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The CRONIC-PPF Faculty
Katrin Milger is a clinician-scientist specializing in diseases driven by various types of hypersensitivity and allergic
reactions. After completing the international postgraduate program Molecular Biology and Medicine of the Lung, she advanced her
clinical career, earning board certifications in respiratory medicine and allergology. Her research group has a strong track record
in the diagnosis and treatment of asthma and is actively engaged in experimental and translational studies to identify new therapeutic
targets. Within CRONIC-PPF, she investigates immune complex-mediated hypersensitivity and its role in progressive pulmonary fibrosis
(PPF), particularly in fibrotic hypersensitivity pneumonitis.
Project
Progression and inflammation in hypersensitivity pneumonitis
Co-PI: Anna Birnhuber
Research interests
- We investigated the role of CCR2+CD4+ T cells in experimental lung fibrosis and
in patients with idiopathic pulmonary fibrosis and other fibrosis. We found that pulmonary
CCR2+CD4+ T cells are immunosuppressive, and attenuate lung inflammation and
fibrosis. Therapeutic strategies completely abrogating CCR2-dependent signalling will therefore also
eliminate cell populations with protective roles in fibrotic lung disease. This emphasises the need for
a detailed understanding of the functions of immune cell subsets in fibrotic lung disease.
(Milger et al., 2017a [↗])
- We evaluated the epidemiology, care and treatment situation of patients with severe asthma in Germany using
data from anonymised electronic health records, prescription data and the GAN severe asthma registry. We
identified factors associated with disease burden and response to therapy.
(Bergmann et al, 2022 [↗];
Korn et al., 2022 [↗];
Milger et al., 2020 [↗];
Bal et al., 2022 [↗];
Milger et al., 2023 [↗];
Mümmler et al., 2022 [↗];
Milger et al., 2023 [↗];
Götschke et al., 2025 [↗])
- We have shown that distinct plasma miRNAs are differentially regulated both in murine and in human allergic
asthma and were associated with clinical characteristics of patients. We identified a biomarker
signature showed a good sensitivity and specificity in. Correlation of miRNA ratios with clinical
characteristics further revealed associations with FVC % predicted, and oral corticosteroid or
antileukotriene use. Thus, we suggested that miRNA levels in plasma might have future potential to
subphenotype patients with asthma.
Currently, we are investigating the potential of miRNA in predicting the response to different targeted
antibody therapies (anti-IgE, anti-IL5, anti-IL4R, anti-TSLP) in different phenotypes of asthma.
(Milger et al., 2017b [↗])
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