The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
Heterogeneity of therapeutic responses in asthma
Abstract
Asthma is a complex clinical syndrome with multiple genetic and environmental factors contributing to its phenotypic expression. This aetiological heterogeneity adds to the complexity when addressing variation in the response to anti-asthma treatment. Currently, there are three main lines of treatment available: (i) inhaled glucocorticoids which have multiple mechanisms of action; (ii) beta 2-agonists which are very effective bronchodilators and act predominantly on airway smooth muscle; and (iii) cysteinyl-leukotriene inhibitors. Analysis of the repeatability (r) of the treatment response, defined as the fraction of the total population variance which results from among-individual differences, shows values of r between 60-80% indicating that a substantial fraction of the variance of the treatment response could be genetic in nature. Among the sources of variability that could contribute to the observed heterogeneity in the response to treatment are the degree of underlying inflammation, such as in glucocorticoid resistance, and polymorphisms in the genes encoding the drug target, such as beta 2-adrenoceptor and 5-lipoxygenase.
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Cited by
Serhan, C. N., Hong, S., Gronert, K., Colgan, S. P., Devchand, P. R., Mirick, G., & Moussignac, R.-L. (2002) · The Journal of Experimental Medicine · doi:10.1084/jem.20020760 · Cited by 1,650
Genomewide Association between GLCCI1 and Response to Glucocorticoid Therapy in Asthma
Tantisira, K. G., Lasky-Su, J., Harada, M., Murphy, A., Litonjua, A. A., Himes, B. E., Lange, C., Lazarus, R., Sylvia, J., Klanderman, B., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa0911353 · Cited by 366
Ortega, V. E., & Meyers, D. A. (2014) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2013.10.040 · Cited by 237
Gulliver, T., Morton, R., & Eid, N. (2007) · Pediatric Drugs · doi:10.2165/00148581-200709030-00007 · Cited by 47
Metadata
- Authors
- Drazen, J. M., Silverman, E. K., & Lee, T. H.
- Venue
- British Medical Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-01-01
- Volume
- 56
- Issue
- 4
- Pages
- 1054-1070
- ISSN
- 0007-1420 (ISSN-L)
- 1471-8391
- OpenAlex
- W2030676726
- Cited by
- 318
- References
- 30
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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