1. Research needs in allergy: an EAACI position paper, in collaboration with EFA
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François Spertini, James Gardner, Felicia Manole, Annalisa Santucci, Bodo Niggemann, Ronald Vanree, Victoria Cardona, Breda Flood, Roger Lauener, Michael R. Perkin, Franziska Ruëff, Hans Jürgen Hoffmann, Adriano Mari, B Schnyder, Aline B. Sprikkelman, Jürgen Schwarze, Marcin Kurowski, Margitta Worm, Lilit Hovhannisyan, Clive Grattan, B. M. Bilo, Javier Fernández, Matteo Bonini, Darío Antolín-Amérigo, Marta Ferrer, Stefano Del Giacco, Fulvio Braido, Svetlana Sergejeva, Jon Genuneit, Karin Hoffmann-Sommergruber, Paraskevi Mangina, Carsten Flohr, Gianni Passalacqua, Nicolette W. deJong, Filippo Fassio, Antonella Muraro, Jan Demonchy, Carsten B. Schmidt-Weber, Paraskevi Xepapadaki, Radoslaw Spiewak, Alexandra F. Santos, Moises A. Calderon, Chrysanthi Skevaki, Roberta Savli, Montserrat Fernandez Rivas, Liam O'Mahony, Susanna Palkonen, Eckard Hamelmann, Paula Robson-Ansley, Claudia Traidl-Hoffmann, Lars K. Poulsen, Miguel Blanca, Enrico Heffler, Jean-Luc Fauquert, Thomas Werfel, Maia Rukhadze, Constantinos Pitsios, Peter Burney, Frode L. Jahnsen, Elina Toskala, Ines Swoboda, Cemal Cingi, Pascal Demoly, Marek Jutel, Ingrid Terreehorst, Nikolaos Douladiris, Alberto Papi, Susanne Lau, Jean-Christoph Roger J-P Caubet, George N. Konstantinou, Peter Schmid-Grendelmeier, Gianenrico Senna, Valérie Hox, Sevcan Celenk, Kirsty Logan, Gunnar Nilsson, Clare Mills, Claudio Rhyner, Andrea Siracusa, Jeroen Buters, Paul Whitacker, Sevim Bavbek, Antti Lauerma, Edward F. Knol, Heidi Makrinioti, Mariana Couto, Cezmi A. Akdis, Antoine Magnan, Cansin Sackesen, Isabella Annesi-Maesano, Berber Vlieg-Boerstra, Ulrike Raap, Knut Brockow, Philippe Gevaert, Gunter J. Sturm, Carina Venter, Santiago Quirce, Sven Seys, Philippe Eigenmann, Nikolaos G. Papadopoulos, Rodrigo Rodrigues Alves, Jacques Gayraud, Christian Scharf, Monika Raulf-Heimsoth, Serena O'Neil, Ioana Agache, Markus Ollert, Jörg Kleine-Tebbe, Francesco Annunziato, Odilija Rudzeviciene, Gianni Pala, Oliver Pfaar, Christian Apfelbacher, Massimo Triggiani, Ervinç Mingomataj, Patrizia Bonadonna, Joanna Makowska, Carmen Rondon, Gabriele Rumi, Lars-Olaf Cardell, Anna Groblewska, Pia Allegri, Milena Sokolowska, Zeljka Roje, Ömer Kalayci, Peter Hellings, Graham Roberts, Jan Lötvall, Angel Mazon, Adnan Custovic, Indre Butiene, Ewa Cichocka-Jarosz, Isabel Skypala, Ayse Fusun Kalpaklioglu, Onur Boyman, Ewa Bogacka, Medical Research Council (MRC), Allergy Department, 2nd Pediatric Clinic, Transylvania University, Ankara University, University Hospital Ospedali Riuniti, Allergy & Respiratory Diseases Clinic - DIMI, Università degli studi di Genova = University of Genoa (UniGe), Vall d'Hebron University Hospital [Barcelona], Respiratory Research Group, University of Manchester [Manchester]-School of Translational Medicine, Department of Allergology, University Hospital Groningen, Département Pneumologie et Addictologie, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Pediatric Allergy Unit, Geneva University Hospital (HUG)-Children's Hospital, Allergologie, Polyclinique de l'Ormeau, Dermatology Centre, Norfolk & Norwich University Hospital, Dipartimento di Scienze Mediche, Università degli studi di Torino = University of Turin (UNITO), Department of Otorhinolaryngology, Head, and Neck Surgery, University Hospital Leuven, Department of Clinical Immunology, Wrocław Medical University, Department of Dermatology/Allergology (G02* 124), University Medical Center [Utrecht], Department of Internal Medicine, University of Gothenburg (GU)-Krefting Research Centre, Department of Pediatrics, Università degli Studi di Padova = University of Padua (Unipd), Laboratory of Medical Allergology, Copenhagen University Hospital at Gentofte-Allergy Clinic, Faculty of Medicine, University of Southampton, Allergy Unit - Department of Dermatology, Universität Zürich [Zürich] = University of Zurich (UZH), Neurologica Clinic, Università degli Studi di Salerno = University of Salerno (UNISA)-University of Naples Federico II = Università degli studi di Napoli Federico II, Department of Experimental Immunology, Academic Medical Center - Academisch Medisch Centrum [Amsterdam] (AMC), University of Amsterdam [Amsterdam] (UvA)-University of Amsterdam [Amsterdam] (UvA), Department of Dermatology and Allergy, Hannover Medical School [Hannover] (MHH), European Federation of Allergy (EFA), Airways Diseases Patients' Associations, Ophthamology epmn, Uveitis Center-Rapallo Hospital, Epidémiologie des maladies infectieuses et modélisation (ESIM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Università degli Studi di Firenze = University of Florence (UniFI)-DENOTHE Center, Allergology, Hospital Universitario Príncipe de Asturias, Universität Regensburg (UR), Research Laboratory, Carlos Hava Hospital, Department of Internal Diseases, Geriatrics and Allergology, University of Medicine, Allergy Unit, Azienda Ospedaliera Universitaria Integrata, Lung Function Unit-University of Rome, Department of Dermatology, Technische Universität Munchen - Université Technique de Munich [Munich, Allemagne] (TUM), Respiratory Epidemiology and Public Health, Imperial College London-Royal Brompton Hospital-National Heart and Lung Institute [UK], Center of Allergy & Environment (CK-CARE, ZAUM), Helmholtz Zentrum München = German Research Center for Environmental Health, Vilnius University [Vilnius]-Faculty of Medicine, Section of Allergy and Clinical Immunology, Imperial College London-Faculty of Medicine-Royal Brompton Hospital, Division of ENT diseases, Karolinska Institutet [Stockholm]-Karolinska University Hospital [Stockholm]-Department of Clinical Science, Intervention and Technology, Department of Child and Adolescent Medicine, University Hospital of Geneva-Medical School of the University of Geneva, Department of Biology, Faculty of Science-Uludağ Üniversitesi = Uludag University, Chair and Department of Pediatrics, Uniwersytet Jagielloński w Krakowie = Jagiellonian University (UJ), Department of Otorhinolaryngology, Head and Neck Surgery, Eskisehir Osmangazi University, Serviço de Imunoalergologia, Centro Hospitalar São João EPE, ErasmusMC, Department of Medical Sciences 'M. Aresu', University of Cagliari, Allergologia ed Immunologia Clinica, Careggi Hospital, Pédiatre A, CHU Clermont-Ferrand, UMH University, Hospital Clínico San Carlos, Universidad de Navarra, Guy's and St Thomas' Hospital [London], Royal Free Hospital [London, UK], Universität Ulm - Ulm University [Ulm, Allemagne], Ghent University Hospital, Polish Mother’s Memorial Hospital Research Institute [Lodz] (ICZMP), Klinik für Kinder und Jugendmedizin, St. Josef Hospital Ruhr University, Aarhus University Hospital, Medizinische Universität Wien = Medical University of Vienna, Institute of Molecular Biology, Oslo University Hospital [Oslo], Pediatric Allergy and Asthma Unit, Ihsan Dogramaci Children's Hospital-Hacettepe University School of Medicine, Allergie- & Asthma-Zentrum Berlin Westend, Department of Allergy and Clinical Immunology, 424 General Military Training Hospital, Department of Immunology, Rheumatology and Allergy, Charité - UniversitätsMedizin = Charité - University Hospital [Berlin], Hochgebirgsklinik, Davos-Wolfgang, Skin and Allergy Hospital, King‘s College London, Unité de recherche de l'institut du thorax (ITX-lab), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), University of Oradea, Center for Molecular Allergology, IDI-IRCCS, Unit of Pediatric allergy and Pneumology, Children's Hospital La Fe, Manchester Interdisciplinary Biocentre, Department of Allergology and Clinical Immunology, Mother Theresa School of Medicine, German Red Cross Hospital Westend, Centre for Allergy Research at Karolinska Institutet, Swiss Institute of Allergy and Asthma Research (SIAF), Allergy and Immunology Unit, Fondazione 'Salvatore Maugeri', University of Ferrara at St. Anna Hospital, Università degli Studi di Ferrara = University of Ferrara (UniFE), Internal Medicine Pad Maragliano, Center for Rhinology and Allergology Wiesbaden, University Hospital Mannheim, Dietetics and Nutritional Science Dept, Harokopio University, Hospital La Paz Institute for Health Research, Institute for Prevention and Occupational Medicine of the German Social Accident Insurance (IPA), School of Life Sciences, University of Northumbria at Newcastle [United Kingdom], Hospital Divino Espirito Santo de Ponta Delgada, ENT Department, University Hospital Split, Hospital Civil, Nr. 101 - Odilija Rudzeviciene, Vilnius University [Vilnius], Ludwig-Maximilians-Universität München (LMU), Center of Allergy & Immunology, Complesso Integrato Columbus, Department of Pediatric Allergy, Hacettepe University = Hacettepe Üniversitesi, Immunoallergology Department, Universidade de Coimbra [Coimbra], Rimini Infermi Hospital, Greifswald University Hospital, Klinikum rechts der Isar der TU München, ZAUM, Clinic for Rheumatology and Clinical Immunology/Allergology, University Hospital of Bern, University of Edinburgh, Azienda Ospedaliero-Universitaria, Institute of Technology, University of Tartu, Department of Microbiology and Immunology, Catholic University of Leuven-Catholic University Hospitals-Clinical Immunology, Occupational Medicine, Università degli Studi di Perugia = University of Perugia (UNIPG)-Terni Hospital, Critical Care Medicine Department, National Institutes of Health - NIH, Division of Immunology and Allergy [Lausanne, Suisse], Centre Hospitalier Universitaire Vaudois [Lausanne] (CHUV), Department of Experimental Dermatology and Cosmetology, University of Amsterdam [Amsterdam] (UvA), Medical University Graz, Department of ENT and Pediatrics, Department of Otorhinolaryngology, Finnish Institute of Occupational Health, Allergy Research Centre, The David Hide Asthma, SpR, St James's hospital, University of Genoa (UNIGE), Children's Hospital-Geneva University Hospital (HUG), Università degli studi di Torino (UNITO), Wroclaw Medical University, Universita degli Studi di Padova, Università degli studi di Napoli Federico II-Università degli Studi di Salerno (UNISA), Università degli Studi di Firenze = University of Florence [Firenze] (UNIFI)-DENOTHE Center, Helmholtz-Zentrum München (HZM), ROyal Free Hospital, Royal Free Hospital, Institute of Epidemiology and Medical Biometry, unité de recherche de l'institut du thorax UMR1087 UMR6291 (ITX), Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Tartu University, Università degli Studi di Perugia (UNIPG)-Terni Hospital, BMC, Ed., Çocuk Sağlığı ve Hastalıkları, Eigenmann, Philippe, Caubet, Jean-Christoph Roger J-P, Ear, Nose and Throat, AII - Amsterdam institute for Infection and Immunity, Paediatric Pulmonology, and Other Research
- Subjects
Pulmonary and Respiratory Medicine ,allergic diseases ,medicine.medical_specialty ,Pediatrics ,[SDV.IMM] Life Sciences [q-bio]/Immunology ,Allergy ,media_common.quotation_subject ,Immunology ,Translational research ,Disease ,research funding ,03 medical and health sciences ,0302 clinical medicine ,Disease registry ,Excellence ,Position Article and Guidelines ,medicine ,Immunology and Allergy ,Research needs ,ddc:610 ,Intensive care medicine ,030304 developmental biology ,media_common ,0303 health sciences ,ddc:618 ,business.industry ,Allergic diseases ,Public health ,RC581-607 ,allergy ,C600 ,Biobank ,3. Good health ,research needs ,Europe ,Policy ,Research funding ,030228 respiratory system ,[SDV.IMM]Life Sciences [q-bio]/Immunology ,Position paper ,Professional association ,Immunologic diseases. Allergy ,business ,policy - Abstract
In less than half a century, allergy, originally perceived as a rare disease, has become a major public health threat, today affecting the lives of more than 60 million people in Europe, and probably close to one billion worldwide, thereby heavily impacting the budgets of public health systems. More disturbingly, its prevalence and impact are on the rise, a development that has been associated with environmental and lifestyle changes accompanying the continuous process of urbanization and globalization. Therefore, there is an urgent need to prioritize and concert research efforts in the field of allergy, in order to achieve sustainable results on prevention, diagnosis and treatment of this most prevalent chronic disease of the 21st century.The European Academy of Allergy and Clinical Immunology (EAACI) is the leading professional organization in the field of allergy, promoting excellence in clinical care, education, training and basic and translational research, all with the ultimate goal of improving the health of allergic patients. The European Federation of Allergy and Airways Diseases Patients' Associations (EFA) is a non-profit network of allergy, asthma and Chronic Obstructive Pulmonary Disorder (COPD) patients' organizations. In support of their missions, the present EAACI Position Paper, in collaboration with EFA, highlights the most important research needs in the field of allergy to serve as key recommendations for future research funding at the national and European levels.Although allergies may involve almost every organ of the body and an array of diverse external factors act as triggers, there are several common themes that need to be prioritized in research efforts. As in many other chronic diseases, effective prevention, curative treatment and accurate, rapid diagnosis represent major unmet needs. Detailed phenotyping/endotyping stands out as widely required in order to arrange or re-categorize clinical syndromes into more coherent, uniform and treatment-responsive groups. Research efforts to unveil the basic pathophysiologic pathways and mechanisms, thus leading to the comprehension and resolution of the pathophysiologic complexity of allergies will allow for the design of novel patient-oriented diagnostic and treatment protocols. Several allergic diseases require well-controlled epidemiological description and surveillance, using disease registries, pharmacoeconomic evaluation, as well as large biobanks. Additionally, there is a need for extensive studies to bring promising new biotechnological innovations, such as biological agents, vaccines of modified allergen molecules and engineered components for allergy diagnosis, closer to clinical practice. Finally, particular attention should be paid to the difficult-to-manage, precarious and costly severe disease forms and/or exacerbations. Nonetheless, currently arising treatments, mainly in the fields of immunotherapy and biologicals, hold great promise for targeted and causal management of allergic conditions. Active involvement of all stakeholders, including Patient Organizations and policy makers are necessary to achieve the aims emphasized herein. ispartof: Clinical and Translational Allergy vol:2 issue:1 pages:21- ispartof: location:England status: published
- Published
- 2012