Evidence map›Paper›PMID 18560537›Full record

Trial reportEnvironmental health perspectives2008

Fluticasone propionate protects against ozone-induced airway inflammation and modified immune cell activation markers in healthy volunteers.

Neil E Alexis, John C Lay, Angela Haczku, Henry Gong, William Linn, Milan J Hazucha, Brad Harris, Ruth Tal-Singer, David B Peden

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental health perspectives, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% of its field
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Newly divided eosinophils limit ozone-induced airway hyperreactivity in nonsensitized guinea pigs.American journal of physiology. Lung cellular and molecular physiology · 2017
    Article
  12. Article
  13. Article
  14. Review
  15. Environmental effects on immune responses in patients with atopy and asthma.The Journal of allergy and clinical immunology · 2014
    Review
  16. Article
  17. Article
  18. The effect of environmental oxidative stress on airway inflammation.Current opinion in allergy and clinical immunology · 2012
    Review
  19. Challenge models to assess new therapies in chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2012
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Neil E AlexisCenter for Environmental Medicine, Asthma and Lung Biology, University of North Carolina, Chapel Hill, North Carolina 27599-7310, USA. Neil_Alexis@med.unc.edu
John C Lay
Angela Haczku
Henry Gong
William Linn
Milan J Hazucha
Brad Harris
Ruth Tal-Singer
David B Peden
University of North Carolina at Chapel Hill · USUniversity of California, Los Angeles · USGlaxoSmithKline (United States) · USUniversity of Pennsylvania · US

Funding

Ozone and LPS-Induced Airway Inflammation In Humans In VivoR01ES012706 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEDEN, DAVID B. · 2004 to 2008
$1.5M
Effects of ozone exposure on expression and function of surfactant protein DRC1ES018505 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI HACZKU, ANGELA · 2009 to 2010
$1.0M
NIEHS NIH HHS ES012706NIEHS NIH HHS R01 ES012706NIEHS NIH HHS RC1 ES018505
6 · The paper itself

Abstract

backgroundOzone exposure induces airway neutrophilia and modifies innate immune monocytic cell-surface phenotypes in healthy individuals. High-dose inhaled corticosteroids can reduce O(3)-induced airway inflammation, but their effect on innate immune activation is unknown.

objectivesWe used a human O(3) inhalation challenge model to examine the effectiveness of clinically relevant doses of inhaled corticosteroids on airway inflammation and markers of innate immune activation in healthy volunteers.

methodsSeventeen O(3)-responsive subjects [>10% increase in the percentage of polymorphonuclear leukocytes (PMNs) in sputum, PMNs per milligram vs. baseline sputum] received placebo, or either a single therapeutic dose (0.5 mg) or a high dose (2 mg) of inhaled fluticasone proprionate (FP) 1 hr before a 3-hr O(3) challenge (0.25 ppm) on three separate occasions at least 2 weeks apart. Lung function, exhaled nitric oxide, sputum, and systemic biomarkers were assessed 1-5 hr after the O(3) challenge. To determine the effect of FP on cellular function, we assessed sputum cells from seven subjects by flow cytometry for cell-surface marker activation.

resultsFP had no effect on O(3)-induced lung function decline. Compared with placebo, 0.5 mg and 2 mg FP reduced O(3)-induced sputum neutrophilia by 18% and 35%, respectively. A similar effect was observed on the airway-specific serum biomarker Clara cell protein 16 (CCP16). Furthermore, FP pretreatment significantly reduced O(3)-induced modification of CD11b, mCD14, CD64, CD16, HLA-DR, and CD86 on sputum monocytes in a dose-dependent manner.

conclusionsThis study confirmed and extended data demonstrating the protective effect of FP against O(3)-induced airway inflammation and immune cell activation.

Indexed as

AdultAndrostadienesAnti-Inflammatory AgentsB7-2 AntigenCD11b AntigenDose-Response Relationship, DrugDouble-Blind MethodFemaleFlow CytometryFluticasoneHLA-DR AntigensHumansInflammationLungMaleNeutrophilsAndrostadienesAnti-Inflammatory AgentsB7-2 AntigenCD11b AntigenFluticasoneHLA-DR AntigensOzoneReceptors, IgGinhaled corticosteroidsinnate immune markersozonesputum neutrophils

Identifiers

PMID18560537
PMCPMC2430237
OpenAlexW2020025471

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.