Rhinitis associated with asthma is distinct from rhinitis alone: The ARIA-MeDALL hypothesis
Language English Country Denmark Media print-electronic
Document type Journal Article, Review, Research Support, Non-U.S. Gov't
Grant support
MR/K002449/1
Medical Research Council - United Kingdom
MR/S002359/1
Medical Research Council - United Kingdom
MR/T031565/1
Medical Research Council - United Kingdom
MR/K002449/2
Medical Research Council - United Kingdom
MR/S025340/1
Medical Research Council - United Kingdom
MR/W028352/1
Medical Research Council - United Kingdom
PubMed
36799120
DOI
10.1111/all.15679
Knihovny.cz E-resources
- Keywords
- IL-33, Toll-like receptors, asthma, multimorbidity, rhinitis,
- MeSH
- Allergens MeSH
- Rhinitis, Allergic * complications MeSH
- Asthma * diagnosis epidemiology etiology MeSH
- Humans MeSH
- Multimorbidity MeSH
- Rhinitis * diagnosis epidemiology complications MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
- Names of Substances
- Allergens MeSH
Asthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of "one-airway-one-disease," coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the "Epithelial Barrier Hypothesis." This review determined that the "one-airway-one-disease" concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme "allergic" (asthma) phenotype combining asthma, rhinitis, and conjunctivitis. Rhinitis alone and rhinitis and asthma multimorbidity represent two distinct diseases with the following differences: (i) genomic and transcriptomic background (Toll-Like Receptors and IL-17 for rhinitis alone as a local disease; IL-33 and IL-5 for allergic and non-allergic multimorbidity as a systemic disease), (ii) allergen sensitization patterns (mono- or pauci-sensitization versus polysensitization), (iii) severity of symptoms, and (iv) treatment response. In conclusion, rhinitis alone (local disease) and rhinitis with asthma multimorbidity (systemic disease) should be considered as two distinct diseases, possibly modulated by the microbiome, and may be a model for understanding the epidemics of chronic and autoimmune diseases.
Agency of Health ASL Salerno Italy
ALL MED Medical Research Institute Wroclaw Poland
Allergy and Asthma Clinica SISUL FACAAI SPAAI Asuncion Paraguay
Allergy and Clinical Immunology National Heart and Lung Institute Imperial College London London UK
Allergy and Clinical Immunology Unit Centro Hospitalar e Universitário de Coimbra Coimbra Portugal
Allergy and Clinical Immunology Unit Mauriziano Hospital Torino Italy
Allergy and Immunology Centre Pantai Hospital Kuala Lumpur Kuala Lumpur Malaysia
Allergy and Respiratory Diseases IRCCS Policlinico San Martino University of Genoa Genoa Italy
Allergy Center CUF Descobertas Hospital Lisbon Portugal
Allergy Department 2nd Pediatric Clinic University of Athens Athens Greece
Allergy Division Chest Disease Department University Hospital of Strasbourg Strasbourg France
Allergy Section Department of Internal Medicine Hospital Vall d'Hebron Barcelona Spain
Allergy Service Fundacion Jimenez Diaz Autonoma University of Madrid CIBERES ISCIII Madrid Spain
Allergy Unit Department of Dermatology University Hospital of Zurich Zürich Switzerland
Allergy Unit Málaga Regional University Hospital of Málaga Malaga University ARADyAL Malaga Spain
AM Data Mining Barcelona Spain
ARADyAL Research Network Barcelona Spain
Argentine Society of Allergy and Immunopathology Buenos Aires Argentina
Asthma and Airway Disease Research Center University of Arizona Tucson Arizona USA
Berlin Institute of Health Berlin Germany
Biology of Reproduction department INSERM 1203 University hospital Montpellier France
Center for Rhinology and Allergology Wiesbaden Germany
Center of Allergy and Immunology David Tvildiani Medical University Tbilisi Georgia
Center of Allergy Immunology and Respiratory Diseases Santa Fe Argentina
Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle Ouagadougou Burkina Faso
Centro Médico Teknon Barcelona Spain
Chiba Rosai Hospital Chiba Japan
Chiba University Hospital Chiba Japan
Christine Kühne Center for Allergy Research and Education Davos Switzerland
CIBER Epidemiología y Salud Pública Barcelona Spain
Clinic of Occupational Diseases University Hospital Sveti Ivan Rilski Sofia Bulgaria
Clinical and Experimental Sciences Faculty of Medicine University of Southampton Southampton UK
Clinique des Bronches Allergie et Sommeil Hôpital Nord Marseille France
College of Allopathic Medicine Nova Southeastern University Fort Lauderdale Florida USA
Croatian Pulmonary Society Zagreb Croatia
David Hide Asthma and Allergy Research Centre Isle of Wight UK
Department of Allergology Medical University of Gdańsk Gdansk Poland
Department of Allergy and Clinical Immunology Ajou University School of Medicine Suwon South Korea
Department of Allergy and Immunology Hospital Quironsalud Bizkaia Bilbao Spain
Department of Allergy Carol Davila University of Medicine and Pharmacy Bucharest Bucharest Romania
Department of Allergy Hospital La Paz Institute for Health Research Madrid Spain
Department of Biomedical Sciences Humanitas University Pieve Emanuele Milan Italy
Department of Chest Medicine Centre Hospitalier Universitaire UCL Namur Belgium
Department of Clinical Immunology and Allergy Oncology Institute of St Elisabeth Bratislava Slovakia
Department of Clinical Immunology Wrocław Medical University Wroclaw Poland
Department of Clinical Science and Education Södersjukhuset Karolinska Institutet Stockholm Sweden
Department of Dermatology and Allergy Centre Odense University Hospital Odense Denmark
Department of Dermatology Medical University of Graz Graz Austria
Department of ENT Badr al Samaa Hospital Salalah Sultanate of Oman
Department of Family Medicine Medical University of Lodz Lodz Poland
Department of Geriatrics Montpellier University Hospital MUSE Montpellier France
Department of Immunoallergology Cova da Beira University Hospital Centre Covilhã Portugal
Department of Infection and Immunity Luxembourg Institute of Health Esch sur Alzette Luxembourg
Department of Lung Diseases and Clinical Allergology University of Turku Turku Finland
Department of Medical Sciences University of Torino Torino Italy
Department of Medicine Faculty of Medicine and Surgery University of Malta Msida Malta
Department of Otolaryngology Head and Neck Surgery Eye and Ear University Hospital Beirut Lebanon
Department of Otolaryngology Head and Neck Surgery Universitätsmedizin Mainz Mainz Germany
Department of Otolaryngology Nippon Medical School Tokyo Japan
Department of Otorhinolaryngology Amsterdam University Medical Centres Amsterdam the Netherlands
Department of Otorhinolaryngology Charité Universitätsmedizin Berlin Berlin Germany
Department of Otorhinolaryngology Head and Neck Surgery Dar Al Shifa Hospital Salmiya Kuwait
Department of Otorhinolaryngology Head and Neck Surgery Semmelweis University Budapest Hungary
Department of Paediatrics Oslo University Hospital Oslo Norway
Department of Pediatrics Carol Davila University of Medicine and Pharmacy Bucharest Romania
Department of Pediatrics Federal University of Parana Curitiba Brazil
Department of Pediatrics Medical School Federal University of Minas Gerais Belo Horizonte Brazil
Department of Pediatrics Nippon Medical School Tokyo Japan
Department of Pneumology Medical University of Gdańsk Gdansk Poland
Department of Pulmonary Diseases Celal Bayar University Faculty of Medicine Manisa Turkey
Department of Pulmonary Medicine CHU Liège Liège Belgium
Department of Pulmonary Medicine Mainz University Hospital Mainz Germany
Department of Pulmonary Medicine Rashid Hospital Dubai UAE
Department of Respiratory Diseases Larrey Hospital Toulouse University Hospital Toulouse France
Department of Respiratory Medicine and Tuberculosis University Hospital Brno Czech Republic
Department of Respiratory Medicine Copenhagen University Hospital Hvidovre Copenhagen Denmark
Division of Allergy Asthma and Clinical Immunology Emek Medical Center Afula Israel
Division of Allergy Asthma and Immunology Clinics Hospital San Lorenzo Paraguay
Division of Allergy Immunology University of South Florida Tampa Florida USA
Division Paediatric Allergology University of Cape Town Cape Town South Africa
Dr Agostinho Neto University hospital Praia Cape Verde
Ecole Polytechnique de Palaiseau Palaiseau France
EDEGO Research Unit University of Oulu Oulu Finland
ENT Department Rhinology Unit and Smell Clinic Hospital Clínic Barcelona Spain
ENT Department University Hospital of Kinshasa Kinshasa Congo
Faculty of Medicine Eduardo Mondlane University Maputo Mozambique
Faculty of Medicine Transylvania University of Brasov Brasov Romania
Faculty of Medicine University of Ljubljana Ljubljana Slovenia
Faculty of Public Health Medical University Sofia Sofia Bulgaria
Federation of Translational Medicine University of Strasbourg Strasbourg France
FILHA Finnish Lung Health Association Helsinki Finland
French Environment and Energy Management Agency Angers France
Fundaçao ProAR Federal University of Bahia and GARD WHO Planning Group Salvador Bahia Brazil
German Center of Lung Research Munich Germany
GIGA I3 Research Group University of Liège Liège Belgium
Global Allergy and Airways Patient Platform GAAPP Vienna Austria
Hans Christian Andersen Children's Hospital Odense University Hospital Odense Denmark
Harvard Medical School and Channing Division of Network Medicine Boston USA
Health Research Network Faculty of Medicine University of Porto Porto Portugal
Hospital San Luca Oaxaca Mexico
Hungarian Allergy Association Budapest Hungary
Immunology and Allergy Division Clinical Hospital University of Chile Santiago Chile
Immunology Faculty of Medicine Cabo Verde University Praia Cape Verde
Imperial College and National Heart and Lung Institute London UK
Imperial College and Royal Brompton Hospital London UK
Inserm Equipe d'Epidémiologie Respiratoire Intégrative CESP Villejuif France
Institut d'Investigacions Biomèdiques August Pi i Sunyer Barcelona Spain
Institute for Advanced Biosciences UGA INSERM U1209 CNRS UMR5309 Site Santé La Tronche France
Institute for Clinical Epidemiology and Biometry University of Wuerzburg Wuerzburg Germany
Institute of Clinical Medicine and Institute of Health Sciences Vilnius Lithuania
Institute of Clinical Medicine University of Copenhagen Copenhagen Denmark
Institute of Environmental medicine Karolinska Institutet Stockholm Sweden
Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
Institute of Immunology Faculty of Medicine University of Coimbra Coimbra Portugal
Institute of Sciences of Food Production National Research Council Bari Italy
Institute of Translational Pharmacology National Research Council Palermo Italy
International Primary Care Respiratory Group IPCRG Aberdeen Scotland
International Primary Care Respiratory Group IPCRG Aberdeen UK
IRCCS Ospedale Policlinico San Martino Genoa Italy
ISGlobal Barcelona Institute for Global Health Barcelona Spain
Japan Anti Tuberculosis Association Fukujuji Hospital Tokyo Japan
Lebanese American University Clemenceau Medical Center DHCC Dubai UAE
Makerere University Lung Institute Kampala Uganda
Medical Consulting Czarlewski Levallois France
Medical Faculty ENT Department Eskisehir Osmangazi University Eskisehir Turkey
Medical Faculty of Vilnius University Vilnius Lithuania
Medical Faculty Skopje University Clinic of Pulmonology and Allergy Skopje Republic of Macedonia
Medical Faculty University JJ Strossmayer of Osijek Osijek Croatia
Medical School University of Cyprus Nicosia Cyprus
Microbiology Department College of Medicine Kuwait University Kuwait City Kuwait
Mongolian Association of Hospital Managers Ulaanbaatar Mongolia
National Heart and Lung Institute Imperial College London London UK
National Heart and Lung Institute Imperial College London UK
National Institute of Pneumology M Nasta Bucharest Romania
NIHR Imperial Biomedical Research Centre London UK
NOVA Medical School Comprehensive Health Research Centre Lisbon Portugal
Odense Research Center for Anaphylaxis « ORCA » Odense Denmark
Paris Municipal Department of Social Action Childhood and Health Paris France
Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey
Pediatric Allergy and Clinical Immunology Hospital Espanol de Mexico Mexico City Mexico
Pediatrics Department Universidad Austral de Chile Valvidia Chile
Personalized medicine Asthma and Allergy IRCCS Humanitas Research Hospital Rozzano Milan Italy
Personalized medicine Asthma and Allergy Rozzano IRCCS Humanitas Research Center Milan Italy
Pharmaceutical Care Unit Faculty of Pharmaceutical Sciences Ghent University Ghent Belgium
Pirkanmaa Welfare district Tampere Finland
Pneumologie AP HP Centre Université de Paris Cité Hôpital Cochin Paris France
Poltava State Medical University Poltava Ukraine
PROMISE Department University of Palermo Palermo Italy
Pulmonary Environmental Epidemiology Unit CNR Institute of Clinical Physiology Pisa Italy
Quebec Heart and Lung Institute Laval University Quebec City Quebec Canada
Research on Healthcare Performance INSERM U1290 Université Claude Bernard Lyon1 Lyon France
Respiralab Research Group Guayaquil Guayas Ecuador
Respiratory Clinic Department of Internal Medicine University of Genoa Genoa Italy
Sach´s Children and Youth Hospital Södersjukhuset Stockholm Sweden
School of Health Sciences Catholic University of Salta Salta Argentina
School of Medicine Life and Health Sciences Research Institute University of Minho Braga Portugal
School of Medicine University CEU San Pablo Madrid Spain
Section of Allergy and Immunology Saint Louis University School of Medicine Saint Louis Missouri USA
Service de Pneumo Allergologie Centre Hospitalo Universitaire de Béni Messous Algiers Algeria
Servicio de Alergia Consultorios Médicos Privados Buenos Aires Argentina
Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina
Skin and Allergy Hospital Helsinki University Hospital and University of Helsinki Helsinki Finland
SLaai Sociedad Latinoamericana de Allergia Asma e Immunologia Barranquilla Columbia
SMAIC Société Marocaine d' Allergologie et Immunologie Clinique Rabat Morocco
Sorbonne université Hôpital américain de Paris Neuilly France
SOS Allergology and Clinical Immunology USL Toscana Centro Prato Italy
Srebrnjak Children's Hospital Zagreb Croatia
State Institute of Health Bavarian Health and Food Safety Authority Erlangen Germany
Swiss Institute of Allergy and Asthma Research University of Zurich Davos Switzerland
Sydney Local Health District Sydney NSW Australia
Sydney Pharmacy School The University of Sydney Sydney NSW Australia
Syrian Private University Damascus Syria
Tartu University Institute of Clinical Medicine Children's Clinic Tartu Estonia
The Allergy and Asthma Institute Islamabad Pakistan
The Capital Institute of Pediatrics Chaoyang district Beijing China
UMR 1016 Institut Cochin Paris France
Unit of Geriatric Immunoallergology University of Bari Medical School Bari Italy
Universidad Católica de Córdoba Universidad Nacional de Villa Maria Villa Maria Argentina
Universidad Espíritu Santo Samborondón Ecuador
Universidade Federal dos Pampa Uruguaiana Brazil
Universitat Pompeu Fabra Barcelona Spain
Université Catholique de Louvain Yvoir Belgium
Université Paris Cité Paris France
Université Paris Saclay UVSQ UnivParis Sud Villejuif France
University Clinic of Respiratory and Allergic Diseases Golnik Slovenia
University Hospital Montpellier Montpellier France
University of Central Lancashire Medical School Preston UK
University of Medicine and Pharmacy Hochiminh City Vietnam
University of Southampton Southampton UK
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