Immunologic Strategies for Prevention of Asthma.

Document Type

Article

Publication Date

3-2020

Identifier

DOI: 10.1016/j.jaip.2019.11.029

Abstract

A new understanding of factors leading to the development of asthma has pointed to potential primary, secondary, and tertiary prevention strategies. Some, such as genetic makeup, are not yet modifiable. Interventions targeting other factors such as maternal intake of vitamin D or environmental control can be used to decrease the risk of asthma development (primary prevention). The benefits of a diversified microbiome could be considered when recommending allergen avoidance and pet ownership. In addition to reducing symptoms, allergen immunotherapy is also worth considering for prevention of new sensitivities (secondary prevention) in addition to the development of asthma. Ongoing studies involving the use of bacterial vaccines and biologics may provide additional strategies for primary prevention of asthma and for reducing symptoms once it has developed (tertiary prevention). As the relative benefits of these strategies are defined, they should have an increasingly important place in the prevention and management of asthma.

Journal Title

J Allergy Clin Immunol Pract

Volume

8

Issue

3

First Page

834

Last Page

847

Keywords

Allergen immunotherapy; Asthma; Microbiome; Primary prevention

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