Evidence map›Paper›PMID 25878673›Full record

ArticleAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology2015

Therapeutic potential of anti-IL-6 therapies for granulocytic airway inflammation in asthma.

Derek K Chu, Amal Al-Garawi, Alba Llop-Guevara, Regina A Pillai, Katherine Radford, Pamela Shen, Tina D Walker, Susanna Goncharova, William J Calhoun, Parameswaran Nair and 1 more

Open access · goldAbstract read
In one paragraph

Article in Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Bronchodilator response is linked with uncontrolled moderate-to-severe childhood asthma and elevated IL-4 and IL-13.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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  8. Serum IL-18R1 and its effect on immune cell infiltration in asthma.American journal of translational research · 2025
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  9. Eosinophil extracellular traps in respiratory ailment: Pathogenic mechanisms and clinical translation.World journal of otorhinolaryngology - head and neck surgery · 2024
    Review
  10. New targets for type 2-low asthma.The Korean journal of internal medicine · 2024
    Review
  11. Review
  12. Review
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  15. Review
  16. TThe Journal of allergy and clinical immunology · 2022
    Article
  17. The Hydroalcoholic Extract ofEvidence-based complementary and alternative medicine : eCAM · 2022
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  18. Article
  19. Review
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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

11 authors at 3 institutions in 2 countries.

Derek K ChuDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
Amal Al-GarawiDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
Alba Llop-GuevaraDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
Regina A PillaiDivision of Pulmonary and Critical Care Medicine, and Institute for Translational Sciences, University of Texas Medical Branch, Galveston, Texas USA.
Katherine RadfordDivision of Respirology, Department of Medicine, McMaster University, Hamilton, Ontario Canada.
Pamela ShenDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
Tina D WalkerDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
Susanna GoncharovaDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
William J CalhounDivision of Pulmonary and Critical Care Medicine, and Institute for Translational Sciences, University of Texas Medical Branch, Galveston, Texas USA.
Parameswaran NairDivision of Respirology, Department of Medicine, McMaster University, Hamilton, Ontario Canada.
Manel JordanaDepartment of Pathology & Molecular Medicine, McMaster Immunology Research Centre, Hamilton, ON Canada.
McMaster University Medical Centre · CAMcMaster University · CAThe University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
NCATS NIH HHS UL1 TR000071
6 · The paper itself

Abstract

backgroundDetermining the cellular and molecular phenotypes of inflammation in asthma can identify patient populations that may best benefit from targeted therapies. Although elevated IL-6 and polymorphisms in IL-6 signalling are associated with lung dysfunction in asthma, it remains unknown if elevated IL-6 levels are associated with a specific cellular inflammatory phenotype, and how IL-6 blockade might impact such inflammatory responses.

methodsPatients undergoing exacerbations of asthma were phenotyped according to their airway inflammatory characteristics (normal cell count, eosinophilic, neutrophilic, mixed granulocytic), sputum cytokine profiles, and lung function. Mice were exposed to the common allergen, house dust-mite (HDM), in the presence or absence of endogenous IL-6. The intensity and nature of lung inflammation, and levels of pro-granulocytic cytokines and chemokines under these conditions were analyzed.

resultsElevated IL-6 was associated with a lower FEV1 in patients with mixed eosinophilic-neutrophilic bronchitis. In mice, allergen exposure increased lung IL-6 and IL-6 was produced by dendritic cells and alveolar macrophages. Loss-of-function of IL-6 signalling (knockout or antibody-mediated neutralization) abrogated elevations of eosinophil and neutrophil recruiting cytokines/chemokines and allergen-induced airway inflammation in mice.

conclusionsWe demonstrate the association of pleiotropic cellular airway inflammation with IL-6 using human and animal data. These data suggest that exacerbations of asthma, particularly those with a combined eosinophilic and neutrophilic bronchitis, may respond to therapies targeting the IL-6 pathway and therefore, provide a rational basis for initiation of clinical trials to evaluate this.

Indexed as

Airway inflammationAllergyAsthmaBronchitisEosinophilGranulocyteHouse dust-mite (HDM)IL-6IL-6RNeutrophil

Identifiers

PMID25878673
PMCPMC4397814
OpenAlexW2079112883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.