Asthma
Conditions
Brief summary
The majority of asthmatic patients are well controlled by inhaled corticosteroid treatment, however some severe asthma resist this treatment. CCL18 is a target gene for corticosteroids and its dysfunction may correlate with phenotypes of asthma.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. control subjects = * non-atopic and non-smoking * cutting to negative pneumoallergens, * Total IgE levels less than 100 ku / L * no clinical history of asthma * without background treatment 2. patients with intermittent asthma = * being asymptomatic between asthma attacks, * with symptoms less than once a week * having a forced expiratory volume per second (FEV1) of at least 80% of the theoretical. * treated by ß2 mimetics on demand and will not have inhaled corticosteroids. 3. severe asthma insensitive to corticosteroid therapy = * continuous or nearly continuous treatment with oral corticosteroids (≥ 50% of the year) / or treatment with IC ≥ 1500 microg beclomethasone dipropionate equivalent (BDP)\] airway obstruction fixed with FEV1 ranging from less than 15% after 7 days of oral corticosteroid therapy to 40 mg / day of prednisolone; * Followed at the immunoallergology pneumology consultation for at least 1 year will be recruited. 4. Severe corticosensitive asthma = continuous or near continuous treatment with oral corticosteroids (≥ 50% of the year) / or treatment with IC ≥ 1500 microg beclomethasone dipropionate equivalent (BDP)\] * reversibility of FEV1 after treatment with oral corticosteroids. * Followed at the immunoallergology pneumology consultation for at least 1 year will be recruited. 5. controlled moderate asthma treated with inhaled corticosteroids \<1500μg equivalent of beclomethasone dipropionate and with: ß2 long-acting mimetics (or anti-leukotriene, or theophylline) for at least 6 months.
Exclusion criteria
* existence of a chronic inflammatory pathology other than asthma * active smoking * pregnant or lactating women * have received oral corticosteroid treatment in the previous 3 weeks, * have received non-steroidal anti-inflammatory drugs (NSAIDs) in the previous 2 weeks.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation between CCL18 rate and asthma phenotypes by elisa test | Baseline: one session |
Countries
France