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  1. Article ; Online: Targeted anti-IL-13 therapies in asthma: current data and future perspectives.

    Ntontsi, Polyxeni / Papathanassiou, Evgenia / Loukides, Stelios / Bakakos, Petros / Hillas, Georgios

    Expert opinion on investigational drugs

    2018  Volume 27, Issue 2, Page(s) 179–186

    Abstract: Introduction: The identification of patients with severe asthma who will benefit from a personalized management approach remains an unmet need. Interleukin-13 (IL-13) is a cytokine possessing a significant role in asthma pathogenesis and progression of ... ...

    Abstract Introduction: The identification of patients with severe asthma who will benefit from a personalized management approach remains an unmet need. Interleukin-13 (IL-13) is a cytokine possessing a significant role in asthma pathogenesis and progression of disease. Humanised monoclonal antibodies against IL-13 and IL-13 and IL-4 receptors are mainly proposed as add-on therapy in patients with T
    Areas covered: The role of IL-13 in airway inflammation in severe asthma, the targeted anti-IL-13 therapies and biomarkers that predict response to anti-IL-13 treatment are discussed.
    Expert opinion: New effective individualized therapies in severe asthma are urgently needed to block specific inflammatory pathways using monoclonal antibodies. Studies on anti-IL-13 therapies showed that asthmatic patients could benefit from this novel targeted therapy as far as lung function and exacerbation rate are concerned. T
    MeSH term(s) Animals ; Anti-Asthmatic Agents/immunology ; Anti-Asthmatic Agents/pharmacology ; Antibodies, Monoclonal, Humanized/immunology ; Antibodies, Monoclonal, Humanized/pharmacology ; Asthma/drug therapy ; Asthma/immunology ; Humans ; Inflammation/drug therapy ; Inflammation/immunology ; Interleukin-13/immunology ; Molecular Targeted Therapy ; Precision Medicine/methods ; Receptors, Interleukin-13/immunology ; Receptors, Interleukin-4/immunology ; Severity of Illness Index
    Chemical Substances Anti-Asthmatic Agents ; Antibodies, Monoclonal, Humanized ; Interleukin-13 ; Receptors, Interleukin-13 ; Receptors, Interleukin-4
    Language English
    Publishing date 2018-01-19
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1182884-5
    ISSN 1744-7658 ; 0967-8298 ; 1354-3784
    ISSN (online) 1744-7658
    ISSN 0967-8298 ; 1354-3784
    DOI 10.1080/13543784.2018.1427729
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Severe asthma: anti-IgE or anti-IL-5?

    Papathanassiou, Evgenia / Loukides, Stelios / Bakakos, Petros

    European clinical respiratory journal

    2016  Volume 3, Page(s) 31813

    Abstract: Severe asthma is a discrete clinical entity characterised by recurrent exacerbations, reduced quality of life and poor asthma control as ordinary treatment regimens remain inadequate. Difficulty in managing severe asthma derives partly from the multiple ... ...

    Abstract Severe asthma is a discrete clinical entity characterised by recurrent exacerbations, reduced quality of life and poor asthma control as ordinary treatment regimens remain inadequate. Difficulty in managing severe asthma derives partly from the multiple existing phenotypes and our inability to recognise them. Though the exact pathogenetic pathway of severe allergic asthma remains unclear, it is known that numerous inflammatory cells and cytokines are involved, and eosinophils represent a key inflammatory cell mediator. Anti-IgE (omalizumab) and anti-IL-5 (mepolizumab) antibodies are biological agents that interfere in different steps of the Th2 inflammatory cascade and are licensed in severe asthma. Both exhibit a favourable clinical outcome as they reduce exacerbation rate and improve asthma control and quality of life, while mepolizumab also induces an oral steroid sparing effect. Nevertheless, it is still questionable which agent is more suitable in the management of severe allergic asthma since no comparable studies have been conducted. Omalizumab's established effectiveness in clinical practice over a long period is complemented by a beneficial effect on airway remodelling process mediated mainly through its impact on eosinophils and other parameters strongly related to eosinophilic inflammation. However, it is possible that mepolizumab through nearly depleting eosinophils could have a similar effect on airway remodelling. Moreover, to date, markers indicative of the patient population responding to each treatment are unavailable although baseline eosinophils and exacerbation rate in the previous year demonstrate a predictive value regarding anti-IL-5 therapy effectiveness. On the other hand, a better therapeutic response for omalizumab has been observed when low forced expiratory volume in 1 sec, high-dose inhaled corticosteroids and increased IgE concentrations are present. Consequently, conclusions are not yet safe to be drawn based on existing knowledge, and additional research is necessary to unravel the remaining issues for the severe asthmatic population.
    Language English
    Publishing date 2016-11-07
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2834928-3
    ISSN 2001-8525
    ISSN 2001-8525
    DOI 10.3402/ecrj.v3.31813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Severe asthma

    Evgenia Papathanassiou / Stelios Loukides / Petros Bakakos

    European Clinical Respiratory Journal, Vol 3, Iss 0, Pp 1-

    anti-IgE or anti-IL-5?

    2016  Volume 9

    Abstract: Severe asthma is a discrete clinical entity characterised by recurrent exacerbations, reduced quality of life and poor asthma control as ordinary treatment regimens remain inadequate. Difficulty in managing severe asthma derives partly from the multiple ... ...

    Abstract Severe asthma is a discrete clinical entity characterised by recurrent exacerbations, reduced quality of life and poor asthma control as ordinary treatment regimens remain inadequate. Difficulty in managing severe asthma derives partly from the multiple existing phenotypes and our inability to recognise them. Though the exact pathogenetic pathway of severe allergic asthma remains unclear, it is known that numerous inflammatory cells and cytokines are involved, and eosinophils represent a key inflammatory cell mediator. Anti-IgE (omalizumab) and anti-IL-5 (mepolizumab) antibodies are biological agents that interfere in different steps of the Th2 inflammatory cascade and are licensed in severe asthma. Both exhibit a favourable clinical outcome as they reduce exacerbation rate and improve asthma control and quality of life, while mepolizumab also induces an oral steroid sparing effect. Nevertheless, it is still questionable which agent is more suitable in the management of severe allergic asthma since no comparable studies have been conducted. Omalizumab's established effectiveness in clinical practice over a long period is complemented by a beneficial effect on airway remodelling process mediated mainly through its impact on eosinophils and other parameters strongly related to eosinophilic inflammation. However, it is possible that mepolizumab through nearly depleting eosinophils could have a similar effect on airway remodelling. Moreover, to date, markers indicative of the patient population responding to each treatment are unavailable although baseline eosinophils and exacerbation rate in the previous year demonstrate a predictive value regarding anti-IL-5 therapy effectiveness. On the other hand, a better therapeutic response for omalizumab has been observed when low forced expiratory volume in 1 sec, high-dose inhaled corticosteroids and increased IgE concentrations are present. Consequently, conclusions are not yet safe to be drawn based on existing knowledge, and additional research is necessary to unravel the remaining issues for the severe asthmatic population.
    Keywords severe asthma ; monoclonal antibodies ; IgE ; IL-5 ; inflammation ; asthma control ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2016-11-01T00:00:00Z
    Publisher CoAction
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Glycated Hemoglobin (HbA1c) as a Predictor of Outcomes during Acute Exacerbations of Chronic Obstructive Pulmonary Disease.

    Papathanassiou, Evgenia / Papaioannou, Andriana I / Papanikolaou, Ilias / Antonakis, Emmanouil / Makou, Ioanna / Hillas, Georgios / Mizi, Eleutheria / Bakakos, Petros / Apollonatou, Vasiliki / Verykokou, Galateia / Roussakis, Nikolaos / Tsilogianni, Zoe / Papiris, Spyros / Loukides, Stelios

    COPD

    2021  Volume 18, Issue 2, Page(s) 219–225

    Abstract: Systemic inflammation may be the common denominator between COPD and type 2 diabetes and may explain the correlation in both diseases' development and progress. The aim of this prospective observational study is to examine the prognostic value of ... ...

    Abstract Systemic inflammation may be the common denominator between COPD and type 2 diabetes and may explain the correlation in both diseases' development and progress. The aim of this prospective observational study is to examine the prognostic value of glycated hemoglobin levels (HbA1c) and HbA1c-adjusted glycemic variables (glycemic gap, stress hyperglycemia ratio και modified stress hyperglycemia ratio) in an acute exacerbation of COPD (AECOPD) as well as in COPD disease's morbidity and mortality during the following year. We evaluated patients hospitalized only for COPD exacerbations. Levels of HbA1c and HbA1c-adjusted glycemic variables were recorded upon admission. The study outcomes included duration of hospital stay, need for mechanical ventilation and exacerbation outcome. All subjects were followed up for one year. A total of 156 patients were included in the study (74.4% men, age [mean ±
    MeSH term(s) Aged ; Blood Glucose ; Diabetes Mellitus, Type 2/complications ; Disease Progression ; Female ; Glycated Hemoglobin A/analysis ; Hospitalization ; Humans ; Hyperglycemia ; Male ; Pulmonary Disease, Chronic Obstructive
    Chemical Substances Blood Glucose ; Glycated Hemoglobin A
    Language English
    Publishing date 2021-03-24
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2171107-0
    ISSN 1541-2563 ; 1541-2555
    ISSN (online) 1541-2563
    ISSN 1541-2555
    DOI 10.1080/15412555.2021.1902491
    Database MEDical Literature Analysis and Retrieval System OnLINE

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