Journal
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
Volume 137, Issue 5, Pages 1347-1358Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.jaci.2016.03.010
Keywords
Precision medicine; personalized care; phenotype; endotype; biomarker; allergic rhinitis; allergic asthma; allergic skin disease
Categories
Funding
- Novartis
- European Commission
- Swiss National Science Foundation
- Christine Kuhne-Center for Allergy Research
- Astra Zeneca
- Novatis
- Genentech
- Sanofi-Regeneron
- EU Commission
- Fund for Scientific Research Flanders
- Astellas
- L'Oreal
- Sanofi
- Regeneron
- Bioderma
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In this consensus document we summarize the current knowledge on major asthma, rhinitis, and atopic dermatitis endotypes under the auspices of the PRACTALL collaboration platform. PRACTALL is an initiative of the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma & Immunology aiming to harmonize the European and American approaches to best allergy practice and science. Precision medicine is of broad relevance for the management of asthma, rhinitis, and atopic dermatitis in the context of a better selection of treatment responders, risk prediction, and design of disease-modifying strategies. Progress has been made in profiling the type 2 immune response-driven asthma. The endotype driven approach for non-type 2 immune response asthma, rhinitis, and atopic dermatitis is lagging behind. Validation and qualification of biomarkers are needed to facilitate their translation into pathway-specific diagnostic tests. Wide consensus between academia, governmental regulators, and industry for further development and application of precision medicine in management of allergic diseases is of utmost importance. Improved knowledge of disease pathogenesis together with defining validated and qualified biomarkers are key approaches to precision medicine.
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