Evidence map›Paper›PMID 26338015›Full record

ArticleRespiratory research2015

Bronchoabsorption; a novel bronchoscopic technique to improve biomarker sampling of the airway.

B R Leaker, G C Nicholson, F Y Ali, N Daudi, B J O'Connor, P J Barnes

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in Respiratory research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03010592 (Studying the Airway Microenvironment in Patients Undergoing Surgical and Bronchoscopic Interventions for COPD), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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.

NCT03010592 unknown statusnot on this mapstarted 2017, after this paper: background citation

Studying the Airway Microenvironment in Patients Undergoing Surgical and Bronchoscopic Interventions for COPD

TypeobservationalSponsorRoyal Brompton & Harefield NHS Foundation TrustRan2017 to 2023Enrolled80ConditionsChronic Obstructive Pulmonary Disease, Emphysema, Chronic Bronchitis
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The development, validation, andFrontiers in medicine · 2023
    Article
  4. Review
  5. Review
  6. Article
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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

6 authors at 2 institutions in 2 countries.

B R LeakerRespiratory Clinical Trials Ltd., 18-22 Queen Anne Street, London, W1G 8HU, UK. brian.leaker@qasmc.com.
G C NicholsonRespiratory Clinical Trials Ltd., 18-22 Queen Anne Street, London, W1G 8HU, UK. grant.nicholson@qasmc.com.
F Y AliRespiratory Clinical Trials Ltd., 18-22 Queen Anne Street, London, W1G 8HU, UK. ferhana.ali@qasmc.com.
N DaudiRespiratory Clinical Trials Ltd., 18-22 Queen Anne Street, London, W1G 8HU, UK. nazish.daudi@qasmc.com.
B J O'ConnorRespiratory Clinical Trials Ltd., 18-22 Queen Anne Street, London, W1G 8HU, UK. brian.oconnor@londonchestclinic.com.
P J BarnesNational Heart & Lung Institute, Imperial College London, London, UK. p.j.barnes@imperial.ac.uk.
Respiratory Clinical Trials · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent techniques used to obtain lung samples have significant limitations and do not provide reproducible biomarkers of inflammation. We have developed a novel technique that allows multiple sampling methods from the same area (or multiple areas) of the lung under direct bronchoscopic vision. It allows collection of mucosal lining fluid and bronchial brushing from the same site; biopsy samples may also be taken. The novel technique takes the same time as standard procedures and can be conducted safely.

methodsEight healthy smokers aged 40-65 years were included in this study. An absorptive filter paper was applied to the bronchial mucosa under direct vision using standard bronchoscopic techniques. Further samples were obtained from the same site using bronchial brushings. Bronchoalveolar lavage (BAL) was obtained using standard techniques. Chemokine (C-C Motif) Ligand 20 (CCL20), CCL4, CCL5, Chemokine (C-X-C Motif) Ligand 1 (CXCL1), CXCL8, CXCL9, CXCL10, CXCL11, Interleukin 1 beta (IL-1β), IL-6, Vascular endothelial growth factor (VEGF), Matrix metalloproteinase 8 (MMP-8) and MMP-9 were measured in exudate and BAL. mRNA was collected from the bronchial brushings for gene expression analysis.

resultsA greater than 10 fold concentration of all the biomarkers was detected in lung exudate in comparison to BAL. High yield of good quality RNA with RNA integrity numbers (RIN) between 7.6 and 9.3 were extracted from the bronchial brushings. The subset of genes measured were reproducible across the samples and corresponded to the inflammatory markers measured in exudate and BAL.

conclusionsThe bronchoabsorption technique as described offers the ability to sample lung fluid direct from the site of interest without the dilution effects caused by BAL. Using this method we were able to successfully measure the concentrations of biomarkers present in the lungs as well as collect high yield mRNA samples for gene expression analysis from the same site. This technique demonstrates superior sensitivity to standard BAL for the measurement of biomarkers of inflammation. It could replace BAL as the method of choice for these measurements. This method provides a systems biology approach to studying the inflammatory markers of respiratory disease progression.

trial registrationNHS Health Research Authority (13/LO/0256).

Indexed as

Absorption, PhysicochemicalAdultAgedBiomarkersBronchoalveolar Lavage FluidBronchoscopyFemaleGene Expression ProfilingHumansInflammation MediatorsLungMaleMiddle AgedPaperPneumoniaRNA, MessengerBiomarkersInflammation MediatorsRNA, Messenger

Identifiers

PMID26338015
PMCPMC4559920
OpenAlexW2163916470

What OpenQuestion holds

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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.