Evidence map›Paper›PMID 27501780›Full record

ArticleAllergy2017

Protein phosphatase 5 mediates corticosteroid insensitivity in airway smooth muscle in patients with severe asthma.

L Chachi, M Abbasian, A Gavrila, A Alzahrani, O Tliba, P Bradding, A J Wardlaw, C Brightling, Y Amrani

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Effects ofPlants (Basel, Switzerland) · 2023
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Expression of corticosteroid-regulated genes by PBMCs in children with asthma.The Journal of allergy and clinical immunology · 2019
    Article
  13. Review
  14. Review
  15. 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

9 authors at 2 institutions in 2 countries.

L ChachiDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
M AbbasianDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
A GavrilaDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
A AlzahraniDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
O TlibaDepartment of Pharmaceutical Sciences, Jefferson School of Pharmacy, Thomas Jefferson University, Philadelphia, PA, USA.
P BraddingDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
A J WardlawDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
C BrightlingDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
Y AmraniDepartment of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
University of Leicester · GBThomas Jefferson University · US

Funding

Airway Inflammatory Pathways Regulating Glucocorticoid Receptor PhosphorylationR01HL111541 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI TLIBA, OMAR · 2012 to 2021
$3.3M
NHLBI NIH HHS R01 HL111541
6 · The paper itself

Abstract

backgroundThe mechanisms driving glucocorticoid (GC) insensitivity in patients with severe asthma are still unknown. Recent evidence suggests the existence of GC-insensitive pathways in airway smooth muscle (ASM) caused by a defect in GC receptor (GRα) function. We examined whether other mechanisms could potentially explain the reduced sensitivity of ASM cells to GC in severe asthmatics.

methodsAirway smooth muscle cells from healthy and severe asthmatic subjects were treated with TNF-α and responses to corticosteroids in both cohorts were compared by ELISA, immunoblot, immunohistochemistry and real-time PCR. Immunohistochemistry and flow cytometry assays were used to assess the expression of the protein phosphatase PP5 in endobronchial biopsies and ASM cells.

resultsThe production of CCL11 and CCL5 by TNF-α was insensitive to both fluticasone and dexamethasone in ASM cells from severe asthmatic compared to that in healthy subjects. Fluticasone-induced GRα nuclear translocation, phosphorylation at serine 211 and expression of GC-induced leucine zipper (GILZ) were significantly reduced in ASM cells from severe asthmatics compared to responses in healthy subjects. Levels of PP5 were increased in ASM cells from severe asthmatics and PP5 knockdown using siRNA restored fluticasone repressive action on chemokine production and its ability to induce GRα nuclear translocation and GRE-dependent GILZ expression. In vivo PP5 expression was also increased in the ASM bundles in endobronchial biopsies in severe asthmatics.

conclusionsPP5-dependent impairment of GRα function represents a novel mechanism driving GC insensitivity in ASM in severe asthma.

Indexed as

Drug ToleranceAdrenal Cortex HormonesAdultAnti-Asthmatic AgentsAsthmaBiomarkersCytokinesFemaleGene Expression RegulationHumansMaleMiddle AgedMyocytes, Smooth MuscleNuclear ProteinsPhosphoprotein PhosphatasesReceptors, GlucocorticoidAdrenal Cortex HormonesAnti-Asthmatic AgentsBiomarkersCytokinesglucocorticoid receptor alphaNuclear ProteinsPhosphoprotein Phosphatasesprotein phosphatase 5Receptors, Glucocorticoidairway smooth musclecorticosteroid insensitivitycorticosteroid receptorprotein phosphatasereceptor phosphorylation

Identifiers

PMID27501780
PMCPMC5154839
OpenAlexW2519339125

What OpenQuestion holds

Textmetadata
LicenceTDM
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.