Evidence map›Paper›PMID 22989372›Full record

Trial reportRespiratory research2012

Airway responses and inflammation in subjects with asthma after four days of repeated high-single-dose allergen challenge.

Johannes Schulze, Sandra Voss, Ulrich Zissler, Markus A Rose, Stefan Zielen, Ralf Schubert

2 registry-linked trialsOpen 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. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT03550456 completednot on this mapstarted 2018, after this paper: background citation

Diagnostics of the Quality of Life With Exercise Induced Asthma (EIA) and Exercise Induced Laryngeal Obstruction (EILO)

TypeobservationalSponsorJohann Wolfgang Goethe University HospitalRan2018 to 2019Enrolled40ConditionsExercise Induced Asthma, Exercise Induced Pharyngeal CollapseArmsECC, ECC with CLE, Speech therapy
NCT05174689 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Epigenetic Regulation of Excercise Induced Asthma

TypeinterventionalSponsorJohann Wolfgang Goethe University HospitalRan2021 to 2022Enrolled68ConditionsExercise Induced Asthma, House Dust Mite AllergyArmsExercise challenge in the cold chamber (ECC), mRNA profile, standard diagnostic
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Sex chromosomes and gonadal sex interactions in airway and immune responses to allergen challenge.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Thunderstorm-triggered asthma: what we know so far.Journal of asthma and allergy · 2019
    Review
  9. Observational
  10. Article
  11. Article
  12. Allergen inhalation challenge, refractoriness and the effects of ibuprofen.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2016
    Article
  13. Article
  14. Persistence of serotonergic enhancement of airway response in a model of childhood asthma.American journal of respiratory cell and molecular biology · 2014
    Article
  15. Review
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 1 institution in 1 country.

Johannes SchulzeDepartment of Allergy, Pulmonology, and Cystic Fibrosis, Children's Hospital, Goethe-University, Frankfurt, Germany. johannes.schulze@kgu.de
Sandra Voss
Ulrich Zissler
Markus A Rose
Stefan Zielen
Ralf Schubert
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth standard and low-dose allergen provocations are an established tool in asthma research to improve our understanding of the pathophysiological mechanism of allergic asthma. However, clinical symptoms are less likely to be induced. Therefore, we designed a protocol for repetitive high-dose bronchial allergen challenges to generate clinical symptoms and airway inflammation.

methodsA total of 27 patients aged 18 to 40 years with positive skin-prick tests and mild asthma underwent repetitive high-dose allergen challenges with household dust mites for four consecutive days. Pulmonary function and exhaled NO were measured at every visit. Induced sputum was analysed before and after the allergen challenges for cell counts, ECP, IL-5, INF-γ, IL-8, and the transcription factor Foxp3.

resultsWe found a significant decrease in pulmonary function, an increased use of salbutamol and the development of a late asthmatic response and bronchial hyperresponsiveness, as well as a significant induction of eNO, eosinophils, and Th-2 cytokines. Repeated provocation was feasible in the majority of patients. Two subjects had severe adverse events requiring prednisolone to cope with nocturnal asthma symptoms.

conclusionsRepeated high-dose bronchial allergen challenges resulted in severe asthma symptoms and marked Th-2-mediated allergic airway inflammation. The high-dose challenge model is suitable only in an attenuated form in diseased volunteers for proof-of-concept studies and in clinical settings to reduce the risk of severe asthma exacerbations.

trial registrationClinicalTrials.govNCT00677209.

Indexed as

AdolescentAdultAllergensAsthmaBronchial Provocation TestsBronchitisCytokinesDose-Response Relationship, DrugFemaleHumansMaleYoung AdultAllergensCytokines

Identifiers

PMID22989372
PMCPMC3445853
OpenAlexW2112302502

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.