Chicagoland Metropolitan AsthmaNet Consortium (CMAC)

描述（由申请人提供）：本申请来自芝加哥大都会哮喘网络联盟（OMAG），是对题为“NHLBI哮喘网络（哮喘网络）临床中心"的RFA的回应。芝加哥大都会区有600多万居民，他们是种族和民族多样化的。芝加哥市约占这一人口的一半，儿童和成人的哮喘患病率都很高（两组均超过10%），并且是美国哮喘死亡率最高的城市之一。CMAC包括学术医疗中心合作伙伴：西北大学，芝加哥大学，儿童纪念医院，约翰H。斯特罗格医院，以及社区合作伙伴的广泛网络。CMAC是唯一有资格参与AsthmaNet的机构，并为网络临床试验和概念/机制研究的开发和成功完成做出贡献。这是基于在哮喘临床和转化研究方面具有丰富经验的关键人员，包括探索其病理生理学、发病机制（遗传和环境因素）、流行病学和治疗;在关键研究支持方面的领导作用（包括CTSA资助的）项目;在几个哮喘研究项目上成功合作：接触大量不同的哮喘人群;并成功地在NIH、基金会和行业赞助的哮喘研究和临床试验中招募患者和对照受试者。这些研究提出了几个重要的问题，包括：成人吸烟哮喘患者的治疗方法;在哮喘发作季节之前积极的预治疗在儿童哮喘患者中的作用; HLA-G（一种非经典的MHC抗原）在季节性哮喘发作中的表达;哮喘儿童阻塞性睡眠呼吸暂停（OSA）的发病率以及OSA治疗是否改善哮喘症状，生活质量和肺功能。CMAC的参与将加强AsthmaNet，并增加其实现其目标的可能性，以解决最重要的哮喘管理问题和儿童和成人哮喘的新治疗方法，并为临床实践和NAEPP指南的未来更新提供信息。

DESCRIPTION (provided by applicant): This application from the Chicagoland Metropolitan AsthmaNet Consortium (OMAG) is in response to the RFA entitled "Clinical Centers for the NHLBI Asthma Network (AsthmaNet)". The Chicago Metropolitan area has more than 6 million inhabitants who are racially and ethnically diverse. The City of Chicago, which represents about half of this population, has high asthma prevalence rates in both children and adults (exceeding 10% in both groups) and has one of the highest asthma mortality rates in the United States. The CMAC includes academic medical center partners: Northwestern University, the University of Chicago, Children's Memorial Hospital, and John H. Stroger Hospital, and an expansive network of Community Partners. The CMAC is uniquely qualified to participate in AsthmaNet and contribute to the development and successful completion of the network clinical trials and proof of concept/mechanistic studies. This is based on the key personnel having extensive experience in asthma clinical and translational research, including studies exploring its pathophysiology, pathogenesis (genetic and environmental factors), epidemiology and treatment; leadership roles in key research support (including CTSA-funded) programs at their respective institutions; successfully worked together on several asthma research programs: access to a large, diverse asthma population; and successfully enrolled patients and control subjects in NIH, foundation and industry sponsored asthma research studies and clinical trials. The studies proposed address several important issues including: treatment approaches to adult asthmatics who smoke; the role of aggressive pre-treatment in pediatric asthmatics prior to the exacerbation season; the expression of HLA-G, a non-classical MHC antigen, in seasonal asthma exacerbations; and the incidence of obstructive sleep apnea (OSA) in asthmatic children and whether treatment of OSA improves asthma symptoms, quality of life and lung function. Participation by the CMAC will strengthen AsthmaNet and increase the likelihood that it will achieve its goal to address the most important asthma management questions and new treatment approaches in pediatric and adult asthma and inform clinical practice and future updates to the NAEPP guidelines.