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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The human dichotomy of physical vs spiritual&#44; material vs ethereal&#44; action vs thought are eternal issues that are periodically revisited&#46; Lou Marinoff&#39;s &#8220;Plato&#44; Not Prozac&#8221;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> rekindled this dilemma and led to calls to fill our daily life with &#8220;philosophy&#8221;&#44; instead of resorting to the more common antidepressant drugs&#46; This more humane perspective on life challenges the widely held opinion that Marx and Freud are dead&#58; magical thinking has finally succumbed to science and all our problems can be solved with the right pill&#46; Asthma&#44; one of the most common diseases in daily medical practice&#44; is not immune from this duality&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Although oral cortisone had been available for many years&#44; a turning point came in the treatment of asthma when&#44; in 1972&#44; Dr&#46; H&#46; Morrow Brown introduced inhaled corticosteroids&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a> Since then&#44; the asthma therapies have steadily improved&#46; Corticosteroids acted in a similar way to Prozac<span class="elsevierStyleSup">&#174;</span>&#44; suppressing and neutralizing the biological effects of the chemical mediators involved in the disease process&#46; More corticosteroids and less talk&#44; was the message&#46; We had finally found a way to neutralize eosinophils and interleukins and to restore inflammatory damage in the bronchial epithelium&#46; This heralded the end of asthma&#59; and we were not entirely wrong&#44; as the appearance of these drugs represented a significant change in the natural history of the disease&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">And then&#44; after several years of progress in the formulation&#44; presentation&#44; and administration of corticosteroids&#44; came the qualitative leap forward&#58; &#8220;zumabs&#8221;&#46; This suffix is reserved for primary humanized monoclonal antibodies used in the treatment of certain diseases&#44; such as asthma&#46; The first of these compounds to be used worldwide with significant success was omalizumab&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">3</span></a> Since then&#44; a steady stream of new asthma biologics has been added to the respiratory pharmaceutical arsenal&#58; mepolizumab&#44; reslizumab&#44; benralizumab&#44; pascolizumab&#44; lebrikizumab&#44; etc&#46;&#58; the start of a real ASTHMA-ZUMAB&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">What is the theoretical outlook on this new situation&#63; In a recent editorial&#44; Wenzel et al&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> argue that in the immediate future we will classify all asthma patients into 2 large groups&#58; standard and severe&#46; For the former&#44; conventional treatment &#40;inhaled corticosteroids&#41; will be the solution&#59; for the latter&#44; a whole range of personalized treatments will be designed&#44; in which ASTHMA-ZUMABs will have an important role&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">But the world of asthma is not restricted to biological treatment alone&#46; There is ample room for talk &#40;the co-authors of Dr&#46; Wenkel&#39;s editorial were her own patients&#44; who comment on the particularities of their disease&#41;&#44; and we will grasp the importance of understanding the personal characteristics of each individual&#44; their idiosyncrasies&#44; motivations&#44; suggestions&#44; points of view&#44; and their relationship with their doctor&#46; There will be no need to call for &#8220;more Plato&#8221;&#44; because Plato will be involved in the personalized biological treatment of each patient and each asthma endotype&#46; Plato&#44; Aristotle&#44; Kant&#44; Wittgenstein&#44; and Onfray will always be at the pulmonologist&#39;s side&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We should also mention the comments made by Bush and Pavord in another recent editorial&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> These authors also draw attention to the need to focus on the prevention and cure of asthma&#46; Echoing the Lancet Commission&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">6</span></a> of which they themselves are co-authors&#44; they propose 7 key points to redefine airway diseases&#44; ranging from precision medicine to research into new biological models&#44; with zero tolerance for exacerbations&#46; Achieving these aims&#44; according to Robinson et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">7</span></a> in another editorial&#44; involves conducting phase III clinical trials with the new ASTHMA-ZUMABs&#44; and defining cell predominance&#44; intercellular signaling messengers&#44; etc&#46;&#44; in order to determine the best drug for each specific individual&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">And so the debate goes on&#46; Plato and ZUMAB&#44; always together&#44; always in the right balance minds united to the same end&#44; body and spirit as one&#44; a human being asking for help and another prepared to offer it&#46; Welcome&#44; personalized biology&#44; and long live the talking&#46;</p></span>"
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Editorial
More Platon and Less Prozac: The Arrival of ASTHMA-ZUMAB
Más Platón y menos Prozac®: llega el ASMA-ZUMAB
Pere Casan
Corresponding author
pcasan@ins.es

Corresponding author.
, Ana Fernández Tena, Cristina Martínez
Área del Pulmón, Hospital Universitario Central de Asturias, Facultad de Medicina, Universidad de Oviedo, Oviedo, Asturias, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The human dichotomy of physical vs spiritual&#44; material vs ethereal&#44; action vs thought are eternal issues that are periodically revisited&#46; Lou Marinoff&#39;s &#8220;Plato&#44; Not Prozac&#8221;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> rekindled this dilemma and led to calls to fill our daily life with &#8220;philosophy&#8221;&#44; instead of resorting to the more common antidepressant drugs&#46; This more humane perspective on life challenges the widely held opinion that Marx and Freud are dead&#58; magical thinking has finally succumbed to science and all our problems can be solved with the right pill&#46; Asthma&#44; one of the most common diseases in daily medical practice&#44; is not immune from this duality&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Although oral cortisone had been available for many years&#44; a turning point came in the treatment of asthma when&#44; in 1972&#44; Dr&#46; H&#46; Morrow Brown introduced inhaled corticosteroids&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a> Since then&#44; the asthma therapies have steadily improved&#46; Corticosteroids acted in a similar way to Prozac<span class="elsevierStyleSup">&#174;</span>&#44; suppressing and neutralizing the biological effects of the chemical mediators involved in the disease process&#46; More corticosteroids and less talk&#44; was the message&#46; We had finally found a way to neutralize eosinophils and interleukins and to restore inflammatory damage in the bronchial epithelium&#46; This heralded the end of asthma&#59; and we were not entirely wrong&#44; as the appearance of these drugs represented a significant change in the natural history of the disease&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">And then&#44; after several years of progress in the formulation&#44; presentation&#44; and administration of corticosteroids&#44; came the qualitative leap forward&#58; &#8220;zumabs&#8221;&#46; This suffix is reserved for primary humanized monoclonal antibodies used in the treatment of certain diseases&#44; such as asthma&#46; The first of these compounds to be used worldwide with significant success was omalizumab&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">3</span></a> Since then&#44; a steady stream of new asthma biologics has been added to the respiratory pharmaceutical arsenal&#58; mepolizumab&#44; reslizumab&#44; benralizumab&#44; pascolizumab&#44; lebrikizumab&#44; etc&#46;&#58; the start of a real ASTHMA-ZUMAB&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">What is the theoretical outlook on this new situation&#63; In a recent editorial&#44; Wenzel et al&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> argue that in the immediate future we will classify all asthma patients into 2 large groups&#58; standard and severe&#46; For the former&#44; conventional treatment &#40;inhaled corticosteroids&#41; will be the solution&#59; for the latter&#44; a whole range of personalized treatments will be designed&#44; in which ASTHMA-ZUMABs will have an important role&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">But the world of asthma is not restricted to biological treatment alone&#46; There is ample room for talk &#40;the co-authors of Dr&#46; Wenkel&#39;s editorial were her own patients&#44; who comment on the particularities of their disease&#41;&#44; and we will grasp the importance of understanding the personal characteristics of each individual&#44; their idiosyncrasies&#44; motivations&#44; suggestions&#44; points of view&#44; and their relationship with their doctor&#46; There will be no need to call for &#8220;more Plato&#8221;&#44; because Plato will be involved in the personalized biological treatment of each patient and each asthma endotype&#46; Plato&#44; Aristotle&#44; Kant&#44; Wittgenstein&#44; and Onfray will always be at the pulmonologist&#39;s side&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We should also mention the comments made by Bush and Pavord in another recent editorial&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> These authors also draw attention to the need to focus on the prevention and cure of asthma&#46; Echoing the Lancet Commission&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">6</span></a> of which they themselves are co-authors&#44; they propose 7 key points to redefine airway diseases&#44; ranging from precision medicine to research into new biological models&#44; with zero tolerance for exacerbations&#46; Achieving these aims&#44; according to Robinson et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">7</span></a> in another editorial&#44; involves conducting phase III clinical trials with the new ASTHMA-ZUMABs&#44; and defining cell predominance&#44; intercellular signaling messengers&#44; etc&#46;&#44; in order to determine the best drug for each specific individual&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">And so the debate goes on&#46; Plato and ZUMAB&#44; always together&#44; always in the right balance minds united to the same end&#44; body and spirit as one&#44; a human being asking for help and another prepared to offer it&#46; Welcome&#44; personalized biology&#44; and long live the talking&#46;</p></span>"
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Article information
ISSN: 15792129
Original language: English
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