Exploring novel perspectives on eosinophilic inflammation in severe asthma

Biomark Med. 2024;18(8):357-361. doi: 10.2217/bmm-2023-0801. Epub 2024 Apr 16.

Abstract

Two recent articles by the same research group documented that patients with severe eosinophilic asthma exhibit an increased proportion of a subtype of eosinophils, namely CD62Llow inflammatory eosinophils (iEos) and identified an intriguing correlation between such iEos and asthma control scores. Moreover, CD62Llow iEos were reduced after treatment with the anti-IL-5 monoclonal antibody mepolizumab. In the future, we believe that eosinophil subtypes could represent a useful biomarker in severe eosinophilic asthma, helping clinicians characterize patient endotypes and monitoring the response to biological drugs.

Keywords: biomarkers; eosinophil subtypes; eosinophilic inflammation; outcome; rehabilitation; severe asthma.

Plain language summary

Patients with severe eosinophilic asthma (SEA) have an increased proportion of a subtype of eosinophils, CD62Llow inflammatory eosinophils (iEos), which are reduced after mepolizumab treatment. iEos might represent a novel useful biomarker in SEA.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Asthma* / drug therapy
  • Asthma* / immunology
  • Asthma* / metabolism
  • Asthma* / pathology
  • Biomarkers / metabolism
  • Eosinophilia / immunology
  • Eosinophilia / pathology
  • Eosinophils* / immunology
  • Eosinophils* / metabolism
  • Eosinophils* / pathology
  • Humans
  • Inflammation* / pathology
  • Interleukin-5 / metabolism
  • Severity of Illness Index

Substances

  • Biomarkers
  • mepolizumab
  • Antibodies, Monoclonal, Humanized
  • Interleukin-5