Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis

Asthma is a chronic inflammatory disease with the main anti-inflammatory drugs for better disease control being steroids or corticosteroids. The use of steroids in asthma patients, in particular in uncontrolled asthma patients, is associated with an increased risk of osteoporosis and fragility fract...

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Main Authors: Fabiana Furci, Marco Umberto Scaramozzino, Giuseppe Rocco Talesa, Corrado Pelaia
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/13/1/197
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author Fabiana Furci
Marco Umberto Scaramozzino
Giuseppe Rocco Talesa
Corrado Pelaia
author_facet Fabiana Furci
Marco Umberto Scaramozzino
Giuseppe Rocco Talesa
Corrado Pelaia
author_sort Fabiana Furci
collection DOAJ
description Asthma is a chronic inflammatory disease with the main anti-inflammatory drugs for better disease control being steroids or corticosteroids. The use of steroids in asthma patients, in particular in uncontrolled asthma patients, is associated with an increased risk of osteoporosis and fragility fractures. A single oral corticosteroid course increases the risk of osteoporosis and the continual use of inhaled corticosteroids is correlated over time to an increased risk for both bone conditions. With the use of new, available biologic therapies for asthma, perhaps even anticipating the times of their use in therapeutic management, in the current guidelines and with targeted strategies of prevention it may be possible to improve asthma management, preventing some comorbidities, such as osteoporosis.
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institution Kabale University
issn 2227-9059
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publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj-art-90c0a1c5b4a5412381598637166c11fc2025-01-24T13:24:21ZengMDPI AGBiomedicines2227-90592025-01-0113119710.3390/biomedicines13010197Connections and Unmet Needs: Severe Asthma Biologics and OsteoporosisFabiana Furci0Marco Umberto Scaramozzino1Giuseppe Rocco Talesa2Corrado Pelaia3Provincial Healthcare Unit, Section of Allergology, 89900 Vibo Valentia, Italy“La Madonnina” Outpatient Clinic, 89100 Reggio Calabria, ItalyDepartment of Orthopaedics and Traumatology, San Matteo Degli Infermi Hospital, 06049 Spoleto, ItalyDepartment of Medical and Surgical Sciences, University of Magna Graecia of Catanzaro, 88100 Catanzaro, ItalyAsthma is a chronic inflammatory disease with the main anti-inflammatory drugs for better disease control being steroids or corticosteroids. The use of steroids in asthma patients, in particular in uncontrolled asthma patients, is associated with an increased risk of osteoporosis and fragility fractures. A single oral corticosteroid course increases the risk of osteoporosis and the continual use of inhaled corticosteroids is correlated over time to an increased risk for both bone conditions. With the use of new, available biologic therapies for asthma, perhaps even anticipating the times of their use in therapeutic management, in the current guidelines and with targeted strategies of prevention it may be possible to improve asthma management, preventing some comorbidities, such as osteoporosis.https://www.mdpi.com/2227-9059/13/1/197severe asthmabiologicscorticosteroidsinflammationinterleukinsosteoporosis
spellingShingle Fabiana Furci
Marco Umberto Scaramozzino
Giuseppe Rocco Talesa
Corrado Pelaia
Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis
Biomedicines
severe asthma
biologics
corticosteroids
inflammation
interleukins
osteoporosis
title Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis
title_full Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis
title_fullStr Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis
title_full_unstemmed Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis
title_short Connections and Unmet Needs: Severe Asthma Biologics and Osteoporosis
title_sort connections and unmet needs severe asthma biologics and osteoporosis
topic severe asthma
biologics
corticosteroids
inflammation
interleukins
osteoporosis
url https://www.mdpi.com/2227-9059/13/1/197
work_keys_str_mv AT fabianafurci connectionsandunmetneedssevereasthmabiologicsandosteoporosis
AT marcoumbertoscaramozzino connectionsandunmetneedssevereasthmabiologicsandosteoporosis
AT giusepperoccotalesa connectionsandunmetneedssevereasthmabiologicsandosteoporosis
AT corradopelaia connectionsandunmetneedssevereasthmabiologicsandosteoporosis