August 12, 2016

Climate Change and Air Pollution: Effects on Respiratory Allergy

Review
Allergy Asthma Immunol Res. 2016 Sep;8(5):391-395. 
Gennaro D'Amato,1,2 Ruby Pawankar,3 Carolina Vitale,4 Maurizia Lanza,4 Antonio Molino,4 Anna Stanziola,4 Alessandro Sanduzzi,2,5 Alessandro Vatrella,6 and Maria D'Amato4
1Division of Respiratory and Allergic Diseases, Department of Chest Diseases High Speciality, A. Cardarelli Hospital, Napoli, Italy.
2University "Federico II", Medical School, Naples, Italy.
3Division of Allergy, Department of Pediatrics, Nippon Medical School, Tokyo, Japan.
4First Division of Pneumology, High Speciality Hospital "V. Monaldi" and University "Federico II" Medical School, Naples, Italy.
5Second Division of Pneumology, High Speciality Hospital "V. Monaldi" and University "Federico II" Medical School, Naples, Italy.
6Department of Medicine and Surgery, University of Salerno, Salerno, Italy.

Abstract

A body of evidence suggests that major changes involving the atmosphere and the climate, including global warming induced by anthropogenic factors, have impact on the biosphere and human environment. Studies on the effects of climate change on respiratory allergy are still lacking and current knowledge is provided by epidemiological and experimental studies on the relationship between allergic respiratory diseases, asthma and environmental factors, such as meteorological variables, airborne allergens, and air pollution.

August 10, 2016

Identification of novel macrolides with antibacterial, anti-inflammatory and type I and III IFN-augmenting activity in airway epithelium

  • Michael R. Edwards1,2,*
  • Author Affiliations
    1. 1Airway Disease Infection SectionNational Heart Lung Institute, Imperial College LondonLondon, UK
    2. 2MRC & Asthma UK Centre for Allergic Mechanisms of AsthmaLondon, UK
    3. 3Pfizer Inc.Cambridge, MA, USA
    4. 4Mucosal Infection and Immunity GroupSection of Virology, Imperial College LondonLondon, UK
    Abstract
    Background Exacerbations of asthma and COPD are triggered by rhinoviruses. Uncontrolled inflammatory pathways, pathogenic bacterial burden and impaired antiviral immunity are thought to be important factors in disease severity and duration. Macrolides including azithromycin are often used to treat the above diseases, but exhibit variable levels of efficacy. Inhaled corticosteroids are also readily used in treatment, but may lack specificity. Ideally, new treatment alternatives should suppress unwanted inflammation, but spare beneficial antiviral immunity.

    August 8, 2016

    Value of peripheral blood eosinophil markers to predict severity of asthma

    • Julian Casciano,
    • Jerry A. Krishnan,
    • Mary Buatti Small,
    • Philip O. Buck,
    • Gokul Gopalan,
    • Chenghui Li,
    • Robert Kemp and
    • Zenobia DotiwalaEmail author
    Abstract
    Background
    Asthma represents a significant clinical and economic burden to the US healthcare system. Along with other clinical manifestations of the disease, elevated sputum and blood eosinophil levels are observed in patients experiencing asthma exacerbations. The aim of this study was to evaluate the association between blood eosinophil levels and asthma severity defined using Expert Panel Report 3 guidelines.

    August 7, 2016

    Dr. Linda Cox reviews the latest information regarding sublingual allergen immunotherapy (SLIT)



    Management of rhinosinusitis during pregnancy: systematic review and expert panel recommendations

    Volume: 54 - Issue: 2, pp99-104, 2016

    D. Lal - A.A. Jategaonkar - L. Borish - L.R. Chambliss - S.H. Gnagi - P.H. Hwang - M.A. Rank - J.A. Stankiewicz - V.J. Lund

    BACKGROUND: Management of rhinosinusitis during pregnancy requires special considerations.
    OBJECTIVES: 1. Conduct a systematic literature review for acute and chronic rhinosinusitis (CRS) management during pregnancy. 2. Make evidence-based recommendations.
    METHODS: The systematic review was conducted using MEDLINE and EMBASE databases and relevant search terms. Title, abstract and full manuscript review were conducted by two authors independently. A multispecialty panel with expertise in management of Rhinological disorders, Allergy-Immunology, and Obstetrics-Gynecology was invited to review the systematic review. Recommendations were sought on use of following for CRS management during pregnancy: oral corticosteroids; antibiotics; leukotrienes; topical corticosteroid spray/irrigations/drops; aspirin desensitization; elective surgery for CRS with polyps prior to planned pregnancy; vaginal birth versus planned Caesarian for skull base erosions/ prior CSF rhinorrhea.

    August 3, 2016

    Scaling up strategies of the chronic respiratory disease programme of the European Innovation Partnership on Active and Healthy Ageing (Action Plan B3: Area 5)

    OPEN ACCESS
    J Bousquet, J Farrell, G Crooks et al.
  • Email author

  • Abstract
    Action Plan B3 of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) focuses on the integrated care of chronic diseases. Area 5 (Care Pathways) was initiated using chronic respiratory diseases as a model. The chronic respiratory disease action plan includes (1) AIRWAYS integrated care pathways (ICPs), (2) the joint initiative between the Reference site MACVIA-LR (Contre les MAladies Chroniques pour un VIeillissement Actif) and ARIA (Allergic Rhinitis and its Impact on Asthma), (3) Commitments for Action to the European Innovation Partnership on Active and Healthy Ageing and the AIRWAYS ICPs network.
    It is deployed in collaboration with the World Health Organization Global Alliance against Chronic Respiratory Diseases (GARD). The European Innovation Partnership on Active and Healthy Ageing has proposed a 5-step framework for developing an individual scaling up strategy: (1) what to scale up: (1-a) databases of good practices, (1-b) assessment of viability of the scaling up of good practices, (1-c) classification of good practices for local replication and (2) how to scale up: (2-a) facilitating partnerships for scaling up, (2-b) implementation of key success factors and lessons learnt, including emerging technologies for individualised and predictive medicine. This strategy has already been applied to the chronic respiratory disease action plan of the European Innovation Partnership on Active and Healthy Ageing.

    August 2, 2016

    Endotypes of allergic diseases and asthma: An important step in building blocks for the future of precision medicine

    Allergology International
    Vol. 65 (2016) No. 3 p. 243-252




    Language: 

    INVITED REVIEW ARTICLE

    Discoveries from basic science research in the last decade have brought significant progress in knowledge of pathophysiologic processes of allergic diseases, with a compelling impact on understanding of the natural history, risk prediction, treatment selection or mechanism-specific prevention strategies.

    July 31, 2016

    Patient engagement and patient support programs in allergy immunotherapy: a call to action for improving long-term adherence

     
    OPEN ACCESS
    • Pascal DemolyEmail author,
    • Giovanni Passalacqua,
    • Oliver Pfaar,
    • Joaquin Sastre and
    • Ulrich Wahn
    Allergy immunotherapy (AIT) is acknowledged to produce beneficial mid- and long-term clinical and immunologic effects and increased quality of life in patients with allergic respiratory diseases (such as allergic rhinoconjunctivitis and allergic asthma). However, poor adherence to AIT (due to intentional and/or non-intentional factors) is still a barrier to achieving these benefits. There is an urgent need for patient support programs (PSPs) that encompass communication, educational and motivational components.

    Burden of asthma with elevated blood eosinophil levels

     
    OPEN ACCESS
     
    OPEN PEER REVIEW
    • Julian CascianoEmail author,
    • Jerry A. Krishnan,
    • Mary Buatti Small,
    • Philip O. Buck,
    • Gokul Gopalan,
    • Chenghui Li,
    • Robert Kemp and
    • Zenobia Dotiwala
    Abstract
    Background
    Asthma is a common chronic condition with an economic burden of almost $56 billion annually in the US. Biologic markers like blood eosinophils, that help predict the risk of exacerbation could help guide more optimal treatment plans and reduce cost. The purpose of this study was to determine whether healthcare resource use and expenditures vary by eosinophil level among patients with asthma.

    Abediterol, a novel long-acting β2-agonist: bronchodilation, safety, tolerability and pharmacokinetic results from a single-dose, dose-ranging, active-comparator study in patients with COPD

     
    OPEN ACCESS
     
    OPEN PEER REVIEW
    • Jutta BeierEmail author,
    • Helena Pujol,
    • Beatriz Seoane,
    • Eulalia Jimenez,
    • Carol Astbury,
    • Eric Massana,
    • Sandrine Ruiz and
    • Gonzalo de Miquel
    Abstract
    Background
    Abediterol is a novel, once-daily long-acting β2-agonist in development for the treatment of chronic obstructive pulmonary disease (COPD) and asthma in combination with an anti-inflammatory agent. This Phase IIa, randomised, double-blind, crossover study investigated the bronchodilation, safety, tolerability and pharmacokinetics of abediterol in patients with moderate to severe COPD.

    Dr. Phil Lieberman discusses the diagnosis and management of anaphylaxis

    Dr. Gary Salzman discusses the uses of pulmonary function tests for diagnosing respiratory disorders

    July 28, 2016

    Periostin and Interleukin-13 Are Independently Related to Chronic Spontaneous Urticaria

    Allergy, Asthma & Immunology Research 2016, 8 (5): 457-60

    Youin Bae, Kenji Izuhara, Soichiro Ohta, Junya Ono, Gwan Ui Hong, Jai Youl Ro, Gyeong Hun Park, Jeong Hee Choi

    Abstract
    Chronic spontaneous urticaria (CSU) is a complex idiopathic disease of the skin with various cellular infiltrations. Although mast cells are key effector cells in the pathogenesis of CSU, CD4+ T helper 2 cells also have particular roles in the development and maintenance of CSU. Periostin is known as a downstream molecule of interleukin (IL)-4 and IL-13, key cytokines of type 2 immune responses.

    Soluble CD93 as a Novel Biomarker in Asthma Exacerbation



    Naseh Sigari, Ali Jalili, Laili Mahdawi, Ebrahim Ghaderi, Mohammadi Shilan

    Abstract
    Asthma research is shifting from studying symptoms and lung functions to the narrow-focus cellular profiles protein analysis, biomarkers, and genetic markers. The transmembrane glycoprotein CD93 is involved in endothelial cell migration, angiogenesis, leukocytes extravasation, apoptosis, innate immunity and inflammation. Relationships between the serum level of soluble CD93 (sCD93) and acute myocardial infarction/premature MI/inflammatory arthritis/skin sclerosis have recently been reported.