Evidence map›Paper›PMID 27911604›Full record

ArticleAmerican journal of respiratory and critical care medicine2017

Neutrophil Elastase Activity Is Associated with Exacerbations and Lung Function Decline in Bronchiectasis.

James D Chalmers, Kelly L Moffitt, Guillermo Suarez-Cuartin, Oriol Sibila, Simon Finch, Elizabeth Furrie, Alison Dicker, Karolina Wrobel, J Stuart Elborn, Brian Walker and 4 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 5 pooled it
24.5field-weighted citation impact, top 1% 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

200 citing papers in PubMed, 5 syntheses or guidelines pooled it, 402 citations in OpenAlex.

  1. Guideline
  2. Bronchiectasis in children: a systematic review of cytokine profile, immune cell phenotypes and microbiota in bronchoalveolar lavage fluid.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  3. Pooled it
  4. Intermittent prophylactic antibiotics for bronchiectasis.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Neutrophil elastase in bronchiectasis.Respiratory research · 2017
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. The dipeptidyl peptidase 1 inhibition landscape in bronchiectasis and its future direction.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

140 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 3 countries.

James D Chalmers1 Scottish Centre for Respiratory Research and.ORCID 0000-0001-5514-7868
Kelly L Moffitt3 Biomolecular Sciences Research Group, School of Pharmacy, and.
Guillermo Suarez-Cuartin4 Respiratory Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; and.
Oriol Sibila4 Respiratory Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; and.
Simon Finch1 Scottish Centre for Respiratory Research and.
Elizabeth Furrie2 School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom.
Alison Dicker1 Scottish Centre for Respiratory Research and.
Karolina Wrobel2 School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom.
J Stuart Elborn6 Centre for Infection and Immunity, School of Medicine, Dentistry and Biomedical Sciences Queen's University Belfast, Belfast, United Kingdom.
Brian Walker3 Biomolecular Sciences Research Group, School of Pharmacy, and.
S Lorraine Martin3 Biomolecular Sciences Research Group, School of Pharmacy, and.
Sara E Marshall2 School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom.
Jeffrey T-J Huang2 School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom.
Thomas C Fardon1 Scottish Centre for Respiratory Research and.
University of Dundee · GBQueen's University Belfast · GBHospital de Sant Pau · ES

Funding

Chief Scientist Office CAF/16/09Wellcome Trust
6 · The paper itself

Abstract

rationaleSputum neutrophil elastase and serum desmosine, which is a linked marker of endogenous elastin degradation, are possible biomarkers of disease severity and progression in bronchiectasis. This study aimed to determine the association of elastase activity and desmosine with exacerbations and lung function decline in bronchiectasis.

methodsThis was a single-center prospective cohort study using the TAYBRIDGE (Tayside Bronchiectasis Registry Integrating Datasets, Genomics, and Enrolment into Clinical Trials) registry in Dundee, UK. A total of 433 patients with high-resolution computed tomography-confirmed bronchiectasis provided blood samples for desmosine measurement, and 381 provided sputum for baseline elastase activity measurements using an activity-based immunosassay and fluorometric substrate assay. Candidate biomarkers were tested for their relationship with cross-sectional markers of disease severity, and with future exacerbations, mortality and lung function decline over 3 years. MEASUREMENT AND MAIN

resultsElastase activity in sputum was associated with the bronchiectasis severity index (r = 0.49; P < 0.0001) and was also correlated with the Medical Research Council dyspnea score (r = 0.34; P < 0.0001), FEV

conclusionsSputum neutrophil elastase activity is a biomarker of disease severity and future risk in adults with bronchiectasis.

Indexed as

AgedBiomarkersBronchiectasisCohort StudiesDesmosineDisease ProgressionFemaleHumansLeukocyte ElastaseLungMaleMiddle AgedNeutrophilsProspective StudiesRegistriesSeverity of Illness IndexBiomarkersDesmosineLeukocyte Elastasebiomarkerbronchiectasisexacerbationsinflammationneutrophils

Identifiers

PMID27911604
PMCPMC5443898
OpenAlexW2560738370

What OpenQuestion holds

Textmetadata
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.