Part of the series: Allergy, Asthma & Immunology Innovations Podcast

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What do asthma, eczema, EoE, and nasal polyps have in common? They all stem from Type 2 inflammation!

Type 2 inflammation is a major driver behind many allergic and inflammatory conditions, yet it remains widely misunderstood. In this special four-part series, we are taking a deep dive into Type 2 inflammation. Exploring what it is, how it impacts the body, and why it plays a central role in multiple allergic and inflammatory conditions. Throughout the series, we’ll explore its connection to various diseases, how it affects children differently, and what 'control' means in terms of treatment and management.

In this first episode, we break down the basics of Type 2 inflammation, its impact on the immune system, how it contributes to chronic inflammation in the body, and why it matters for treatment and management.

What We Cover in Our Episode Type 2 Inflammation:

  • Understanding Inflammation: Inflammation is your body’s natural defence mechanism, but it can become problematic when it turns chronic.

  • Normal vs. Chronic Inflammation: Not all inflammation is bad! Learn the difference between the body’s normal immune response and long-term chronic inflammation.

  • What Sets Type 2 Inflammation Apart? Unlike other immune responses, Type 2 inflammation involves a specific pathway that plays a role in allergic conditions.

  • Key Players in Type 2 Inflammation: Th2 cells, cytokines (IL-4, IL-5, IL-13), IgE antibodies, and eosinophils.

  • Measuring Type 2 Inflammation: How blood tests can help determine if Type 2 inflammation is contributing to your symptoms.

 

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More resources about Type 2 Inflammation: 


 

Type 2 Inflammation in a Nutshell

What is Type 2 inflammation? 

Type 2 Inflammation is an immune response involving specific cells, including T helper 2 (Th2) cells, and signalling molecules called cytokines. It's a key driver of conditions like asthma, eczema, eosinophilic esophagitis (EoE), and chronic sinusitis with nasal polyps. Understanding it can help explain why people with one condition often have others.

Breaking Down Type 2 Inflammation: The Immune System's "Party Gone Wrong"

During this episode Type 2 inflammation is explained using Dr. G's party analogy:

  • Th2 cells are the "party planners" who decide how the immune response will unfold.

  • Cytokines (IL-4, IL-5, IL-13) are like text messages that tell different immune cells what to do:

    • IL-4: Invites "bodyguards" (IgE) that can overreact to harmless triggers like pollen or food.

    • IL-5: Calls in the "dance crew" (eosinophils), which can lead to excess swelling and inflammation.

    • IL-13: Turns up the "special effects" (mucus production and tissue changes), making conditions like asthma and eczema worse.

Why It Matters

Knowing if you have Type 2 inflammation can help doctors select the right treatments, including biologics that specifically target IL-4, IL-5, or IL-13. It also explains why conditions like asthma and eczema often go hand in hand.

 

Timestamps

Our episode explores the mechanism of action behind Type 2 Inflammation

02:09 The immune system’s response to inflammation

04:45 Understanding Type 2 Inflammation and its role in chronic conditions

06:52 The key cytokines involved in Type 2 inflammation

07:42 The role of IL-4 in immune system signaling

09:16 The role of IL-5 in driving eosinophil activity

10:37 The impact of IL-13 on mucus production and tissue changes

12:07 Identifying signs of Type 2 inflammation and how it is diagnosed

15:56 The connection between Type 2 inflammation and allergic conditions

16:31 Why some individuals experience more severe disease due to Type 2 inflammation

17:09 The importance of understanding Type 2 inflammation for better disease management

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Ep. 102: Comorbidities of Type 2 Inflammation -  Connecting the Dots Between Multiple Allergic Conditions

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🎉 100 Episodes of Allergy Education: Lessons from an Allergist & Patient