PMID- 35207441 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230721 IS - 2075-1729 (Print) IS - 2075-1729 (Electronic) IS - 2075-1729 (Linking) VI - 12 IP - 2 DP - 2022 Jan 20 TI - Asthma and COVID-19 Associations: Focus on IgE-Related Immune Pathology. LID - 10.3390/life12020153 [doi] LID - 153 AB - Management of patients with asthma during the coronavirus disease 2019 (COVID-19) pandemic is a concern, especially since asthma predisposes patients to respiratory problems. Interestingly, asthma characterized by type 2 inflammation, also known as T-helper type 2-high endotype, displays a cellular and molecular profile that may confer protective effects against COVID-19. The results of experimental and clinical studies have established the actions of immunoglobulin E (IgE) in inducing airway hyperreactivity and weakening an interferon-mediated antiviral response following respiratory viral infection. Robust evidence supports the beneficial effect of the anti-IgE biologic treatment omalizumab on reducing respiratory virus-induced asthma exacerbations and reducing the frequency, duration, and severity of respiratory viral illness in patients with asthma. Indeed, accumulating reports of patients with severe asthma treated with omalizumab during the pandemic have reassuringly shown that continuing omalizumab treatment during COVID-19 is safe, and in fact may help prevent the severe course of COVID-19. Accordingly, guidance issued by the Global Initiative for Asthma recommends that all patients with asthma continue taking their prescribed asthma medications, including biologic therapy, during the COVID-19 pandemic. The impact of biologic treatments on patients with asthma and COVID-19 will be better understood as more evidence emerges. FAU - Wang, Chung-Jen AU - Wang CJ AD - Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 22056, Taiwan. FAU - Cheng, Shih-Lung AU - Cheng SL AUID- ORCID: 0000-0003-0111-3157 AD - Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 22056, Taiwan. AD - Department of Chemical Engineering and Materials Science, Yuab Ze University, Taoyuan City 32003, Taiwan. FAU - Kuo, Sow-Hsong AU - Kuo SH AD - Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 22056, Taiwan. LA - eng PT - Journal Article PT - Review DEP - 20220120 PL - Switzerland TA - Life (Basel) JT - Life (Basel, Switzerland) JID - 101580444 PMC - PMC8874771 OTO - NOTNLM OT - COVID-19 OT - IgE OT - asthma OT - biologics OT - omalizumab COIS- The authors declare no commercial or financial conflict of interest. EDAT- 2022/02/26 06:00 MHDA- 2022/02/26 06:01 PMCR- 2022/01/20 CRDT- 2022/02/25 01:12 PHST- 2021/11/18 00:00 [received] PHST- 2022/01/15 00:00 [revised] PHST- 2022/01/19 00:00 [accepted] PHST- 2022/02/25 01:12 [entrez] PHST- 2022/02/26 06:00 [pubmed] PHST- 2022/02/26 06:01 [medline] PHST- 2022/01/20 00:00 [pmc-release] AID - life12020153 [pii] AID - life-12-00153 [pii] AID - 10.3390/life12020153 [doi] PST - epublish SO - Life (Basel). 2022 Jan 20;12(2):153. doi: 10.3390/life12020153.