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TRR 22:  Pulmonary Allergies

Subject Area Medicine
Biology
Term from 2005 to 2014
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 5486276
 
Final Report Year 2015

Final Report Abstract

Allergic asthma represents the most severe manifestation of allergic diseases on the airways. Prevalence and incidence of asthma are on the rise, especially since the end of World-War II. The starting point of this research consortium was the recognition that asthma represents a chronic inflammatory disease which de-velopes on the basis of complex gene-x-environment interactions. Based on an already existing long-lasting collaboration between investigators from Munich, Mar-burg and Lübeck/Borstel, this consortium was formed to provide a mechanistic explanation for the epidemiological finding that certain environmental exposures and living conditions (e.g. “traditional farming”) provide immunological stimuli that confer asthma protection. Cohort studies provide evidence that these factors operate early in life, presumably starting already in the prenatal period. During the funding period (2005 – 2014) great progress was achieved to better understand the complexity of this observation. The hallmarks include: identification and characterisation of prototypic environmental bac-teria which confer asthma-protection; “proof of principle”-experiments in animal models revealing the im-portance of prenatal exposure; identification of epigenetic mechanisms as a novel explanation for their ac-tion; a better understanding of the regulation of airway mucosal immune responses, which are the result of the interaction between epithelial cells, innate and adaptive immune cells. Three clinical studies have been successfully initiated in children and adults to examine early immune responses in childhood involved in asthma development, to assess the heterogeneity of asthma phenotypes, and to provide a better under-standing of the mechanisms of specific immuno-therapy. The combined research activities resulted in a great number of published articles, including 40 high-impact publications (impact factor > 10). Almost 50 doctorate students completed or started their doctoral theses within the SFB/TRR22.

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