Evidence map›Paper›PMID 21504569›Full record

ArticleBMC pulmonary medicine2011

Ageing and smoking contribute to plasma surfactant proteins and protease imbalance with correlations to airway obstruction.

Helen Ilumets, Witold Mazur, Tuula Toljamo, Noora Louhelainen, Pentti Nieminen, Hideo Kobayashi, Nobuhisa Ishikawa, Vuokko L Kinnula

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 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
3.5field-weighted citation impact, top 8% 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, 41 citations in OpenAlex.

  1. Observational
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  8. Ion channels of the lung and their role in disease pathogenesis.American journal of physiology. Lung cellular and molecular physiology · 2017
    Review
  9. Article
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  12. Relationships of MMP-9 and TIMP-1 proteins with chronic obstructive pulmonary disease risk: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016
    Review
  13. Polysaccharide Extracted from Laminaria japonica Delays Intrinsic Skin Aging in Mice.Evidence-based complementary and alternative medicine : eCAM · 2016
    Article
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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

8 authors at 5 institutions in 2 countries.

Helen IlumetsDepartment of Medicine, Division of Pulmonary Medicine, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland. helen.ilumets@helsinki.fi
Witold Mazur
Tuula Toljamo
Noora Louhelainen
Pentti Nieminen
Hideo Kobayashi
Nobuhisa Ishikawa
Vuokko L Kinnula
University of Helsinki · FIHelsinki University Hospital · FILapland Central Hospital · FINational Defense Medical College · JPUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA significant number of young people start smoking at an age of 13-15, which means that serious smoking-evoked changes may have been occurred by their twenties. Surfactant proteins (SP) and matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs) have been linked to cigarette smoke induced lung remodelling and chronic obstructive pulmonary disease (COPD). However, the level of these proteins has not been examined during ageing or in young individuals with short smoking histories.

methodsPlasma levels of SP-A, SP-D, MMP-9, and TIMP-1 were measured by EIA/ELISA from young (18-23 years) non-smoking controls (YNS) (n = 36), smokers (YS) (n = 51), middle aged/elderly (37-77 years) non-smoking controls (ONS) (n = 40), smokers (OS) (n = 64) (FEV1/FVC >0.7 in all subjects) and patients with COPD (n = 44, 35-79 years).

resultsPlasma levels of SP-A increased with age and in the older group in relation to smoking and COPD. Plasma SP-D and MMP-9 levels did not change with age but were elevated in OS and COPD as compared to ONS. The TIMP-1 level declined with age but increased in chronic smokers when compared to ONS. The clearest correlations could be detected between plasma SP-A vs. age, pack years and FEV1/FVC. The receiver operating characteristic (ROC) curve analysis revealed SP-A to be the best marker for discriminating between patients with COPD and the controls (area under ROC curve of 0.842; 95% confidence interval, 0.785-0.899; p < 0.001).

conclusionsAge has a significant contribution to potential markers related to smoking and COPD; SP-A seems to be the best factor in differentiating COPD from the controls.

Indexed as

AdolescentAdultAgedAgingCase-Control StudiesFemaleForced Expiratory VolumeHumansMaleMatrix Metalloproteinase 9Middle AgedPeptide HydrolasesPulmonary Disease, Chronic ObstructivePulmonary Surfactant-Associated Protein APulmonary Surfactant-Associated Protein DPulmonary SurfactantsMatrix Metalloproteinase 9Peptide HydrolasesPulmonary Surfactant-Associated Protein APulmonary Surfactant-Associated Protein DPulmonary SurfactantsTissue Inhibitor of Metalloproteinase-1

Identifiers

PMID21504569
PMCPMC3103485
OpenAlexW1978570405

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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.