Evidence map›Paper›PMID 22559839›Full record

Trial reportRespiratory research2012

Effect of β2-adrenergic receptor gene (ADRB2) 3' untranslated region polymorphisms on inhaled corticosteroid/long-acting β2-adrenergic agonist response.

Helen J Ambrose, Rachael M Lawrance, Carl J Cresswell, Mitchell Goldman, Deborah A Meyers, Eugene R Bleecker

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Personalized management of asthma exacerbations: lessons from genetic studies.Expert review of precision medicine and drug development · 2016
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
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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

6 authors at 3 institutions in 2 countries.

Helen J AmbroseWake Forest University Health Sciences, Medical Center Blvd, Winston-Salem, NC, 27157, USA. ebleeck@wfubmc.edu.
Rachael M Lawrance
Carl J Cresswell
Mitchell Goldman
Deborah A Meyers
Eugene R Bleecker
AstraZeneca (United Kingdom) · GBWake Forest University · USAstraZeneca (United States) · US

Funding

NHLBI NIH HHS HL 056899
6 · The paper itself

Abstract

backgroundEvidence suggests that variation in the length of the poly-C repeat in the 3' untranslated region (3'UTR) of the β2-adrenergic receptor gene (ADRB2) may contribute to interindividual variation in β-agonist response. However, methodology in previous studies limited the assessment of the effect of sequence variation in the context of poly-C repeat length. The objectives of this study were to design a novel genotyping method to fully characterize sequence variation in the ADRB2 3'UTR poly-C repeat in asthma patients treated with inhaled corticosteroid and long-acting β2-adrenergic agonist (ICS/LABA) combination therapy, and to analyze the effect of the poly-C repeat polymorphism on clinical response.

methodsIn 2,250 asthma patients randomized to treatment with budesonide/formoterol or fluticasone/salmeterol in a six-month study (AstraZeneca study code: SD-039-0735), sequence diversity in the ADRB2 poly-C repeat region was determined using a novel sequencing-based genotyping method. The relationship between the poly-C repeat polymorphism and the incidence of severe asthma exacerbations, and changes in pulmonary function and asthma symptoms from baseline to the average during the treatment period, were analyzed.

resultsPoly-C repeat genotypes were assigned in 97% (2,192/2,250) of patients. Of the 13 different poly-C repeat alleles identified, six alleles occurred at a frequency of >5% in one or more population in this study. The repeat length of these six common alleles ranged from 10 to 14 nucleotides. Twelve poly-C repeat genotypes were observed at a frequency of >1%. No evidence of an association between poly-C repeat genotype and the incidence of severe asthma exacerbations was observed. Patients' pulmonary function measurements improved and asthma symptoms declined when treated with ICS/LABA combination therapy regardless of poly-C repeat genotype.

conclusionsThe extensive sequence diversity present in the poly-C repeat region of the ADRB2 3'UTR did not predict therapeutic response to ICS/LABA therapy.

Indexed as

3' Untranslated RegionsAdrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsAdultAsthmaBase SequenceBronchodilator AgentsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedMolecular Sequence DataPolymorphism, GeneticReceptors, Adrenergic, beta-2Tandem Repeat Sequences3' Untranslated RegionsADRB2 protein, humanAdrenal Cortex HormonesAdrenergic beta-2 Receptor AgonistsBronchodilator AgentsReceptors, Adrenergic, beta-2

Identifiers

PMID22559839
PMCPMC3441247
OpenAlexW2154366268

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.