Interleukin-5 in the Pathophysiology of Severe Asthma.
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Interleukin-5 (IL-5) exerts a central pathogenic role in differentiation, recruitment, survival, and degranulation of eosinophils. Indeed, during the last years, significant advances have been made in our understanding of the cellular and molecular mechanisms underlying the powerful actions of IL-5 finalized to the induction, maintenance, and amplification of eosinophilic inflammation. Therefore, IL-5 is a suitable target for add-on biological therapies based on either IL-5 inhibition (mepolizumab, reslizumab) or blockade of its receptor (benralizumab). These modern treatments can result in being definitely beneficial for patients with severe type 2 (T2)-high eosinophilic asthma, refractory to conventional anti-inflammatory drugs such as inhaled and even systemic corticosteroids.
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Of the 4 cytokines with treatment effects, IL5 and IL12 are classed as pro-inflammatory and IL10 and IL13 as anti-inflammatory.
“Of the 4 cytokines with treatment effects, IL5 and IL12 are classed as pro-inflammatory ( Pelaia et al., 2019; Trinchieri, 1995) and IL10 and IL13 as anti-inflammatory ( Iyer & Cheng, 2012; Kolosowska et al., 2019).”
From Stage 2 Registered Report: Refinement of tickling protocols to improve positive animal welfare in laboratory rats (2025) · cites this paper as Pelaia et al., 2019
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- Authors
- Pelaia, C., Paoletti, G., Puggioni, F., Racca, F., Pelaia, G., Canonica, G. W., & Heffler, E.
- Affiliations
- Magna Graecia University (IT)
- Humanitas University (IT)
- Corresponding author
- Heffler, Enrico
- ORCID
- Venue
- Frontiers in Physiology
- Publisher
- Frontiers Media SA
- Published
- 2019-12-17
- Volume
- 10
- Pages
- 1514-1514
- ISSN
- 1664-042X (ISSN-L)
- PMC
- PMC6927944
- OpenAlex
- W2995236062
- Cited by
- 337
- References
- 122
- Citations by year
- 2026: 44 · 2025: 73 · 2024: 66 · 2023: 52 · 2022: 40 · 2021: 37 · 2020: 23 · 2019: 1 · 2018: 1
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Physiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Life Sciences › Immunology and Microbiology › Immunology › IL-33, ST2, and ILC Pathways
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Keywords
- IL-5, severe asthma, eosinophils, eosinophilic inflammation, type 2 inflammation, mepolizumab, reslizumab, benralizumab, anti-IL-5 therapy
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