review of clinical trials and mechanistic studies on biologic therapies in severe asthma.
  • Analysis of data on the efficacy and safety profiles of different biologic agents.
  • Exploration of emerging research on novel molecular targets.

Main Results:

  • Biologic therapies demonstrate potential in improving severe asthma pathophysiology.
  • Individual patient responses to biologics vary based on specific molecular targets.
  • Several molecular targets are being investigated for future biologic development.

Conclusions:

  • A deeper understanding of biologic mechanisms is crucial for optimizing severe asthma treatment.
  • Personalized medicine approaches using biologics hold promise for improved patient outcomes.
  • Future research should focus on identifying and validating new molecular targets for severe asthma.

Related Concept Videos

Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
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.
350
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
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:
2.6K
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
237
Antiasthma Drugs: Leukotriene Modifiers01:19

Antiasthma Drugs: Leukotriene Modifiers

Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
243
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids01:25

Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids

Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
218
Antiasthma Drugs: β2-Adrenoceptor Agonists01:25

Antiasthma Drugs: β2-Adrenoceptor Agonists

Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
233