Cells (Aug 2024)

Breath and Sputum Analyses in Asthmatic Patients: An Overview

  • Piera Soccio,
  • Carla Maria Irene Quarato,
  • Pasquale Tondo,
  • Donato Lacedonia,
  • Anela Hoxhallari,
  • Maria Pia Foschino Barbaro,
  • Giulia Scioscia

DOI
https://doi.org/10.3390/cells13161355
Journal volume & issue
Vol. 13, no. 16
p. 1355

Abstract

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Recent advancements in asthma management include non-invasive methodologies such as sputum analysis, exhaled breath condensate (EBC), and fractional exhaled nitric oxide (FeNO). These techniques offer a means to assess airway inflammation, a critical feature of asthma, without invasive procedures. Sputum analysis provides detailed insights into airway inflammation patterns and cellular composition, guiding personalized treatment strategies. EBC collection, reflecting bronchoalveolar lining fluid composition, provides a non-invasive window into airway physiology. FeNO emerges as a pivotal biomarker, offering insights into eosinophilic airway inflammation and aiding in asthma diagnosis, treatment monitoring, and the prediction of exacerbation risks. Despite inherent limitations, each method offers valuable tools for a more comprehensive assessment of asthma. Combining these techniques with traditional methods like spirometry may lead to more personalized treatment plans and improved patient outcomes. Future research is crucial to refine protocols, validate biomarkers, and establish comprehensive guidelines in order to enhance asthma management with tailored therapeutic strategies and improved patient outcomes.

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