PMID- 32506181 OWN - NLM STAT- MEDLINE DCOM- 20210208 LR - 20210607 IS - 1534-6315 (Electronic) IS - 1529-7322 (Print) IS - 1529-7322 (Linking) VI - 20 IP - 8 DP - 2020 Jun 6 TI - Eosinophilic Esophagitis: Existing and Upcoming Therapies in an Age of Emerging Molecular and Personalized Medicine. PG - 30 LID - 10.1007/s11882-020-00928-2 [doi] AB - PURPOSE OF REVIEW: Recent research efforts have spurred great progress in the diagnosis and management of eosinophilic esophagitis (EoE). Nonetheless, challenges remain in addressing disease burden and impairment in the growing EoE population. We highlight work from the Cincinnati Center for Eosinophilic Disorders, the Consortium of Eosinophilic Gastrointestinal Disease Researchers, and others that address these ongoing challenges. RECENT FINDINGS: New tools for characterizing EoE disease activity include the EoE Histology Scoring System (EoEHSS), endoscopic alternatives, validated patient-reported outcome (PRO) questionnaires, and investigational biomarkers. These diagnostic and monitoring strategies have been complemented by advances in EoE therapy. Treatment modalities have refined the traditional approaches of dietary elimination, swallowed steroids, and proton pump inhibitors (PPI), and biologics offer promise for future treatment. This review summarizes EoE advances in disease management and newly defined EoE endotypes that may serve as the foundation for EoE-personalized medicine. FAU - Slack, Ian F AU - Slack IF AD - Division of Allergy and Immunology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7028, Cincinnati, OH, 45229, USA. FAU - Schwartz, Justin T AU - Schwartz JT AD - Division of Allergy and Immunology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7028, Cincinnati, OH, 45229, USA. FAU - Mukkada, Vincent A AU - Mukkada VA AD - Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. FAU - Hottinger, Shawna AU - Hottinger S AD - Division of Allergy and Immunology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7028, Cincinnati, OH, 45229, USA. FAU - Abonia, J Pablo AU - Abonia JP AD - Division of Allergy and Immunology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7028, Cincinnati, OH, 45229, USA. Pablo.Abonia@cchmc.org. LA - eng GR - U54 AI117804/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20200606 PL - United States TA - Curr Allergy Asthma Rep JT - Current allergy and asthma reports JID - 101096440 SB - IM MH - Eosinophilic Esophagitis/diagnosis/*therapy MH - Humans MH - Precision Medicine/*methods PMC - PMC8034809 MID - NIHMS1685915 OTO - NOTNLM OT - Diagnosis OT - Endotype OT - Eosinophilic esophagitis OT - Treatment COIS- Conflict of Interest Mrs. Hottinger reports grants from the Consortium of Eosinophilic Gastrointestinal Disease Researchers (CEGIR; Administrative Core, U54AI117804), outside the submitted work. Dr. Mukkada reports consulting fees from Shire/Takeda, outside the submitted work. The other authors declare no conflicts of interest relevant to this manuscript. EDAT- 2020/06/09 06:00 MHDA- 2021/02/09 06:00 PMCR- 2021/06/06 CRDT- 2020/06/08 06:00 PHST- 2020/06/08 06:00 [entrez] PHST- 2020/06/09 06:00 [pubmed] PHST- 2021/02/09 06:00 [medline] PHST- 2021/06/06 00:00 [pmc-release] AID - 10.1007/s11882-020-00928-2 [pii] AID - 10.1007/s11882-020-00928-2 [doi] PST - epublish SO - Curr Allergy Asthma Rep. 2020 Jun 6;20(8):30. doi: 10.1007/s11882-020-00928-2.