PMID- 33419185 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210218 IS - 2075-4418 (Print) IS - 2075-4418 (Electronic) IS - 2075-4418 (Linking) VI - 11 IP - 1 DP - 2021 Jan 6 TI - Immunologic Pathophysiology and Airway Remodeling Mechanism in Severe Asthma: Focused on IgE-Mediated Pathways. LID - 10.3390/diagnostics11010083 [doi] LID - 83 AB - Despite the expansion of the understanding in asthma pathophysiology and the continual advances in disease management, a small subgroup of patients remains partially controlled or refractory to standard treatments. Upon the identification of immunoglobulin E (IgE) and other inflammatory mediators, investigations and developments of targeted agents have thrived. Omalizumab is a humanized monoclonal antibody that specifically targets the circulating IgE, which in turn impedes and reduces subsequent releases of the proinflammatory mediators. In the past decade, omalizumab has been proven to be efficacious and well-tolerated in the treatment of moderate-to-severe asthma in both trials and real-life studies, most notably in reducing exacerbation rates and corticosteroid use. While growing evidence has demonstrated that omalizumab may be potentially beneficial in treating other allergic diseases, its indication remains confined to treating severe allergic asthma and chronic idiopathic urticaria. Future efforts may be bestowed on determining the optimal length of omalizumab treatment, seeking biomarkers that could better predict treatment response and as well as extending its indications. FAU - Cheng, Shih-Lung AU - Cheng SL AD - Department of Internal Medicine, Far Eastern Memorial Taipei Hospital, Department of Chemical Engineering and Materials Science, Yuan Ze University, Zhongli, Taoyuan 32056, Taiwan. LA - eng PT - Journal Article PT - Review DEP - 20210106 PL - Switzerland TA - Diagnostics (Basel) JT - Diagnostics (Basel, Switzerland) JID - 101658402 PMC - PMC7825545 OTO - NOTNLM OT - IgE OT - airway remodeling OT - asthma COIS- The author declare no conflict of interest. EDAT- 2021/01/10 06:00 MHDA- 2021/01/10 06:01 PMCR- 2021/01/06 CRDT- 2021/01/09 01:02 PHST- 2020/12/22 00:00 [received] PHST- 2021/01/02 00:00 [revised] PHST- 2021/01/04 00:00 [accepted] PHST- 2021/01/09 01:02 [entrez] PHST- 2021/01/10 06:00 [pubmed] PHST- 2021/01/10 06:01 [medline] PHST- 2021/01/06 00:00 [pmc-release] AID - diagnostics11010083 [pii] AID - diagnostics-11-00083 [pii] AID - 10.3390/diagnostics11010083 [doi] PST - epublish SO - Diagnostics (Basel). 2021 Jan 6;11(1):83. doi: 10.3390/diagnostics11010083.