Possible presence of undiagnosed asthma in children in Japan.

Background: Asthma diagnosis in children is occasionally challenging, and the issue of undiagnosed asthma before adolescence has been poorly studied in Japan. The present study was conducted to investigate the possible presence of undiagnosed asthma in the general population of children living in a rural area of Japan.

Methods: The participants comprised 120 fourth graders aged 9-10 years (boys/girls: 63/57) attending five elementary schools in Yawatahama, Ehime, Japan.

Glycolysis and subsequent mevalonate biosynthesis play an important role in Th2 cell differentiation.

Th2 cytokine such as IL-4, IL -5 and IL-13 are important therapeutic targets for Th2-type chronic inflammation. Several biologics targeting Th2 cytokine and its receptors are effective in clinical practice; however, the development of small-molecule compounds that inhibit Th2 cytokine productions is awaited. We found that an inhibitor for pyruvate dehydrogenase kinase (PDHK) suppresses the differentiation of IL-5/IL-13-producing Th2 cells.