PMID- 22204768 OWN - NLM STAT- MEDLINE DCOM- 20120906 LR - 20111229 IS - 1944-7930 (Electronic) IS - 1539-6509 (Linking) VI - 12 IP - 67 DP - 2011 Dec TI - IL-13 and its genetic variants: effect on current asthma treatments. PG - 513-23 AB - Airway hyperresponsiveness is an essential part of the definition of asthma associated temporally with exposure to allergens, certain respiratory viruses, pollutants such as ozone, and certain organic chemicals. Interleukin-13 (IL-13) is implicated as a central regulator in immunoglobulin E (IgE) synthesis, mucus hypersecretion, airway hyperresponsiveness, and fibrosis. The importance of IL-13 in allergic disorders in humans is supported by consistent associations between tissue IL-13 levels and genetic variants in the IL-13 gene and asthma and related traits. Single-nucleotide polymorphisms in IL-13 are associated with allergic phenotypes in several ethnically diverse populations. Glucocorticoids are anti-inflammatory medications often used as maintenance therapy in acute and chronic asthma; however, some patients with severe asthma are steroid resistant. IL-13 remains elevated in glucocorticoid insensitive asthma but not in glucocorticoid sensitive asthma. Thus targeting IL-13 and its associated receptors may be a therapeutic approach to the treatment of asthma and/or allergy. This review focuses on the role of IL-13 on airway hyperresponsiveness and corticosteroids resistant asthma both preclinically and clinically. CI - (c) Discovery Medicine FAU - Townley, Robert G AU - Townley RG AD - Division of Asthma, Allergy, and Immunology, Department of Medicine, Creighton University School of Medicine, 601N, 30th St., Omaha, Nebraska 68131, USA. roberttownley@creighton.edu FAU - Sapkota, Muna AU - Sapkota M FAU - Sapkota, Kiran AU - Sapkota K LA - eng PT - Journal Article PT - Review PL - United States TA - Discov Med JT - Discovery medicine JID - 101250006 RN - 0 (Interleukin-13) RN - 0 (Receptors, Interleukin-13) SB - IM MH - Asthma/complications/*drug therapy/*genetics/physiopathology MH - Bronchial Hyperreactivity/complications/physiopathology MH - Humans MH - Interleukin-13/*genetics MH - Mutation/*genetics MH - Receptors, Interleukin-13/metabolism MH - Signal Transduction EDAT- 2011/12/30 06:00 MHDA- 2012/09/07 06:00 CRDT- 2011/12/30 06:00 PHST- 2011/12/30 06:00 [entrez] PHST- 2011/12/30 06:00 [pubmed] PHST- 2012/09/07 06:00 [medline] PST - ppublish SO - Discov Med. 2011 Dec;12(67):513-23.