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Mechanisms of non-type 2 asthma.

Authors:
Stephanie N Hudey Dennis K Ledford Juan Carlos Cardet

Curr Opin Immunol 2020 10 4;66:123-128. Epub 2020 Nov 4.

Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida, Morsani College of Medicine and the James A. Haley Veterans' Hospital, Tampa, FL, USA. Electronic address:

Non-type 2 inflammation (Non-T2)-mediated asthma is difficult to define due to lack of signature biomarkers. It exists in the absence of T2-high or eosinophilic inflammation and includes neutrophilic and paucigranulocytic subtypes. Several cell types and cytokines, including Th1, Th17, IL-6, and IL-17, contribute to mechanisms of non-T2 asthma. Neutrophil extracellular traps (NETs) and inflammasome activation likely play a role in severe neutrophilic asthma. Several mechanisms lead to uncoupling of airway hyperresponsiveness and remodeling from airway inflammation in paucigranulocytic asthma. Recent research on transcriptomics and proteomics in non-T2 asthma is discussed in this review. Investigations of specific drug therapies for non-T2 asthma have been disappointing, and remain an important area for future clinical studies.

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Source
http://dx.doi.org/10.1016/j.coi.2020.10.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852882PMC
October 2020

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