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asthma

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Asthma pathogeny

Asthma is a chronic respiratory condition that affects children and adults. Genetic predisposition and environmental factors interact to produce the disease.

Types

- acute asthma
- chronic asthma

Synopsis

- mucus plugs
- mucosal eosinophilic infiltrate
- mucosal basement membrane thickening with sunmembranous collagen deposition
- distinctive inclusions in airway mucus

  • Charcot-Leyden crystals
  • creola bodies
  • Curschmann spirals

- epithelial shedding (desquamation)
- goblet cell metaplasia (goblet cell hyperplasia)
- squamous metaplasia
- airway wall edema
- bronchial mucus gland hyperplasia
- airway smooth muscle hyperplasia

Susceptibility

- ORMDL3 at 17q21 (17611496)
- IL12B at 5q31-33 (15322986)
- 6p21
- IL13 (TH2 cytokine signaling pathway)
- ADAM33
- DPP10 (peptidase gene)
- PHF11 at 13q14
- Locus AS1 : 14q24 (12119603)
- Tim1 (mouse)
- C5

Videos

- Asthma by Washington Deceit

References

- Moffatt MF, Kabesch M, Liang L, Dixon AL, Strachan D, Heath S, Depner M, von Berg A, Bufe A, Rietschel E, Heinzmann A, Simma B, Frischer T, Willis-Owen SA, Wong KC, Illig T, Vogelberg C, Weiland SK, von Mutius E, Abecasis GR, Farrall M, Gut IG, Lathrop GM, Cookson WO. Genetic variants regulating ORMDL3 expression contribute to the risk of childhood asthma. Nature. 2007 Jul 4; PMID: 17611496

Reviews

- Makinde T, Murphy RF, Agrawal DK. Immunomodulatory role of vascular endothelial growth factor and angiopoietin-1 in airway remodeling. Curr Mol Med. 2006 Dec;6(8):831-41. PMID: 17168735

- Barnes PJ. New therapies for asthma. Trends Mol Med. 2006 Nov;12(11):515-20. PMID: 17011826

- Kay AB. The role of eosinophils in the pathogenesis of asthma. Trends Mol Med. 2005 Apr;11(4):148-52. PMID: 15823751

- Wills-Karp M, Ewart SL. Time to draw breath: asthma-susceptibility genes are identified. Nat Rev Genet. 2004 May;5(5):376-87. PMID: 15143320

- Weiss ST, Raby BA. Asthma genetics 2003. Hum Mol Genet. 2004 Apr 1;13 Spec No 1:R83-9. PMID: 14764626

- Cookson W. A new gene for asthma: would you ADAM and Eve it? Trends Genet. 2003 Apr;19(4):169-72. PMID: 12683965

- Cookson WO, Moffatt MF. Genetics of asthma and allergic disease. Hum Mol Genet. 2000 Oct;9(16):2359-64. PMID: 11005790