Biomarkers for diagnosis and prediction of therapy responses in allergic diseases and asthma

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Biomarkers for diagnosis and prediction of therapy responses in allergic diseases and asthma

Breiteneder, Heimo (author): Medical University of Vienna

Peng, Ya Qi (author): Christine Kühne Center for Allergy Research and Education (CK-CARE),University of Zurich

Agache, Ioana (author): Transylvania University Brasov

Diamant, Zuzana (author): Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,University Medical Center Groningen,Charles University in Prague

Eiwegger, Thomas (author): University of Toronto,Hospital for Sick Children, Toronto

Fokkens, Wytske J. (author): Academic Medical Center of University of Amsterdam (AMC)

Traidl-Hoffmann, Claudia (author): Technical University of Munich,Christine Kühne Center for Allergy Research and Education (CK-CARE),Helmholtz Zentrum München

Nadeau, Kari (author): Stanford University

O'Hehir, Robyn E. (author): Alfred Health,Monash University

O'Mahony, Liam (author): University College Cork

Pfaar, Oliver (author): University Hospital Giessen and Marburg

Torres, Maria J. (author): Hospital Regional de Málaga

Wang, De Yun (author): National University of Singapore

Zhang, Luo (author): Beijing Tongren Hospital

Akdis, Cezmi A. (author): University of Zurich,Christine Kühne Center for Allergy Research and Education (CK-CARE)

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2020-09-30
2020
English 30 s.
In: Allergy: European Journal of Allergy and Clinical Immunology. - : Wiley. - 0105-4538. ; 75:12, s. 3039-3068

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Research review (peer-reviewed)

Abstract Subject headings

Modern health care requires a proactive and individualized response to diseases, combining precision diagnosis and personalized treatment. Accordingly, the approach to patients with allergic diseases encompasses novel developments in the area of personalized medicine, disease phenotyping and endotyping, and the development and application of reliable biomarkers. A detailed clinical history and physical examination followed by the detection of IgE immunoreactivity against specific allergens still represents the state of the art. However, nowadays, further emphasis focuses on the optimization of diagnostic and therapeutic standards and a large number of studies have been investigating the biomarkers of allergic diseases, including asthma, atopic dermatitis, allergic rhinitis, food allergy, urticaria and anaphylaxis. Various biomarkers have been developed by omics technologies, some of which lead to a better classification of distinct phenotypes or endotypes. The introduction of biologicals to clinical practice increases the need for biomarkers for patient selection, prediction of outcomes and monitoring, to allow for an adequate choice of the duration of these costly and long-lasting therapies. Escalating healthcare costs together with questions about the efficacy of the current management of allergic diseases require further development of a biomarker-driven approach. Here, we review biomarkers in diagnosis and treatment of asthma, atopic dermatitis, allergic rhinitis, viral infections, chronic rhinosinusitis, food allergy, drug hypersensitivity and allergen immunotherapy with a special emphasis on specific IgE, the microbiome and the epithelial barrier. In addition, EAACI guidelines on biologicals are discussed within the perspective of biomarkers.

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By the author/editor: Breiteneder, Hei ...; Peng, Ya Qi; Agache, Ioana; Diamant, Zuzana; Eiwegger, Thomas; Fokkens, Wytske ...; show more...; Traidl-Hoffmann, ...; Nadeau, Kari; O'Hehir, Robyn E ...; O'Mahony, Liam; Pfaar, Oliver; Torres, Maria J.; Wang, De Yun; Zhang, Luo; Akdis, Cezmi A.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

Articles in the publication: Allergy: Europea ...; Allergy

By the university: Lund University

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Biomarkers for diagnosis and prediction of therapy responses in allergic diseases and asthma

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