| Entry |
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| Name |
Asthma - Homo sapiens (human)
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| Description |
Asthma is a complex syndrome with many clinical phenotypes in both adults and children. Its major characteristics include a variable degree of airflow obstruction, bronchial hyperresponsiveness, and airway inflammation. Inhaled allergens encounter antigen presenting cells (APC) that line the airway. Upon recognition of the antigen and activation by APC, naive T cells differentiate into TH2 cells. Activated TH2 stimulate the formation of IgE by B cells. IgE molecules bind to IgE receptors located on mast cells. The crosslinking of mast-cell-bound IgE by allergens leads to the release of biologically active mediators (histamine, leukotrienes) by means of degranulation and, so, to the immediate symptoms of allergy. Mast cells also release chemotactic factors that contribute to the recruitment of inflammatory cells, particularly eosinophils, whose proliferation and differentiation from bone marrow progenitors is promoted by IL-5. The activation of eosinophils leads to release of toxic granules and oxygen free radicals that lead to tissue damage and promote the development of chronic inflammation.
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| Class |
Human Diseases; Immune diseases
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| Pathway map |

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| Disease |
| Asthma | | Eosinophil peroxidase deficiency |
|
| Drug |
| Golimumab (genetical recombination) (JAN) | | Anrukinzumab (USAN) | | Lebrikizumab (USAN/INN) | | Enokizumab (USAN/INN) |
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| Organism |
Homo sapiens (human) [GN: hsa]
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| Gene |
| HLA-DMA; major histocompatibility complex, class II, DM alpha [KO: K06752] | | HLA-DMB; major histocompatibility complex, class II, DM beta [KO: K06752] | | HLA-DOA; major histocompatibility complex, class II, DO alpha [KO: K06752] | | HLA-DOB; major histocompatibility complex, class II, DO beta [KO: K06752] | | HLA-DPA1; major histocompatibility complex, class II, DP alpha 1 [KO: K06752] | | HLA-DPB1; major histocompatibility complex, class II, DP beta 1 [KO: K06752] | | HLA-DQA1; major histocompatibility complex, class II, DQ alpha 1 [KO: K06752] | | HLA-DQA2; major histocompatibility complex, class II, DQ alpha 2 [KO: K06752] | | HLA-DQB1; major histocompatibility complex, class II, DQ beta 1 [KO: K06752] | | HLA-DRA; major histocompatibility complex, class II, DR alpha [KO: K06752] | | HLA-DRB1; major histocompatibility complex, class II, DR beta 1 [KO: K06752] | | HLA-DRB3; major histocompatibility complex, class II, DR beta 3 [KO: K06752] | | HLA-DRB4; major histocompatibility complex, class II, DR beta 4 [KO: K06752] | | HLA-DRB5; major histocompatibility complex, class II, DR beta 5 [KO: K06752] | | HLA class II histocompatibility antigen; K06752 major histocompatibility complex, class II [KO: K06752] | | HLA class II histocompatibility antigen; K06752 major histocompatibility complex, class II [KO: K06752] | | HLA class II histocompatibility antigen; K06752 major histocompatibility complex, class II [KO: K06752] | | HLA class II histocompatibility antigen; K06752 major histocompatibility complex, class II [KO: K06752] | | IL4; interleukin 4 [KO: K05430] | | CD40LG; CD40 ligand [KO: K03161] | | CD40; CD40 molecule, TNF receptor superfamily member 5 [KO: K03160] | | FCER1A; Fc fragment of IgE, high affinity I, receptor for [KO: K08089] | | MS4A2; membrane-spanning 4-domains, subfamily A, member 2 [KO: K08090] | | FCER1G; Fc fragment of IgE, high affinity I, receptor for [KO: K07983] | | IL9; interleukin 9 [KO: K05432] | | IL10; interleukin 10 [KO: K05443] | | IL13; interleukin 13 [KO: K05435] | | IL5; interleukin 5 (colony-stimulating factor, eosinophil) [KO: K05428] | | CCL11; chemokine (C-C motif) ligand 11 [KO: K16597] | | TNF; tumor necrosis factor [KO: K03156] | | IL3; interleukin 3 (colony-stimulating factor, multiple) [KO: K04736] | | PRG2; proteoglycan 2, bone marrow (natural killer cell activator, eosinophil granule major basic protein) [KO: K10786] | | RNASE3; ribonuclease, RNase A family, 3 [KO: K10787] [EC:3.1.27.-] | | |
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| Compound |
| Histamine | | Prostaglandin D2 | | Leukotriene C4 | | 2-Acetyl-1-alkyl-sn-glycero-3-phosphocholine | | Leukotriene D4 |
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| Reference |
|
| Authors |
Busse WW, Lemanske RF Jr. |
| Title |
Asthma. |
| Journal |
N Engl J Med 344:350-62 (2001) |
| Reference |
|
| Authors |
Renauld JC. |
| Title |
New insights into the role of cytokines in asthma. |
| Journal |
J Clin Pathol 54:577-89 (2001) |
| Reference |
|
| Authors |
Romagnani S. |
| Title |
The role of lymphocytes in allergic disease. |
| Journal |
J Allergy Clin Immunol 105:399-408 (2000) |
| Reference |
|
| Authors |
Averbeck M, Gebhardt C, Emmrich F, Treudler R, Simon JC. |
| Title |
Immunologic principles of allergic disease. |
| Journal |
J Dtsch Dermatol Ges 5:1015-28 (2007) |
| Reference |
|
| Authors |
Conroy DM, Williams TJ. |
| Title |
Eotaxin and the attraction of eosinophils to the asthmatic lung. |
| Journal |
Respir Res 2:150-6 (2001) |
| Reference |
|
| Authors |
Effros RM, Nagaraj H. |
| Title |
Asthma: new developments concerning immune mechanisms, diagnosis and treatment. |
| Journal |
Curr Opin Pulm Med 13:37-43 (2007) |
| Reference |
|
| Authors |
Barnes PJ. |
| Title |
Immunology of asthma and chronic obstructive pulmonary disease. |
| Journal |
Nat Rev Immunol 8:183-92 (2008) |
| Reference |
|
| Authors |
Holgate ST, Polosa R. |
| Title |
Treatment strategies for allergy and asthma. |
| Journal |
Nat Rev Immunol 8:218-30 (2008) |
| Reference |
|
| Authors |
Valenta R. |
| Title |
The future of antigen-specific immunotherapy of allergy. |
| Journal |
Nat Rev Immunol 2:446-53 (2002) |
| Reference |
|
| Authors |
Trivedi SG, Lloyd CM. |
| Title |
Eosinophils in the pathogenesis of allergic airways disease. |
| Journal |
Cell Mol Life Sci 64:1269-89 (2007) |
| Reference |
|
| Authors |
Heinecke JW. |
| Title |
Eosinophil-dependent bromination in the pathogenesis of asthma. |
| Journal |
J Clin Invest 105:1331-2 (2000) |
| KO pathway |
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