Evidence map›Paper›PMID 11514694›Full record

ArticleThorax2001

Systemic anti-inflammatory mediators in COPD: increase in soluble interleukin 1 receptor II during treatment of exacerbations.

M A Dentener, E C Creutzberg, A M Schols, A Mantovani, C van't Veer, W A Buurman, E F Wouters

Abstract read
In one paragraph

Article in Thorax, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Role of accelerated aging in limb muscle wasting of patients with COPD.International journal of chronic obstructive pulmonary disease · 2018
    Article
  11. Serum levels of IGFBP7 are elevated during acute exacerbation in COPD patients.International journal of chronic obstructive pulmonary disease · 2017
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Surfactant protein D, soluble intercellular adhesion molecule-1 and high-sensitivity C-reactive protein as biomarkers of chronic obstructive pulmonary disease.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2013
    Article
  17. Observational
  18. Article
  19. Article
  20. Systemic inflammation in COPD in relation to smoking status.Multidisciplinary respiratory medicine · 2011
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

M A DentenerDepartment of Pulmonology and Surgery, Maastricht University, Nutrition and Toxicology Research Institute Maastricht (NUTRIM), 6202 AZ Maastricht, The Netherlands. Mieke.Dentener@pul.unimaas.nl
E C Creutzberg
A M Schols
A Mantovani
C van't Veer
W A Buurman
E F Wouters

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to test the hypothesis that the chronic inflammatory process present in chronic obstructive pulmonary disease (COPD) is due to a defective endogenous anti-inflammatory mechanism.

methodsSystemic levels of the anti-inflammatory mediators soluble interleukin 1 receptor II (sIL-1RII), soluble tumour necrosis factor receptor p55 (sTNF-R55) and sTNF-R75, and of C reactive protein (CRP) and lipopolysaccharide binding protein (LBP) were analysed in 55 patients with stable COPD (median forced expiratory volume in one second (FEV(1)) 34% predicted (range 15-78)) and compared with levels in 23 control subjects. In addition, changes in these mediators were studied in 13 patients with COPD (median FEV(1) 34% predicted (range 19-51)) during the first 7 days in hospital with an exacerbation of the disease.

resultsPatients with stable COPD were characterised by a systemic inflammatory process indicated by an increased leucocyte count (7.2 (4.7-16.4) v 4.8 (3.5-8.3) x 10(9)/l), raised levels of CRP (11.8 (1.1-75.0) v 4.1 (0.6-75.0) microg/ml) and LBP (45.6 (8.1-200.0) v 27.9 (14.1-71.5) microg/ml), and moderate increases in both sTNF-Rs. In contrast, the sIL-1RII level did not differ between patients and controls (4.53 (2.09-7.60) v 4.63 (3.80-5.93) ng/ml). During treatment of disease exacerbations, systemic levels of both CRP (at day 3) and LBP (at day 7) were significantly reduced compared with day 1, whereas sIL-1RII levels increased.

conclusionsThese data suggest an imbalance in systemic levels of pro- and anti-inflammatory mediators in patients with stable COPD. The increase in the anti-inflammatory mediator sIL-1RII during treatment of exacerbations may contribute to the clinical improvement.

Indexed as

AdultAgedAged, 80 and overAntigens, CDCarrier ProteinsChronic DiseaseCyclic AMP Receptor ProteinDNA-Binding ProteinsFemaleForced Expiratory VolumeHumansLung Diseases, ObstructiveMaleMiddle AgedReceptors, Interleukin-1Receptors, Interleukin-1 Type IIAntigens, CDCarrier ProteinsCyclic AMP Receptor ProteinDNA-Binding ProteinsReceptors, Interleukin-1Receptors, Interleukin-1 Type IIReceptors, Tumor Necrosis FactorReceptors, Tumor Necrosis Factor, Type IReceptors, Tumor Necrosis Factor, Type IITranscription FactorsUBP1 protein, human

Identifiers

PMID11514694
PMCPMC1746133

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.