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Although multiple epithelial cell abnormalities have been
described in asthma, including dysregulation of mucin genes, chemokines,
and growth factors, and have led to hypotheses about mechanism, it likely
that additional mechanisms of airway epithelial cell dysfunction in asthma
remain. A powerful unbiased strategy to uncover unsuspected mechanisms
of disease is the application of genome-wide profiling using high-density
microarrays. 1 Ohtani et al. used such methods in comparing gene expression
profiles in apparently normal, unstimulated respiratory epithelial cells
to apparently normal, respiratory epithelial cells stimulated to differentiate
into goblet cells by IL13 in vitro. Ohtani et al. reported on many hundreds
of genes which were differentially expressed and could be candidates for
further evaluation as possible markers for asthma and chronic obstructive
pulmonary disease (see, U.S. Patent Application Publication No. 20050208496).
However, in the absence of sufficiently conservative statistical analyses
to overcome spurious findings associated with the great many comparisons
made, there is uncertainty as to the statistical validity of any single
finding. Indeed, when Laprise et al. (see, Laprise et al, BMC Genomics
5:21 (2004) compared the gene expression profiles of asthmatic and non-asthmatic
subjects a much smaller set of 79 differentially expressed genes were identified
and of these they identified a much smaller subset of 26 genes which were
partially or completed corrected in the asthmatics by inhaled corticosteroid
therapy. The Laprise et al. methods did not include a control for alternative
causes of lung inflammation than asthma and thus may not well distinguish
pathological mechanism unique to asthma as opposed to pulmonary inflammation.
The goal of this study was to comprehensively characterize
the gene expression changes in the airway epithelial compartment in asthma
to uncover unsuspected mechanisms of disease. In order to achieve our goal,
we sampled the airway epithelium using bronchoscopy and cytology brushes,
and incorporated two elements designed establish whether the observed gene
expression changes are specific for asthma and whether they play a mechanistic
role in the disease. These elements were: 1) the inclusion of a two control
groups (non-smoking healthy controls and non-asthmatic smokers with mild/moderate
airflow obstruction), and 2) the enrollment of a subgroup of asthmatics
in a randomized double-blind placebo-controlled trial of treatment with
inhaled corticosteroids. Asthma, unlike COPD and most other airway diseases,
is very responsive to inhaled corticosteroids. 2,3 We reasoned that this
characteristic of asthma could be leveraged to help identify genes mechanistically
involved in the pathophysiology of asthma and in its treatment response.
In addition, for certain genes expression was examined using a taqman assay.
Here, we report on the discovery of a much more focused set of genes which
are specifically implicated in the etiology and treatment of asthma. Accordingly,
these genes and their gene products are targets for the identification
and use of new agents in asthma therapy, as well as, allergic rhinitis,
chronic obstructive pulmonary disease, or inflammatory or fibrotic diseases
of the lung.
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- 1
Bottles of the herbal formulation containing 14
Herbs in granule form. Each bottle contains 200 grams of
the herbal formulation in granule form.
Dosage : 10 grams taken twice a day
- once after breakfast and once after dinner.
U.S.$24/-
All Inclusive (Free Shipping)
(Total shipped weight
is 1.6 Pounds. Shipping cost is borne by us)
We will ship the herbal formulation
BREATHE EAZY to reach your home/office anywhere in the world within 10
days from the date of ordering.
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- 3
Bottles of the herbal formulation containing 14
Herbs in granule form. Each bottle contains 200 grams of
the herbal formulation in granule form.
Dosage : 10 grams taken twice a day
- once after breakfast and once after dinner.
U.S.$49/-
All Inclusive (Free Shipping)
(Total shipped weight
is 1.6 Pounds. Shipping cost is borne by us)
We will ship the herbal formulation
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