Periostin pp 145-159 | Cite as

Roles of Periostin in Asthma

  • Hisako MatsumotoEmail author
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 1132)


Periostin is a matricellular protein that is deeply involved in type-2/eosinophilic airway inflammation and remodeling in asthma. While its expression in airway epithelial cells is correlated with the thickness of airway basement membrane, more importantly, periostin can be detected stably in blood with little variability, reflecting airway type-2 inflammation and remodeling. As for a result, serum periostin can serve as a valuable marker to identify patients with type-2 severe asthma who are insensitive to inhaled corticosteroids, and consequently have the excess decline of pulmonary function with asthma exacerbations. Serum periostin may significantly help to improve management of patients with severe asthma.


Serum periostin Biomarker Severe asthma Type-2 inflammation Airway remodeling Airflow limitation Eosinophilic chronic rhinosinusitis IL4RA 


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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Respiratory MedicineKyoto University Graduate School of MedicineKyotoJapan

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