[Obesity and asthma: Mechanisms and therapeutic options]

Rev Mal Respir. 2020 Feb;37(2):134-143. doi: 10.1016/j.rmr.2019.03.015. Epub 2019 Dec 18.
[Article in French]

Abstract

Asthma and obesity are both common conditions, which lead to a substantial public health burden. The obese-asthma phenotype is characterized by poor asthma control, impaired lung function and decreased efficacy of inhaled treatment. However, this phenotype is highly heterogeneous and involves numerous mechanisms, including systemic inflammation and adipokines. A role for microbiota modifications and genetics has been suggested. Obese-asthma patient management currently consists in weight loss and usual anti-asthmatic treatment. New therapeutic options are being evaluated.

Keywords: Adipokines; Asthma; Asthme; Microbiota; Microbiote; Obesity; Obésité; Phenotype.

Publication types

  • Review

MeSH terms

  • Adipokines / physiology
  • Anti-Asthmatic Agents / therapeutic use
  • Asthma / complications*
  • Asthma / epidemiology
  • Asthma / metabolism
  • Asthma / therapy*
  • Humans
  • Inflammation / complications
  • Inflammation / metabolism
  • Inflammation / physiopathology
  • Obesity / complications*
  • Obesity / epidemiology
  • Obesity / metabolism
  • Obesity / therapy*
  • Phenotype
  • Signal Transduction / physiology
  • Weight Reduction Programs / methods

Substances

  • Adipokines
  • Anti-Asthmatic Agents