TABLE 1

Phenotyping of individuals with obstructive lung disease based on different investigational approaches

ReferenceDiseaseVariableDiagnostic and/or prognostic model
Medical history and physical examination[9]AsthmaAge and onset of disease
Within-subject response to montelukast is superior to fluticasone in childhood asthma in younger children and children with a shorter disease duration
Lifestyle[10]Atopic eczemaCat exposure and geneticsFilaggrin loss-of-function main mutations (501x and 2282del4) and cat ownership at birth interact in their effects on the development of early-life eczema
Basic laboratory tests[11–14]Severe asthmaEosinophil countsEosinophil counts in peripheral blood and/or bronchial lavage are predictors for treatment response to anti-IL-5
ImagingNANANANo data available
Functional diagnostics[9]AsthmaLung function and exhaled NOChildren with asthma respond in a different way to ICS and LTRA using FEV1 as a clinical end-point. High NO levels and decreased lung function are predictors of a better treatment response to ICS
Immunology/histology[15]AsthmaCytokine levelsPatients with asthma and high pretreatment levels of serum periostin (surrogate marker of Th2 inflammation) had greater improvement in lung function with the monoclonal anti-IL-13 antibody lebrikizumab than did patients with low periostin levels
Omics[16]AsthmaADRB2Substitution at position 16 (rs1042713) in ADRB2 is associated with enhanced downregulation and uncoupling of β2-receptors. The use of a LABA as an “add-on controller” is associated with increased risk of asthma exacerbation in children carrying one or two A alleles at rs1042713

IL: interleukin; NA: not available; NO: nitric oxide; ICS: inhaled corticosteroid; LTRA: leukotriene receptor antagonist; FEV1: forced expiratory volume in 1 s; Th2: type 2 helper T-cell; ADRB2: β2-adrenoceptor gene; LABA: long-acting β-agonist.