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Peer-Reviewed Publication
Respir Med2026;109132.August 31, 2026Journal Article

IL-5 Biology and Eosinophil Regulation: Advances, Resistance Pathways and Future Directions.

V Patella1, C Nicoletta1, F Ferrara1, O Inglese1, A Giuliano2
1Department of Internal Medicine and Division of Allergy and Clinical Immunology ASL Salerno, "Santa, Maria Della Speranza" Hospital, Battipaglia, Italy.
2Simple Departmental Operating Unit of Toxicology Laboratory, ASL Salerno, Salerno, Italy.

Abstract

Interleukin-5 (IL-5) is a central regulator of eosinophil differentiation, maturation, trafficking, activation and survival, and therapeutic targeting of the IL-5/IL-5 receptor alpha pathway has substantially changed the management of severe eosinophilic asthma and other eosinophil-associated disorders. However, clinical responses to anti-IL-5 and anti-IL-5Rα biologics remain heterogeneous, and pe…

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