A COMPREHENSIVE REVIEW ON ASTHMA: PATHOPHYSIOLOGY, TREATMENT AND ROLE OF GENETICS

Muhammad Farooq Sabar, Muhammad Usman Ghani, Abeera Farooq, Sana Ashiq, Muhammad Akram, Farheena Iqbal Awan
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Abstract

Background: To date, several studies conducted to assess the role of genetics in the pathophysiology and treatment of asthma. Objectives: However, the findings were not consistent and remain uncertain. Thus, it is the need of the hour to assess the recent literature, observe limitations and finally propose future research directions in this field. Methodology: The relevant literature published in the English language was retrieved by using different electronic databases including Cochrane Library, Web of Science, PubMed, Ovid, EMBASE, and MEDLINE. Results: Leukotriene modifiers, β-adrenergic receptor agonists, and inhaled corticosteroids are the three most important classes. Data suggested that the heterogeneity in the treatment response among asthma patients is partly due to genetic factors. Conclusion: Large-scale genetic investigations can be improved by using the high throughput technologies that could have promising potential for personalized treatment of asthma, which in turn will minimize side effects, better therapeutic outcomes, and finally lead to more cost-effective care.
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哮喘的病理生理、治疗和遗传学作用综述
背景:迄今为止,进行了几项研究,以评估遗传学在哮喘病理生理和治疗中的作用。目的:然而,研究结果并不一致,仍然不确定。因此,评估最近的文献,观察局限性,最后提出该领域未来的研究方向是当务之急。方法:通过Cochrane Library、Web of Science、PubMed、Ovid、EMBASE、MEDLINE等电子数据库检索相关英文文献。结果:白三烯调节剂、β-肾上腺素能受体激动剂和吸入性皮质类固醇是最重要的三类。数据显示哮喘患者治疗反应的异质性部分是由于遗传因素。结论:使用高通量技术可以改善大规模遗传调查,这可能对哮喘的个性化治疗有很大的潜力,从而最大限度地减少副作用,改善治疗效果,最终实现更具成本效益的护理。
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