Titulo:

.

Guardado en:

0121-5426

2538-9513

28

2017-07-09

78

93

Revista Colombiana de Neumología - 2017

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http://purl.org/coar/access_right/c_abf2

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spelling Asthma is a multifactorial and complex desease, with different degrees of risks and severity, as well as the response to treatment. Medications currently available are mostly effective in severe asthma; nonetheless, there is a percentage of patients that have no response to the treatment that guidelines suggest in their recommendations. In the last years there has been researches in inflammatory molecules that contribute in asthma physiopathology and a lot of them have been considered to be possible targets in the management of severe asthma.As a consequence of this, a few monoclonal antibodies have been developed evidencing their effectiveness in the treatment of the disease. The study of these new therapies has allowed the identification of specific inflammatory pathways. This article pretends to offer a critical perspective of the current guidelines for the management of severe asthma, as well to discuss current treatments and the future in spot of the new molecular evidences. Through an adequate characterization, different phenotypes will be recognised and associated with a determinate biomarker, and should be used to select the treatment that can offer the highest effectiveness in this patients. In this way, the treatment will be directed to a personalized medicine.
Silva E. MD., Diana L.
Ramírez Z., MD., Luis Fernando
Serrano R., MD., Carlos Daniel
severe asthma
monoclonal antibodies
treatment
phenotype
endotype
IL-4
IL-13
TSLP
IL-5
biomarker
asma grave
guías de manejo
anticuerpos monoclonales
fenotipos
endotipos
interleucinas 4
5
13
linfoproteína tímica estromal
biomarcadores
28
2
Artículo de revista
Journal article
2017-07-09T16:31:56Z
2017-07-09T16:31:56Z
2017-07-09
application/pdf
Asociación Colombiana de Neumología y Cirugía de Tórax
Revista Colombiana de Neumología
0121-5426
2538-9513
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/219
10.30789/rcneumologia.v28.n2.2016.219
https://doi.org/10.30789/rcneumologia.v28.n2.2016.219
spa
https://creativecommons.org/licenses/by-nc-sa/4.0/
Revista Colombiana de Neumología - 2017
78
93
https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/219/206
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Text
Publication
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collection Revista Colombiana de Neumología
description_eng Asthma is a multifactorial and complex desease, with different degrees of risks and severity, as well as the response to treatment. Medications currently available are mostly effective in severe asthma; nonetheless, there is a percentage of patients that have no response to the treatment that guidelines suggest in their recommendations. In the last years there has been researches in inflammatory molecules that contribute in asthma physiopathology and a lot of them have been considered to be possible targets in the management of severe asthma.As a consequence of this, a few monoclonal antibodies have been developed evidencing their effectiveness in the treatment of the disease. The study of these new therapies has allowed the identification of specific inflammatory pathways. This article pretends to offer a critical perspective of the current guidelines for the management of severe asthma, as well to discuss current treatments and the future in spot of the new molecular evidences. Through an adequate characterization, different phenotypes will be recognised and associated with a determinate biomarker, and should be used to select the treatment that can offer the highest effectiveness in this patients. In this way, the treatment will be directed to a personalized medicine.
author Silva E. MD., Diana L.
Ramírez Z., MD., Luis Fernando
Serrano R., MD., Carlos Daniel
spellingShingle Silva E. MD., Diana L.
Ramírez Z., MD., Luis Fernando
Serrano R., MD., Carlos Daniel
severe asthma
monoclonal antibodies
treatment
phenotype
endotype
IL-4
IL-13
TSLP
IL-5
biomarker
asma grave
guías de manejo
anticuerpos monoclonales
fenotipos
endotipos
interleucinas 4
linfoproteína tímica estromal
biomarcadores
author_facet Silva E. MD., Diana L.
Ramírez Z., MD., Luis Fernando
Serrano R., MD., Carlos Daniel
topic severe asthma
monoclonal antibodies
treatment
phenotype
endotype
IL-4
IL-13
TSLP
IL-5
biomarker
asma grave
guías de manejo
anticuerpos monoclonales
fenotipos
endotipos
interleucinas 4
linfoproteína tímica estromal
biomarcadores
topic_facet severe asthma
monoclonal antibodies
treatment
phenotype
endotype
IL-4
IL-13
TSLP
IL-5
biomarker
asma grave
guías de manejo
anticuerpos monoclonales
fenotipos
endotipos
interleucinas 4
linfoproteína tímica estromal
biomarcadores
topicspa_str_mv asma grave
guías de manejo
anticuerpos monoclonales
fenotipos
endotipos
interleucinas 4
linfoproteína tímica estromal
biomarcadores
citationvolume 28
citationissue 2
publisher Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal Revista Colombiana de Neumología
source https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/219
language spa
format Article
rights https://creativecommons.org/licenses/by-nc-sa/4.0/
Revista Colombiana de Neumología - 2017
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publishDate 2017-07-09
date_accessioned 2017-07-09T16:31:56Z
date_available 2017-07-09T16:31:56Z
url https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/219
url_doi https://doi.org/10.30789/rcneumologia.v28.n2.2016.219
issn 0121-5426
eissn 2538-9513
doi 10.30789/rcneumologia.v28.n2.2016.219
citationstartpage 78
citationendpage 93
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