Gene-Environment interactions in asthma: what we know today?

نویسندگان

  • Eleftherios Zervas
  • John W. Holloway
  • Valia Kehagia
چکیده

Asthma is a complex respiratory disease characterized by episodes of variable airflow obstruction with clinical symptoms such as wheezing, coughing and shortness of breath. The classic definition of asthma as a single disease has begun to wane and the emerging concept is that asthma is an entity or a syndrome consisting of various different phenotypes, each involving different pathogenetic mechanisms1,2. This idea has resulted from the large number of asthmatic phenotypes described and the numerous risk factors and immunological mechanisms that have been identified3-5. Asthma, with its various phenotypes, is a complex disease, resulting from the action of multiple environmental and genetic susceptibility factors. The development of the complex disease or syndrome is a process that depends on the interaction of these factors, in gene-gene, environmentenvironment and gene-environment manners, within a complex biological system6. Through years of research and effort, hundreds of genetic and environmental factors have been shown to be associated with asthma7,8. Despite these efforts, however, only few of these factors have become widely accepted. The two main reasons for this difficulty are the heterogeneity of asthma phenotypes and the inherent complexity of the disease.

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تاریخ انتشار 2012