Evidence map›Paper›PMID 42829647›Full record

ReviewImmunoTargets and therapy2026

Exploring the Potential Benefits of Biologic Therapies Beyond Respiratory Allergy.

Rossella Sica, Francesco Catamerò, Simone Foti Randazzese, Francesca Galletta, Amelia Licari, Gian Luigi Marseglia, Francesca Mori, Remo Poto, Federica Pulvirenti, Silvia Ricci and 2 more

Abstract readReview
In one paragraph

Review in ImmunoTargets and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rossella SicaDepartment of Pediatrics, "San Luca" Hospital, Vallo della Lucania, ASL Salerno, Italy.
Francesco CatameròDepartment of Health Sciences, University of Florence, Florence, Italy.
Simone Foti RandazzesePediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.
Francesca GallettaPediatric Unit, Department of Human Pathology of Adult and Childhood Gaetano Barresi, University of Messina, Messina, Italy.
Amelia LicariPediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.ORCID 0000-0002-1773-6482
Gian Luigi MarsegliaPediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.ORCID 0000-0003-3662-0159
Francesca MoriAllergy Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Remo PotoDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-4723-0167
Federica PulvirentiReference Centre for Primary Immune Deficiencies, Sapienza University Hospital Policlinico Umberto I, Rome, Italy.
Silvia RicciDepartment of Health Sciences, University of Florence, Florence, Italy.
Mattia Giovannini *Department of Health Sciences, University of Florence, Florence, Italy.ORCID 0000-0001-9568-6882
Sara Manti *Pediatric Unit, Department of Human Pathology of Adult and Childhood Gaetano Barresi, University of Messina, Messina, Italy.ORCID 0000-0002-7664-3083

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe pediatric asthma is a heterogeneous inflammatory disease that is most commonly driven by type 2 (T2) inflammation. Because respiratory viral infections are the leading triggers of asthma exacerbations in children, this review examines the effects of biologic therapies on infection-related outcomes and antiviral immune function, beyond their established role in asthma control. We conducted a structured narrative review of literature published from January 2000 through February 2026 using PubMed/MEDLINE, EMBASE, Scopus, and the Cochrane Library databases. Studies evaluating infection-related outcomes and immune effects of biologic therapies in pediatric asthma were analyzed. Available evidence consistently indicates that biologics have favorable infectious safety profiles without increasing the risk of serious or opportunistic infections. Anti-IgE therapy (omalizumab) showed the strongest evidence of direct immunomodulatory effects, including restoration of interferon-mediated antiviral responses and reduction of virus-triggered asthma exacerbations. Anti-IL-5 and anti-IL-5 receptor therapies have corticosteroid-sparing effects and preserve immune competence despite eosinophil depletion. Dupilumab and tezepelumab similarly provide sustained efficacy and stable safety profiles without increasing infectious burden. Real-world evidence from the COVID-19 pandemic further indicates that biologic-treated children do not have greater susceptibility to SARS-CoV-2 infection or more severe disease. Overall, biologic therapies appear to provide targeted immunomodulation rather than broad immunosuppression, preserving host defense while controlling severe pediatric asthma. These findings suggest that biologic therapies may positively influence immune competence beyond asthma control, with implications for infection susceptibility and antiviral defense. Further prospective pediatric studies with standardized endpoints and long-term follow-up are needed to define their immunological impact and optimize precision-medicine strategies.

Indexed as

asthmabenefitsbiologic drugsdupilumabomalizumabtezepelumab

Identifiers

PMID42829647
PMCPMC13633746

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.