Evidence map›Paper›PMID 23144325›Full record

ArticleAmerican journal of respiratory and critical care medicine2013

P2X7-regulated protection from exacerbations and loss of control is independent of asthma maintenance therapy.

Loren C Denlinger, David M Manthei, Max A Seibold, Kwangmi Ahn, Eugene Bleecker, Homer A Boushey, William J Calhoun, Mario Castro, Vernon M Chinchili, John V Fahy and 19 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Eosinophil-Epithelial Cell Interactions in Asthma.International archives of allergy and immunology · 2024
    Review
  3. Asthma Exacerbations: Patient Features and Potential Long-Term Implications.Advances in experimental medicine and biology · 2023
    Article
  4. Review
  5. Exacerbation-Prone Asthma.The journal of allergy and clinical immunology. In practice · 2020
    Article
  6. Article
  7. Genetic Signatures of Asthma Exacerbation.Allergy, asthma & immunology research · 2017
    Review
  8. Personalized management of asthma exacerbations: lessons from genetic studies.Expert review of precision medicine and drug development · 2016
    Article
  9. Article
  10. Article
  11. Article
  12. Virus/allergen interactions in asthma.Current allergy and asthma reports · 2013
    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

29 authors at 9 institutions in 1 country.

Loren C DenlingerUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. lcd@medicine.wisc.edu
David M Manthei
Max A Seibold
Kwangmi Ahn
Eugene Bleecker
Homer A Boushey
William J Calhoun
Mario Castro
Vernon M Chinchili
John V Fahy
Greg A Hawkins
Nicolina Icitovic
Elliot Israel
Nizar N Jarjour
Tonya King
Monica Kraft
Stephen C Lazarus
Erik Lehman
Richard J Martin
Deborah A Meyers
Stephen P Peters
Dagna Sheerar
Lei Shi
E Rand Sutherland
Stanley J Szefler
Michael E Wechsler
Christine A Sorkness
Robert F Lemanske
NHLBI Asthma Clinical Research Network Investigators
University of Wisconsin–Madison · USPennsylvania State University · USNational Jewish Health · USWake Forest University · USUniversity of California, San Francisco · USBrigham and Women's Hospital · USDuke Medical Center · USThe University of Texas Medical Branch at Galveston · USWashington University in St. Louis · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
INTEGRATED TRAINING FOR PHYSICIAN-SCIENTISTST32GM008692 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI BURKARD, MARK E · 1998 to 2020
$10.3M
Treatment of Severe Persistent AsthmaU10HL074212 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI LEMANSKE, ROBERT F · 2003 to 2007
$4.9M
Variant Nucleotide Receptor Function in Airway DisordersK23HL081492 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI DENLINGER, LOREN C · 2008 to 2010
$428k
NCATS NIH HHS UL1 TR000427NCRR NIH HHS 1 UL1RR025011NCRR NIH HHS UL1 RR025011NHLBI NIH HHS K23 HL081492NHLBI NIH HHS U10 HL074212NIGMS NIH HHS T32 GM008692
6 · The paper itself

Abstract

rationaleThe function of the P2X(7) nucleotide receptor protects against exacerbation in people with mild-intermittent asthma during viral illnesses, but the impact of disease severity and maintenance therapy has not been studied.

objectivesTo evaluate the association between P2X(7), asthma exacerbations, and incomplete symptom control in a more diverse population.

methodsA matched P2RX7 genetic case-control was performed with samples from Asthma Clinical Research Network trial participants enrolled before July 2006, and P2X(7) pore activity was determined in whole blood samples as an ancillary study to two trials completed subsequently. MEASUREMENTS AND MAIN

resultsA total of 187 exacerbations were studied in 742 subjects, and the change in asthma symptom burden was studied in an additional 110 subjects during a trial of inhaled corticosteroids (ICS) dose optimization. African American carriers of the minor G allele of the rs2230911 loss-of-function single nucleotide polymorphism were more likely to have a history of prednisone use in the previous 12 months, with adjustment for ICS and long-acting β(2)-agonists use (odds ratio, 2.7; 95% confidence interval, 1.2-6.2; P = 0.018). Despite medium-dose ICS, attenuated pore function predicted earlier exacerbations in incompletely controlled patients with moderate asthma (hazard ratio, 3.2; confidence interval, 1.1-9.3; P = 0.033). After establishing control with low-dose ICS in patients with mild asthma, those with attenuated pore function had more asthma symptoms, rescue albuterol use, and FEV(1) reversal (P < 0.001, 0.03, and 0.03, respectively) during the ICS adjustment phase.

conclusionsP2X(7) pore function protects against exacerbations of asthma and loss of control, independent of baseline severity and the maintenance therapy.

Indexed as

Adrenal Cortex HormonesAdultAlbuterolAsthmaBlack or African AmericanCase-Control StudiesDisease ProgressionFemaleForced Expiratory VolumeHumansMaleNuclear PorePolymorphism, Single NucleotidePrednisoneReceptors, Purinergic P2X7Adrenal Cortex HormonesAlbuterolP2RX7 protein, humanPrednisoneReceptors, Purinergic P2X7

Identifiers

PMID23144325
PMCPMC3570642
OpenAlexW1974387089

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.