Evidence map›Paper›PMID 23069492›Full record

ArticleThe Journal of allergy and clinical immunology2012

Genetic ancestry and its association with asthma exacerbations among African American subjects with asthma.

Jennifer A Rumpel, Brian K Ahmedani, Edward L Peterson, Karen E Wells, Mao Yang, Albert M Levin, James J Yang, Rajesh Kumar, Esteban González Burchard, L Keoki Williams

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Asthma Exacerbations: The Genes Behind the Scenes.Journal of investigational allergology & clinical immunology · 2023
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Genome-wide association study reveals a novel locus for asthma with severe exacerbations in diverse populations.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Article
  10. Comparison of severity of asthma hospitalization between African American and Hispanic children in the Bronx.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  11. Article
  12. Review
  13. How does race and ethnicity effect the precision treatment of asthma?Expert review of precision medicine and drug development · 2019
    Article
  14. Article
  15. Predictors of emergency department use in children with persistent asthma in metropolitan Atlanta, Georgia.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017
    Article
  16. Genetic Signatures of Asthma Exacerbation.Allergy, asthma & immunology research · 2017
    Review
  17. Review
  18. Observational
  19. Review
  20. Observational
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

10 authors.

Jennifer A RumpelDepartment of Internal Medicine, Henry Ford Health System, Detroit, MI, USA.
Brian K Ahmedani
Edward L Peterson
Karen E Wells
Mao Yang
Albert M Levin
James J Yang
Rajesh Kumar
Esteban González Burchard
L Keoki Williams

Funding

Understanding Asthma EndotypesU19AI077439 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRESCOTT G WOODRUFF · 2008 to 2026
$41.1M
The EVE Asthma Genetics Consortium: Building Upon GWASRC2HL101651 · NHLBI · UNIVERSITY OF CHICAGO · PI NICOLAE, DAN LIVIU, OBER, CAROLE · 2009 to 2010
$7.4M
Gene-environments and Admixture in Latino Asthmatics (GALA 2)R01ES015794 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$5.4M
PHARMACOGENOMICS OF INHALED CORTICOSTEROID RESPONSIVENESS IN PATIENTS WITH ASTHMAR01AI079139 · NIAID · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2009 to 2013
$3.9M
Whole Genome Analyses for Asthma in Latino PopulationsR01HL088133 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$3.8M
Mechanism of Endotoxin's Effect On Allergy RiskR01AI061774 · NIAID · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2004 to 2008
$2.9M
VALIDATION OF ADHERENCE DATA--USE IN CLINICAL PRACTICER01DK064695 · NIDDK · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2003 to 2010
$2.7M
Case-control Association Studies and Genetic ConfoundingR01HL078885 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2005 to 2009
$1.9M
USING INFORMATION TECHNOLOGY TO IMPROVE ASTHMA ADHERENCER01HL079055 · NHLBI · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2005 to 2008
$1.4M
Role of Prenatal Factors and Gene-Environment Interactions in Recurrent WheezingK23HL093023 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI KUMAR, RAJESH · 2008 to 2012
$672k
NHLBI NIH HHS 5RC2HL101651NHLBI NIH HHS HL078885NHLBI NIH HHS HL079055NHLBI NIH HHS HL088133NHLBI NIH HHS K23 HL093023NHLBI NIH HHS K23HL093023NHLBI NIH HHS R01 HL078885NHLBI NIH HHS R01 HL079055NHLBI NIH HHS R01 HL088133NHLBI NIH HHS RC2 HL101651NIAID NIH HHS AI061774NIAID NIH HHS AI077439NIAID NIH HHS AI079139NIAID NIH HHS R01 AI061774NIAID NIH HHS R01 AI079139NIAID NIH HHS U19 AI077439NIDDK NIH HHS DK064695NIDDK NIH HHS R01 DK064695NIEHS NIH HHS ES015794NIEHS NIH HHS R01 ES015794
6 · The paper itself

Abstract

backgroundThere are large and persisting disparities in severe asthma exacerbations by race-ethnicity, and African American subjects are among those at greatest risk. It is unclear whether this increased risk solely represents differences in environmental exposures and health care or whether there is a predisposing genetic component.

objectiveWe sought to assess the relationship between genetic ancestry and severe exacerbations among African American subjects with asthma.

methodsParticipants were part of the Study of Asthma Phenotypes and Pharmacogenomic Interactions by Race-ethnicity (SAPPHIRE). These subjects were 12 to 56 years of age, received care from a single large health system, and had a physician's diagnosis of asthma. Genetic ancestry was estimated by using a set of validated ancestry informative markers. Severe exacerbations (ie, asthma-related emergency department visits, hospitalizations, and burst oral steroid use) were prospectively identified from health care claims.

resultsWe assessed genetic ancestry in 392 African American subjects with asthma. The average proportion of African ancestry was 76.1%. A significant interaction was identified between ancestry and sex on severe exacerbations, such that the risk was significantly higher with increasing African ancestry among male but not female subjects. The association among male subjects persisted after adjusting for potential confounders (relative rate, 4.30 for every 20% increase in African ancestry; P = .029).

conclusionsAfrican ancestry was significantly and positively associated with severe exacerbations among male African American subjects. These findings suggest that a portion of the risk of asthma exacerbations in this high-risk group is attributable to a genetic risk factor that partitions with ancestry.

Indexed as

Black or African AmericanAdolescentAdultAgedAsthmaChildDisease ProgressionEmergency Service, HospitalFemaleHospitalizationHumansInsurance Claim ReviewMaleMiddle AgedRiskSex Factors

Identifiers

PMID23069492
PMCPMC3511609

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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.