Biomarkers in the assessment and management of airways diseases

被引:23
作者
Taylor, D. R. [1 ]
Pavord, I. D. [2 ]
机构
[1] Univ Otago, Dunedin Sch Med, Dunedin, New Zealand
[2] Glenfield Gen Hosp, Univ Hospitals Leicester Trust, Dept Resp Med, Leicester LE3 9QP, Leics, England
关键词
D O I
10.1136/pgmj.2008.069864
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A plethora of biomarkers are becoming available in the field of respiratory medicine, but their application in clinical practice has been limited. This is changing. There is increasing scope for biomarkers to be used to define pathological as well as treatment responder phenotypes in asthma and chronic obstructive pulmonary disease. In some situations, conventional diagnostic labelling is being superseded by this approach and clinical outcomes are improved. Biomarkers are potentially very important in the development and assessment of new therapeutic agents, particularly for the treatment of severe asthma. They also have a potential role in monitoring disease activity and predicting future clinical outcomes for asthma and chronic obstructive pulmonary disease. Current evidence in relation to these issues is explored in this review.
引用
收藏
页码:628 / 634
页数:7
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共 58 条
[21]   Outcomes and markers in the assessment of chronic obstructive pulmonary disease [J].
Jones, PW ;
Agusti, AGN .
EUROPEAN RESPIRATORY JOURNAL, 2006, 27 (04) :822-832
[22]   The predictive value of exhaled nitric oxide measurements in assessing changes in asthma control [J].
Jones, SL ;
Kittelson, J ;
Cowan, JO ;
Flannery, EM ;
Hancox, RJ ;
McLachlan, CR ;
Taylor, DR .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 164 (05) :738-743
[23]   Exhaled biomarkers [J].
Kharitonov, Sergei A. ;
Barnes, Peter J. .
CHEST, 2006, 130 (05) :1541-1546
[24]   Predictive markers of asthma exacerbation during stepwise dose reduction of inhaled corticosteroids [J].
Leuppi, JD ;
Salome, CM ;
Jenkins, CR ;
Anderson, SD ;
Xuan, W ;
Marks, GB ;
Koskela, H ;
Brannan, JD ;
Freed, R ;
Andersson, M ;
Chan, HK ;
Woolcock, AJ .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 163 (02) :406-412
[25]   C-reactive protein and mortality in mild to moderate chronic obstructive pulmonary disease [J].
Man, S. F. P. ;
Connett, J. E. ;
Anthonisen, N. R. ;
Wise, R. A. ;
Tashkin, D. P. ;
Sin, D. D. .
THORAX, 2006, 61 (10) :849-853
[26]   Accuracy of eosinophils and eosinophil cationic protein to predict steroid improvement in asthma [J].
Meijer, RJ ;
Postma, DS ;
Kauffman, HF ;
Arends, LR ;
Koëter, GH ;
Kerstjens, HAM .
CLINICAL AND EXPERIMENTAL ALLERGY, 2002, 32 (07) :1096-1103
[27]   Portable exhaled nitric oxide measurement - Comparison with the "gold standard" technique [J].
Menzies, Daniel ;
Nair, Arun ;
Lipworth, Brian J. .
CHEST, 2007, 131 (02) :410-414
[28]   Exhaled nitric oxide and asthma control: a longitudinal study in unselected patients [J].
Michils, A. ;
Baldassarre, S. ;
Van Muylem, A. .
EUROPEAN RESPIRATORY JOURNAL, 2008, 31 (03) :539-546
[29]   Long-term asthma treatment guided by airway hyperresponsiveness in children: a randomised controlled trial [J].
Nuijsink, M. ;
Hop, W. C. J. ;
Sterk, P. J. ;
Duiverman, E. J. ;
de Jorgste, J. C. .
EUROPEAN RESPIRATORY JOURNAL, 2007, 30 (03) :457-466
[30]   Inflammation in sputum relates to progression of disease in subjects with COPD: a prospective descriptive study [J].
Parr, David G. ;
White, Andrew J. ;
Bayley, Darren L. ;
Guest, Peter J. ;
Stockley, Robert A. .
RESPIRATORY RESEARCH, 2006, 7 (1)