PMID- 28635659 OWN - NLM STAT- MEDLINE DCOM- 20180323 LR - 20220331 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 18 IP - 6 DP - 2017 Jun 21 TI - dIvergEnt: How IgE Axis Contributes to the Continuum of Allergic Asthma and Anti-IgE Therapies. LID - 10.3390/ijms18061328 [doi] LID - 1328 AB - Asthma is an airway disease characterised by chronic inflammation with intermittent or permanent symptoms including wheezing, shortness of breath, chest tightness, and cough, which vary in terms of their occurrence, frequency, and intensity. The most common associated feature in the airways of patients with asthma is airway inflammation. In recent decades, efforts have been made to characterise the heterogeneous clinical nature of asthma. The interest in improving the definitions of asthma phenotypes and endotypes is growing, although these classifications do not always correlate with prognosis nor are always appropriate therapeutic approaches. Attempts have been made to identify the most relevant molecular and cellular biomarkers underlying the immunopathophysiological mechanisms of the disease. For almost 50 years, immunoglobulin E (IgE) has been identified as a central factor in allergic asthma, due to its allergen-specific nature. Many of the mechanisms of the inflammatory cascade underlying allergic asthma have already been elucidated, and IgE has been shown to play a fundamental role in the triggering, development, and chronicity of the inflammatory responses within the disease. Blocking IgE with monoclonal antibodies such as omalizumab have demonstrated their efficacy, effectiveness, and safety in treating allergic asthma. A better understanding of the multiple contributions of IgE to the inflammatory continuum of asthma could contribute to the development of novel therapeutic strategies for the disease. FAU - Palomares, Oscar AU - Palomares O AD - Department of Biochemistry and Molecular Biology, School of Chemistry, Complutense University of Madrid, 28040 Madrid, Spain. oscar.palomares@quim.ucm.es. FAU - Sanchez-Ramon, Silvia AU - Sanchez-Ramon S AD - Department of Clinical Immunology and Health Research Institute of the Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, 28040 Madrid, Spain. ssramon@salud.madrid.org. AD - Department of Microbiology I, Complutense University School of Medicine, 28040 Madrid, Spain. ssramon@salud.madrid.org. FAU - Davila, Ignacio AU - Davila I AD - Allergy Service, University Hospital of Salamanca and Institute for Biomedical Research of Salamanca (IBSAL), Biomedical and Diagnosis Science Department, Salamanca University School of Medicine, 37008 Salamanca, Spain. idg@usal.es. FAU - Prieto, Luis AU - Prieto L AD - Department of Allergy and Immunology, University of Valencia and Dr. Peset University Hospital, 46017 Valencia, Spain. prieto_jes@gva.es. FAU - Perez de Llano, Luis AU - Perez de Llano L AD - Neumology Service, Hospital Universitario Lucus Augusti, 27003 Lugo, Spain. eremos26@hotmail.com. FAU - Lleonart, Marta AU - Lleonart M AD - Novartis Farmaceutica, 08013 Barcelona, Spain. marta.lleonart@novartis.com. FAU - Domingo, Christian AU - Domingo C AD - Pulmonary Service, Corporacio Sanitaria Parc Tauli, Department of Medicine, Universitat Autonoma de Barcelona (UAB), 08193 Barcelona, Spain. CDomingo@tauli.cat. FAU - Nieto, Antonio AU - Nieto A AD - Pediatric Pulmonology & Allergy Unit, Children's Hospital La Fe, 46026 Valencia, Spain. nieto_ant@gva.es. LA - eng PT - Journal Article PT - Review DEP - 20170621 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Anti-Asthmatic Agents) RN - 0 (Antibodies, Monoclonal) RN - 2P471X1Z11 (Omalizumab) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Animals MH - Anti-Asthmatic Agents/*therapeutic use MH - Antibodies, Monoclonal/*therapeutic use MH - Asthma/*drug therapy/immunology/physiopathology MH - Humans MH - Immunoglobulin E/*immunology MH - Inflammation/drug therapy/immunology/physiopathology MH - Omalizumab/*therapeutic use PMC - PMC5486149 OTO - NOTNLM OT - allergy OT - anti-IgE OT - asthma OT - biological treatment OT - biomarkers OT - immunoglobulin E (IgE) OT - immunological mechanisms OT - immunomodulation OT - omalizumab COIS- Silvia Sanchez-Ramon, Ignacio Davila and Oscar Palomares have received speaker fees from Novartis Farmaceutica and participate in the ExIgE group sponsored by Novartis Farmaceutica. Ignacio Davila has additionally participated in advisory boards from Novartis Farmaceutica. Marta Lleonart is employee of Novartis Farmaceutica. The rest of authors do not have any competing interest regarding this manuscript. EDAT- 2017/06/22 06:00 MHDA- 2018/03/24 06:00 PMCR- 2017/06/01 CRDT- 2017/06/22 06:00 PHST- 2017/03/28 00:00 [received] PHST- 2017/06/14 00:00 [revised] PHST- 2017/06/15 00:00 [accepted] PHST- 2017/06/22 06:00 [entrez] PHST- 2017/06/22 06:00 [pubmed] PHST- 2018/03/24 06:00 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - ijms18061328 [pii] AID - ijms-18-01328 [pii] AID - 10.3390/ijms18061328 [doi] PST - epublish SO - Int J Mol Sci. 2017 Jun 21;18(6):1328. doi: 10.3390/ijms18061328.