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. 2023 Sep 20;14(9):1824. doi: 10.3390/genes14091824

Table 1.

Overview of asthma endotypes and phenotypes.

Endotype Phenotype Clinical Features Molecular Mechanism References
T2-high asthma Early-onset atopic asthma Trigger-induced phenotypes. Steroid-sensitive. Preserved lung function Allergy to aeroallergens [8,13,14,19,25,26,27,28,29]
Late-onset eosinophilic asthma CRSwNP frequently associated.
Steroid-refractory
Staphilococcus aureus enterotoxin [11,12,30,31,32]
NERD Samter´s Syndrome. Adult onset. Trigger-induced phenotypes Arachidonic acid dysregulation [33,34,35,36,37,38,39,40]
T2-low asthma Non-atopic asthma Neutrophilic or paucigranulocytic. Th1/Th17 inflammation [22,41,42,43,44,45,46,47,48,49,50,51,52,53,54]
Adult onset
Smoking-associated asthma Adult onset. Lower lung function Oxidative stress [62,63,64,65,66,67]
Obesity-associated asthma Metabolic syndrome. Females.
Preserved lung function
Th1/Th17 inflammation.
Oxidative stress. IL-6
[55,56,57,58,59,60,61]
Elderly-related asthma Very late onset. Declined lung function Th1/Th17 inflammation [70,71,72,73,74]