Evidence map›Paper›PMID 23600541›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2013

ALOX5 polymorphism associates with increased leukotriene production and reduced lung function and asthma control in children with poorly controlled asthma.

E Mougey, J E Lang, H Allayee, W G Teague, A J Dozor, R A Wise, J J Lima

Registry-linked trialAbstract read
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00604851, which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT00604851 no registry record found
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Molecular Study from the Signaling Pathways of Four PotentialInternational journal of molecular sciences · 2025
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  7. Association between Sex-RelatedJournal of clinical medicine · 2023
    Article
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  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. [Research advances in gene polymorphisms in biological pathways of drugs for asthma].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2016
    Review
  18. Review
  19. Article
  20. 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

7 authors at 5 institutions in 1 country.

E MougeyCenter for Pharmacogenomics & Translational Research, Nemours Children's Clinic, Jacksonville, FL 32207, USA.
J E Lang
H Allayee
W G Teague
A J Dozor
R A Wise
J J Lima
Nemours Children’s Clinic · USJohns Hopkins University · USNew York Medical College · USUniversity of Southern California · USUniversity of Virginia · US

Funding

Airway redox biochemistry as a deteriminant of asthma phenotype during adolescen*U10HL109250 · NHLBI · UNIVERSITY OF VIRGINIA · PI ERZURUM, SERPIL C., GASTON, BENJAMIN · 2011 to 2016
$4.2M
Study of Acid Reflux Therapy for Children with AsthmaU01HL080433 · NHLBI · UNIVERSITY OF VIRGINIA · PI TEAGUE, WILLIAM GERALD · 2006 to 2010
$1.8M
Obesity and Asthma: Genetics and Nutrigenetic Response to Omega-3 Fatty AcidsK23HL096838 · NHLBI · NEMOURS CHILDREN'S CLINIC · PI LANG, JASON E. · 2010 to 2014
$797k
NHLBI NIH HHS 1K23HL096838NHLBI NIH HHS K23 HL096838NHLBI NIH HHS U01 HL080433NHLBI NIH HHS U01HL080433NHLBI NIH HHS U10 HL109250
6 · The paper itself

Abstract

backgroundIdentification of risk factors for reduced asthma control could improve the understanding and treatment of asthma. A promoter polymorphism in the 5-lipoxygenase gene affects gene expression and response to asthma therapy, but its impact on disease control remains unclear.

objectiveWe sought to determine if the ALOX5 promoter SP1 tandem repeat polymorphism was associated with changes in cysteinyl leukotriene production, lung function, airway inflammation and asthma control score.

methodsWe analysed 270 children, 6- to 17-years old, with poorly controlled asthma enrolled in a 6-month clinical trial (NCT00604851). In secondary analysis, we associated the ALOX5 promoter SP1 tandem repeat polymorphism genotype (rs59439148) with asthma outcomes using both additive and recessive genetic models. We evaluated FEV1 percent predicted, symptom control, exhaled nitric oxide and urinary LTE4 levels.

resultsOf all children, 14.8% (40/270) (and 28% (38/135) of African Americans) carried two non-5-repeat variant alleles of rs59439148. Children who were homozygous for variant alleles had significantly higher urinary LTE4 levels (38 vs. 30 nmol/mol creatinine, P = 0.0134), significantly worse FEV1% predicted (84 vs. 91, P = 0.017) and a trend towards worse asthma control. FEV1% predicted values were significantly negatively correlated with urinary LTE4 (r = -0.192, P = 0.009). CONCLUSION AND CLINICAL RELEVANCE: Carrying two copies of a minor variant ALOX5 promoter SP1 tandem repeat allele contributes to increased cysLT exposure as determined by urinary LTE4 levels, reduced lung function and potentially worse asthma control. ALOX5 promoter SP1 tandem repeat genotype may be a risk factor for worse asthma outcomes.

Indexed as

Polymorphism, GeneticAdolescentAllelesArachidonate 5-LipoxygenaseAsthmaBinding SitesChildFemaleGene FrequencyGenotypeHumansLeukotriene E4LeukotrienesMalePromoter Regions, GeneticRespiratory Function TestsALOX5 protein, humanArachidonate 5-LipoxygenaseLeukotriene E4LeukotrienesSp1 Transcription Factor

Identifiers

PMID23600541
PMCPMC3633142
OpenAlexW2137746159

What OpenQuestion holds

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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.