Table 1.
Heterogeneity of Asthma and Potential Risk of Severe COVID-19
| Characteristic of Subject with Asthma | No Increased Risk of COVID-19 (or Decreased Risk) | Increased Risk of COVID-19 |
|---|---|---|
| Age | Children and adolescents | Older subjects |
| Asthma phenotype | Type 2–high asthma | Type 2–low asthma |
| Airway gene expression | Type 2 cytokines (e.g., IL-13) | IFN-stimulated genes |
| Systemic inflammation | Low IL-6 | High IL-6 |
| Comorbidities | Allergic sensitization | Obesity, diabetes, or hypertension |
| Asthma severity | Mild-to-moderate asthma: GINA steps 1–4 | Severe asthma: GINA step 5 |
| Lung function | Normal | Impaired |
| Asthma control | Well controlled | Uncontrolled |
| Exacerbation frequency | No exacerbations | Frequent exacerbations |
| Controller treatment | ICS | OCS: repetitive bursts or OCS maintenance treatment |
Definition of abbreviations: COVID-19 = coronavirus disease; GINA = Global Initiative for Asthma; ICS = inhaled corticosteroids; OCS = oral corticosteroids.