TABLE 1

Airway diseases driven by type 2 inflammation [1724, 2641]

Evidence of type 2 inflammationProportion of type 2 patientsComorbid disease prevalence
Asthma
 Uncontrolled asthma despite medium- to high-dose ICS
  • Elevated serum IgE

    Elevated serum eosinophils

51%
  • + CRSwNP 30–50%

    + Allergic rhinitis >80%

    + COPD [33] ∼13%

    + NSAID-ERD/AERD ∼7%

 Severe asthma
  • Elevated sputum eosinophils

    Expression of IL-13-inducible genes and Th2 genes in sputum cells

55–70%
 Difficult asthma despite high-dose ICS
  • Elevated blood eosinophils or FeNO

71%
CRSwNP
  • Elevated CLC and IL-13 gene expression

    Elevated IL-5 and Th2 gene expression

∼80%
  • + Asthma 50%

    + Allergic rhinitis ∼75%

    + NSAID-ERD/AERD ∼10–20%

COPD
  • Persistent blood eosinophils ≥300 cells·µL−1 or ≥2%

15–37%
  • A subset may also present with asthma [33]

    + Allergic rhinitis ∼7%

    + CRS [42, 43]

Allergic rhinitis
  • IgE-mediated disease driven by type 2 inflammation [10, 37, 38]

100%Comorbid asthma [37] 19–38%
Comorbid CRS [38] ∼67%

ICS: inhaled corticosteroids; CRSwNP: chronic rhinosinusitis with nasal polyps; NSAID-ERD: nonsteroidal anti-inflammatory drug-exacerbated respiratory disease; AERD: aspirin-exacerbated respiratory disease; IL: interleukin; Th2: type 2 T-helper; FeNO: exhaled nitric oxide fraction; CLC: Charcot–Leyden crystals; CRS: chronic rhinosinusitis.