Evidence map›Paper›PMID 28045928›Full record

ArticlePloS one2017

Altered Epithelial Gene Expression in Peripheral Airways of Severe Asthma.

Akul Singhania, Hitasha Rupani, Nivenka Jayasekera, Simon Lumb, Paul Hales, Neil Gozzard, Donna E Davies, Christopher H Woelk, Peter H Howarth

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Asthma Phenotypes in the Era of Personalized Medicine.Journal of clinical medicine · 2023
    Review
  9. MAIT cells and the microbiome.Frontiers in immunology · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Severe Adult Asthmas: Integrating Clinical Features, Biology, and Therapeutics to Improve Outcomes.American journal of respiratory and critical care medicine · 2021
    Review
  18. Wnt Signaling Is Deranged in Asthmatic Bronchial Epithelium and Fibroblasts.Frontiers in cell and developmental biology · 2021
    Article
  19. Review
  20. 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 3 institutions in 1 country.

Akul SinghaniaClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Hitasha RupaniClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Nivenka JayasekeraClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Simon LumbUCB Celltech, Slough, United Kingdom.
Paul HalesUCB Celltech, Slough, United Kingdom.
Neil GozzardUCB Celltech, Slough, United Kingdom.
Donna E DaviesClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Christopher H WoelkClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Peter H HowarthClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
University of Southampton · GBUCB Pharma (United Kingdom) · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Medical Research Council G0800649Medical Research Council G0800753Medical Research Council G0800766Medical Research Council G0900453
6 · The paper itself

Abstract

Management of severe asthma remains a challenge despite treatment with glucocorticosteroid therapy. The majority of studies investigating disease mechanisms in treatment-resistant severe asthma have previously focused on the large central airways, with very few utilizing transcriptomic approaches. The small peripheral airways, which comprise the majority of the airway surface area, remain an unexplored area in severe asthma and were targeted for global epithelial gene expression profiling in this study. Differences between central and peripheral airways were evaluated using transcriptomic analysis (Affymetrix HG U133 plus 2.0 GeneChips) of epithelial brushings obtained from severe asthma patients (N = 17) and healthy volunteers (N = 23). Results were validated in an independent cohort (N = 10) by real-time quantitative PCR. The IL-13 disease signature that is associated with an asthmatic phenotype was upregulated in severe asthmatics compared to healthy controls but was predominantly evident within the peripheral airways, as were genes related to mast cell presence. The gene expression response associated with glucocorticosteroid therapy (i.e. FKBP5) was also upregulated in severe asthmatics compared to healthy controls but, in contrast, was more pronounced in central airways. Moreover, an altered epithelial repair response (e.g. FGFBP1) was evident across both airway sites reflecting a significant aspect of disease in severe asthma unadressed by current therapies. A transcriptomic approach to understand epithelial activation in severe asthma has thus highlighted the need for better-targeted therapy to the peripheral airways in severe asthma, where the IL-13 disease signature persists despite treatment with currently available therapy.

Indexed as

Gene Expression ProfilingAdrenal Cortex HormonesAdultAsthmaCase-Control StudiesEpitheliumFemaleHumansInterleukin-13MaleMiddle AgedOligonucleotide Array Sequence AnalysisPhenotypePrincipal Component AnalysisReal-Time Polymerase Chain ReactionRespiratory SystemAdrenal Cortex HormonesInterleukin-13

Identifiers

PMID28045928
PMCPMC5207492
OpenAlexW2570849221

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.