Evidence map›Paper›PMID 21881145›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2011

Beyond corticosteroids: future prospects in the management of inflammation in COPD.

N Roche, R Marthan, P Berger, A Chambellan, P Chanez, B Aguilaniu, P-Y Brillet, P-R Burgel, A Chaouat, P Devillier and 8 more

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Extrapulmonary effects of lung volume reduction in severe emphysema: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Review
  4. Review
  5. Early chronic obstructive pulmonary disease: A new perspective.Chronic diseases and translational medicine · 2021
    Review
  6. Article
  7. Article
  8. Article
  9. How Glucocorticoids Affect the Neutrophil Life.International journal of molecular sciences · 2018
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
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

18 authors at 2 institutions in 2 countries.

N RocheService de Pneumologie et Réanimation, Hôtel Dieu, 1 Place du Parvis Notre-Dame, Paris Cedex 4, France. nicolas.roche@htd.aphp.fr
R Marthan
P Berger
A Chambellan
P Chanez
B Aguilaniu
P-Y Brillet
P-R Burgel
A Chaouat
P Devillier
R Escamilla
R Louis
H Mal
J-F Muir
T Pérez
T Similowski
B Wallaert
M Aubier
Centre Hospitalier Universitaire de Liège · BEHôtel-Dieu de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation plays a central role in the pathophysiology of chronic obstructive pulmonary disease (COPD). Exposure to cigarette smoke induces the recruitment of inflammatory cells in the airways and stimulates innate and adaptive immune mechanisms. Airway inflammation is involved in increased bronchial wall thickness, increased bronchial smooth muscle tone, mucus hypersecretion and loss of parenchymal elastic structures. Oxidative stress impairs tissue integrity, accelerates lung ageing and reduces the efficacy of corticosteroids by decreasing levels of histone deacetylase-2. Protease-antiprotease imbalance impairs tissues and is involved in inflammatory processes. Inflammation is also present in the pulmonary artery wall and at the systemic level in COPD patients, and may be involved in COPD-associated comorbidities. Proximal airways inflammation contributes to symptoms of chronic bronchitis while distal and parenchymal inflammation relates to airflow obstruction, emphysema and hyperinflation. Basal levels of airways and systemic inflammation are increased in frequent exacerbators. Inhaled corticosteroids are much less effective in COPD than in asthma, which relates to the intrinsically poor reversibility of COPD-related airflow obstruction and to molecular mechanisms of resistance relating to oxidative stress. Ongoing research aims at developing new drugs targeting more intimately COPD-specific mechanisms of inflammation, hypersecretion and tissue destruction and repair. Among new anti-inflammatory agents, phosphodiesterase-4 inhibitors have been the first to emerge.

Indexed as

Adrenal Cortex HormonesAnti-Inflammatory AgentsHumansLungPhenotypePhosphodiesterase 4 InhibitorsPulmonary Disease, Chronic ObstructiveTreatment OutcomeAdrenal Cortex HormonesAnti-Inflammatory AgentsPhosphodiesterase 4 Inhibitors

Identifiers

PMID21881145
PMCPMC9584116
OpenAlexW2127538406

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.