Evidence map›Paper›PMID 20966042›Full record

ArticleChest2011

Determinants of exhaled breath condensate pH in a large population with asthma.

Lei Liu, W Gerald Teague, Serpil Erzurum, Anne Fitzpatrick, Sneha Mantri, Raed A Dweik, Eugene R Bleecker, Deborah Meyers, William W Busse, William J Calhoun and 11 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Chest, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-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

22 citing papers in PubMed, 69 citations in OpenAlex.

  1. Trial
  2. Asthma Phenotypes and Biomarkers.Respiratory care · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Neutrophils and Asthma.Diagnostics (Basel, Switzerland) · 2022
    Review
  7. Optical biosensing of markers of mucosal inflammation.Nanomedicine : nanotechnology, biology, and medicine · 2022
    Article
  8. Review
  9. Article
  10. Pruning of the Pulmonary Vasculature in Asthma. The Severe Asthma Research Program (SARP) Cohort.American journal of respiratory and critical care medicine · 2018
    Article
  11. Article
  12. Biomarkers and severe asthma: a critical appraisal.Clinical and molecular allergy : CMA · 2015
    Review
  13. Review
  14. Asthma across the ages: knowledge gaps in childhood asthma.The Journal of allergy and clinical immunology · 2014
    Review
  15. Article
  16. Biomarkers for gastroesophageal reflux in respiratory diseases.Gastroenterology research and practice · 2013
    Article
  17. Review
  18. Article
  19. Exhaled breath condensates: analyzing the expiratory plume.American journal of respiratory and critical care medicine · 2012
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 11 institutions in 2 countries.

Lei LiuDepartment of Public Health Sciences at the University of Virginia, Charlottesville, VA.
W Gerald TeagueDepartment of Pediatrics, Emory University, Atlanta, GA.
Serpil ErzurumDepartment of Pathobiology, the Cleveland Clinic, Cleveland, OH; Department of Pulmonary, Allergy, and Critical Care Medicine, the Cleveland Clinic, Cleveland, OH.
Anne FitzpatrickDepartment of Pediatrics, Emory University, Atlanta, GA.
Sneha MantriDepartment of Pediatrics, Charlottesville, VA.
Raed A DweikDepartment of Pathobiology, the Cleveland Clinic, Cleveland, OH; Department of Pulmonary, Allergy, and Critical Care Medicine, the Cleveland Clinic, Cleveland, OH.
Eugene R BleeckerDepartment of Medicine, Wake Forest University, Winston-Salem, NC.
Deborah MeyersDepartment of Medicine, Wake Forest University, Winston-Salem, NC.
William W BusseDepartment of Medicine, University of Wisconsin, Madison, WI.
William J CalhounDepartment of Medicine, University of Texas, Galveston, TX.
Mario CastroDepartment of Medicine, Washington University, St. Louis, MO.
Kian Fan ChungImperial College, London, England.
Douglas Curran-EverettNational Jewish Hospital, Denver, CO.
Elliot IsraelBrigham and Women's Hospital, Boston, MA.
W Nizar JarjourDepartment of Medicine, University of Wisconsin, Madison, WI.
Wendy MooreDepartment of Medicine, Wake Forest University, Winston-Salem, NC.
Stephen P PetersDepartment of Medicine, Wake Forest University, Winston-Salem, NC.
Sally WenzelUniversity of Pittsburgh, Pittsburgh, PA.
John F HuntDepartment of Pediatrics, Charlottesville, VA.
Benjamin GastonDepartment of Pediatrics, Charlottesville, VA. Electronic address: Bmg3g@virginia.edu.
National Heart, Lung, and Blood Institute Severe Asthma Research Program (SARP)
Wake Forest University · USCharlottesville Medical Research · USCleveland Clinic · USEmory University · USUniversity of Wisconsin–Madison · USBrigham and Women's Hospital · USImperial College London · GBJewish Hospital · USUniversity of Pittsburgh · USUniversity of Virginia · USWashington University in St. Louis · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Genotype-Phenotype Interactions in Severe AsthmaR01HL069167 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLEECKER, EUGENE ROLAND · 2001 to 2010
$5.5M
Redox Determinants of Severe AsthmaR01HL069170 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI ERZURUM, SERPIL C. · 2001 to 2010
$5.1M
Longitudinal Phenomics and Genetics of Severe AsthmaU10HL109164 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLEECKER, EUGENE ROLAND, MEYERS, DEBORAH A. · 2011 to 2016
$3.8M
Medical Research Council G1000758NCATS NIH HHS UL1 TR000454NHLBI NIH HHS 2R01 HL 69170NHLBI NIH HHS R01 HL069167NHLBI NIH HHS R01 HL069170NHLBI NIH HHS U10 HL109164Wellcome Trust
6 · The paper itself

Abstract

backgroundExhaled breath condensate (EBC) pH is 2 log orders below normal during acute asthma exacerbations and returns to normal with antiinflammatory therapy. However, the determinants of EBC pH, particularly in stable asthma, are poorly understood. We hypothesized that patients with severe asthma would have low EBC pH and that there would be an asthma subpopulation of patients with characteristically low values.

methodsWe studied the association of EBC pH with clinical characteristics in 572 stable subjects enrolled in the Severe Asthma Research Program. These included 250 subjects with severe asthma, 291 with nonsevere asthma, and 31 healthy control subjects.

resultsOverall, EBC in this population of stable, treated study subjects was not lower in severe asthma (8.02; interquartile range [IQR], 7.61-8.41) or nonsevere asthma (7.90; IQR, 7.52-8.20) than in control subjects (7.9; IQR, 7.40-8.20). However, in subjects with asthma the data clustered below and above pH 6.5. Subjects in the subpopulation with pH < 6.5 had lower fraction of exhaled NO (FeNO) values (FeNO = 22.6 ± 18.1 parts per billion) than those with pH ≥ 6.5 (39.9 ± 40.2 parts per billion; P < .0001). By multiple linear regression, low EBC pH was associated with high BMI, high BAL neutrophil counts, low prebronchodilator FEV(1) ratio, high allergy symptoms, race other than white, and gastroesophageal reflux symptoms.

conclusionAsthma is a complex syndrome. Subjects who are not experiencing an exacerbation but have low EBC pH appear to be a unique subpopulation.

Indexed as

AdultAsthmaBiomarkersBreath TestsCase-Control StudiesExhalationFemaleHumansHydrogen-Ion ConcentrationLinear ModelsMalePhenotypeRisk FactorsSeverity of Illness IndexBiomarkers

Identifiers

PMID20966042
PMCPMC3032364
OpenAlexW2119473112

What OpenQuestion holds

Textmetadata
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.