Evidence map›Paper›PMID 20550701›Full record

ArticleRespiratory research2010

Sputum neutrophils as a biomarker in COPD: findings from the ECLIPSE study.

Dave Singh, Lisa Edwards, Ruth Tal-Singer, Stephen Rennard

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Respiratory research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03924843 (Responsivity and Reproducibility of Messenger and Micro RNA Airway Inflammatory Markers - a Pilot Study), which is not on this map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
10.8field-weighted citation impact, top 1% 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.

NCT03924843 completednot on this mapstarted 2017, after this paper: background citation

Responsivity and Reproducibility of Messenger and Micro RNA Airway Inflammatory Markers - a Pilot Study

TypeobservationalSponsorUniversity Medical Center GroningenRan2017 to 2021Enrolled21ConditionsCOPD, COPD Exacerbation
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 168 citations in OpenAlex.

  1. Pooled it
  2. The YKL-40 protein is a potential biomarker for COPD: a meta-analysis and systematic review.International journal of chronic obstructive pulmonary disease · 2018
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Genome-wide association analysis of blood biomarkers in chronic obstructive pulmonary disease.American journal of respiratory and critical care medicine · 2012
    Trial
  7. Hallmarks of the ageing lung: 10 years later.The European respiratory journal · 2026
    Review
  8. Article
  9. The Evolving Landscape of COPD Typization.Medicina (Kaunas, Lithuania) · 2026
    Review
  10. Review
  11. Article
  12. Observational
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Exacerbations of COPD.Respiratory care · 2023
    Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 2 countries.

Dave SinghUniversity of Manchester, Medicines Evaluation Unit, South Manchester University Hospitals Trust, Southmoor Road, Manchester M23 9QZ, UK. dsingh@meu.org.uk
Lisa Edwards
Ruth Tal-Singer
Stephen Rennard
GlaxoSmithKline (United States) · USMedicines Evaluation Unit · GBUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe percentage of neutrophils in sputum are increased in COPD patients, and may therefore be a biomarker of airway inflammation. We studied the relationships between sputum neutrophils and FEV1, health status, exacerbation rates, systemic inflammation and emphysema, and long term variability at 1 year.

methodsSputum samples were obtained from 488 COPD patients within the ECLIPSE cohort. 359 samples were obtained at baseline, and 297 after 1 year. 168 subjects provided samples at both visits. Serum interleukin-6 (IL-6), IL-8, surfactant protein D and C-reactive protein levels were measured by immunoassays. Low-dose CT scans evaluated emphysema.

resultsSputum neutrophil % increased with GOLD stage. There was a weak association between % sputum neutrophils and FEV1 % predicted (univariate r2 = 0.025 and 0.094 at baseline and year 1 respectively, p < 0.05 after multivariate regression). Similar weak but significant associations were observed between neutrophil % and health status measured using the St Georges Respiratory Questionairre. There were no associations between neutrophils and exacerbation rates or emphysema. Associations between sputum neutrophils and systemic biomarkers were non-significant or similarly weak. The mean change over 1 year in neutrophil % was an increase of 3.5%.

conclusionsSputum neutrophil measurements in COPD are associated weakly with FEV1 % predicted and health status. Sputum neutrophil measurements were dissociated from exacerbation rates, emphysema and systemic inflammation.

Indexed as

AgedBiomarkersCanadaC-Reactive ProteinEuropeFemaleForced Expiratory VolumeHumansImmunoassayInterleukin-6Interleukin-8Linear ModelsLongitudinal StudiesLymphocyte CountMaleMiddle AgedBiomarkersC-Reactive ProteinCXCL8 protein, humanIL6 protein, humanInterleukin-6Interleukin-8Pulmonary Surfactant-Associated Protein D

Identifiers

PMID20550701
PMCPMC2904285
OpenAlexW2042742363

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.