@ERSpublicationsThe pathobiology of asthma is better understood but most of the treatments are still symptomdriven controllers http://ow.ly/CUxjyTo date, asthma remains one of the most frequent chronic diseases in children and adults worldwide [1,2]. Despite our increased knowledge of the mechanisms and treatments of asthma, we need to better understand the natural history of this lifelong disease. In mild asthma, compliance and adherence to existing and efficient therapies are the main problem whereas in severe asthma, innovative treatments are the new challenges to better control the disease [3][4][5]. A new series on asthma is, therefore, very welcome in the European Respiratory Review in order to focus on specific areas discussed in recent findings. These series articles, written by expert opinion leaders, can be used to stimulate new ideas as well as provide new forms of management and treatment [6]. The articles deal with hot topics requiring balanced expertise and opinion. The experts will discuss new views on those important questions for researchers and physicians.The continuing increase in asthma prevalence (more than 400 million cases by 2020) points to a potential role of risk factors. Genetic background is obvious but multiple genes are involved and have been shown to be influenced by environmental factors (epigenetics), even during the gestation period. Lifestyle and environmental exposures are the most commonly studied risk factors. Their role in the inception of asthma is still a matter of debate and despite much research between allergy and asthma the causality between the two has yet to be demonstrated. The hygiene hypothesis is an elegant way to bring together the development of a switch of the immune system and contact with a specific microbial environment. A specific link with nurture is suspected in children with some specific genetic polymorphisms, but again allergy and asthma are not completely discriminated in most studies. The geolocalisation of the subjects (using personal GPS) and the precise environmental exposure to pollutants, allergens and microbes may help to define a more personalised risk to developing the disease [1].The characteristic mechanisms of asthma include bronchial hyperreactivity, airway inflammation and structural changes of the airways. These different pathways may explain many of the clinical phenotypes, symptoms and exacerbations, and perhaps natural history, of the disease. Eosinophils are key players as the major granulocytes that are recruited, activated and survive within the airway wall, and also migrate to the epithelium lumen [1]. Asthmatic inflammation is associated with an eosinophilic T-helper (Th)2-driven mechanism based on the release of cytokines, such as interleukin (IL)-5, IL-4 and IL-13. This wellestablished inflammation model is based on various allergic responses requiring an adaptive immune pathway. More recently, it was found that bronchial epithelial cells can communicate with immune cells, such as dendritic cells and innate lymphocytes, thou...