Evidence map›Paper›PMID 25763605›Full record

ArticleAmerican journal of respiratory and critical care medicine2015

Noninvasive analysis of the sputum transcriptome discriminates clinical phenotypes of asthma.

Xiting Yan, Jen-Hwa Chu, Jose Gomez, Maria Koenigs, Carole Holm, Xiaoxuan He, Mario F Perez, Hongyu Zhao, Shrikant Mane, Fernando D Martinez and 9 more

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–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

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Sex-biased Gene Expression Underlies Immune Dysfunction in Asthma.American journal of respiratory cell and molecular biology · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Asthma Phenotypes in the Era of Personalized Medicine.Journal of clinical medicine · 2023
    Review
  11. Article
  12. Observational
  13. The new era of add-on asthma treatments: where do we stand?Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022
    Review
  14. Article
  15. Article
  16. SPLUNC1: a novel marker of cystic fibrosis exacerbations.The European respiratory journal · 2021
    Article
  17. Observational
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Xiting Yan1 Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine.
Jen-Hwa Chu
Jose Gomez
Maria Koenigs
Carole Holm
Xiaoxuan He
Mario F Perez
Hongyu Zhao
Shrikant Mane
Fernando D Martinez
Carole Ober
Dan L Nicolae
Kathleen C Barnes
Stephanie J London
Frank Gilliland
Scott T Weiss
Benjamin A Raby
Lauren Cohn
Geoffrey L Chupp

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Joseph Leo Wiemels · 1996 to 2026
$46.4M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
MEDICAL INFORMATICS RESEARCH TRAINING AT YALET15LM007056 · NLM · YALE UNIVERSITY · PI Mark Bender Gerstein, LUCILA OHNO-MACHADO · 1987 to 2026
$22.2M
Training Translational Lung Biology and PathobiologyT32HL007778 · NHLBI · YALE UNIVERSITY · PI Erica L Herzog, NAFTALI KAMINSKI · 1994 to 2026
$14.4M
Genetic Analyses For Epidemiologic Studies Of Respiratory DiseaseZIAES025045 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI LONDON, STEPHANIE · 2009 to 2025
$7.3M
Genetic And Environmental Factors In Childhood Respiratory HealthZIAES049019 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI LONDON, STEPHANIE · 2009 to 2025
$6.8M
The Integrative Genomics of Acute Asthma ControlR01HL118455 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MILLSTEIN, JOSHUA, RABY, BENJAMIN ALEXANDER · 2014 to 2024
$6.5M
Genetics and Environment in Adult Respiratory, Allergic and Cardiac diseaseZIAES043012 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI LONDON, STEPHANIE · 2009 to 2025
$6.4M
Longitudinal Analysis of Transcriptomic Endophenotypes in AsthmaR01HL118346 · NHLBI · YALE UNIVERSITY · PI CHUPP, GEOFFREY L · 2013 to 2016
$3.3M
Gene Expression Profiling in Asthma Severity: CHI3L1 Genotypes and Serum YKL-40R01HL095390 · NHLBI · YALE UNIVERSITY · PI CHUPP, GEOFFREY L · 2008 to 2011
$3.2M
Causal Inference of Disease-Relevant Regulatory NetworksK99HL114651 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHU, JEN-HWA · 2013 to 2014
$274k
Intramural NIH HHSNCATS NIH HHS UL1 3 TR000142NCATS NIH HHS UL1 TR000142NHLBI NIH HHS K99 HL114651NHLBI NIH HHS K99HL114651-01A1NHLBI NIH HHS R01 HL095390NHLBI NIH HHS R01HL095390-04NHLBI NIH HHS R01 HL118346NHLBI NIH HHS R01HL118346-01NHLBI NIH HHS R01 HL118455NHLBI NIH HHS T32 HL007778NHLBI NIH HHS T3HL007778-18NIEHS NIH HHS P30 ES007048NLM NIH HHS T15 LM007056NLM NIH HHS T15LM007056-26
6 · The paper itself

Abstract

rationaleThe airway transcriptome includes genes that contribute to the pathophysiologic heterogeneity seen in individuals with asthma.

objectivesWe analyzed sputum gene expression for transcriptomic endotypes of asthma (TEA), gene signatures that discriminate phenotypes of disease.

methodsGene expression in the sputum and blood of patients with asthma was measured using Affymetrix microarrays. Unsupervised clustering analysis based on pathways from the Kyoto Encyclopedia of Genes and Genomes was used to identify TEA clusters. Logistic regression analysis of matched blood samples defined an expression profile in the circulation to determine the TEA cluster assignment in a cohort of children with asthma to replicate clinical phenotypes. MEASUREMENTS AND MAIN

resultsThree TEA clusters were identified. TEA cluster 1 had the most subjects with a history of intubation (P = 0.05), a lower prebronchodilator FEV1 (P = 0.006), a higher bronchodilator response (P = 0.03), and higher exhaled nitric oxide levels (P = 0.04) compared with the other TEA clusters. TEA cluster 2, the smallest cluster, had the most subjects that were hospitalized for asthma (P = 0.04). TEA cluster 3, the largest cluster, had normal lung function, low exhaled nitric oxide levels, and lower inhaled steroid requirements. Evaluation of TEA clusters in children confirmed that TEA clusters 1 and 2 are associated with a history of intubation (P = 5.58 × 10(-6)) and hospitalization (P = 0.01), respectively.

conclusionsThere are common patterns of gene expression in the sputum and blood of children and adults that are associated with near-fatal, severe, and milder asthma.

Indexed as

Gene Expression ProfilingSputumAdolescentAdultAge of OnsetAsthmaBlood Chemical AnalysisCase-Control StudiesChildCross-Sectional StudiesFemaleGenetic MarkersHumansLogistic ModelsMaleMiddle AgedGenetic MarkersRNAgenomicmolecular endotypingpathway analysisRNAsevere asthma

Identifiers

PMID25763605
PMCPMC4451618

What OpenQuestion holds

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Registered trials

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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.