Related Experiment Video
Updated: Sep 18, 2025

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
SARS-CoV-2 in Asthmatic Children: Same Consequences in Different Endotypes?
Alice Bosco1, Vassilios Fanos1, Serena Bosone1
1Neonatal Intensive Care Unit, AOU Cagliari, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, Italy.
Asthmatic children surprisingly had milder COVID-19, but obesity is a concern. Metabolomics can identify vulnerable children and guide personalized pandemic treatments for asthma and obesity.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Metabolomics
Background:
- Asthmatic children showed unexpected mildness during SARS-CoV-2 pandemic.
- Obesity is a comorbidity in difficult asthma and a risk factor for severe COVID-19.
- Childhood obesity has increased, exacerbating pandemic concerns.
Purpose of the Study:
- To explore asthma endotypes and their shared immunometabolic pathways with COVID-19.
- To highlight the role of metabolomics in understanding these complex interactions.
- To identify potential biomarkers for risk stratification and therapeutic targets.
Main Methods:
- Review of asthma endotypes and immunometabolic pathways.
- Focus on high-throughput technologies, particularly metabolomics.
- Analysis of minimally invasive sampling, including exhaled breath condensate (EBC).
Main Results:
- Asthma and COVID-19 share complex immunometabolic pathways.
- Metabolomics offers precise, unbiased evidence for endotyping.
- Identification of potential biomarkers for vulnerable individuals.
Conclusions:
- Metabolomics can aid in accurate risk stratification during viral pandemics.
- Personalized interventions are crucial, especially with comorbidities like obesity.
- Metabolomics may reveal new molecular and therapeutic targets for asthma and COVID-19.
Related Concept Videos
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: 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-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:
Asthma-I: Introduction
COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...

