Evidence map›Paper›PMID 28482840›Full record

ArticleRespiratory research2017

Blood and sputum eosinophils in COPD; relationship with bacterial load.

Umme Kolsum, Gavin C Donaldson, Richa Singh, Bethan L Barker, Vandana Gupta, Leena George, Adam J Webb, Sarah Thurston, Anthony J Brookes, Timothy D McHugh and 3 more

Abstract read
In one paragraph

Article in Respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Defining the role of neutrophil-to-lymphocyte ratio in COPD: a systematic literature review.International journal of chronic obstructive pulmonary disease
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Sputum Cytokine Repeatability in COPD.International journal of chronic obstructive pulmonary disease · 2025
    Article
  10. The Burden of COPD with Type 2 Inflammation in North-West Continental Europe.International journal of chronic obstructive pulmonary disease · 2025
    Review
  11. Clinical Characteristics and Outcomes of Eosinophilic Exacerbations of COPD.International journal of chronic obstructive pulmonary disease · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Blood Eosinophil Count and Its Determinants in a Chinese Population-Based Cohort.Respiration; international review of thoracic diseases · 2024
    Article
  17. Article
  18. Article
  19. Review
  20. Article

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

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

13 authors.

Umme KolsumDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, M23 9QZ, UK. ukolsum@meu.org.uk.ORCID 0000-0003-3993-7848
Gavin C DonaldsonAirways Disease Section, National Heart and Lung Institute, Imperial College London, London, UK.
Richa SinghAirways Disease Section, National Heart and Lung Institute, Imperial College London, London, UK.
Bethan L BarkerDepartment of Infection, Immunity, and Inflammation, Institute for Lung Health, NIHR Respiratory Biomedical Research Unit, University of Leicester, Leicester, UK.
Vandana GuptaDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, M23 9QZ, UK.
Leena GeorgeDepartment of Infection, Immunity, and Inflammation, Institute for Lung Health, NIHR Respiratory Biomedical Research Unit, University of Leicester, Leicester, UK.
Adam J WebbDepartment of Genetics, University of Leicester, Leicester, UK.
Sarah ThurstonCentre for Clinical Microbiology, University College London, London, UK.
Anthony J BrookesDepartment of Genetics, University of Leicester, Leicester, UK.
Timothy D McHughCentre for Clinical Microbiology, University College London, London, UK.
Jadwiga A WedzichaAirways Disease Section, National Heart and Lung Institute, Imperial College London, London, UK.
Christopher E BrightlingDepartment of Infection, Immunity, and Inflammation, Institute for Lung Health, NIHR Respiratory Biomedical Research Unit, University of Leicester, Leicester, UK.
Dave SinghDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, M23 9QZ, UK.

Funding

Medical Research Council G0800570Medical Research Council G1001365Medical Research Council G1001372
6 · The paper itself

Abstract

backgroundSputum and blood eosinophil counts predict corticosteroid effects in COPD patients. Bacterial infection causes increased airway neutrophilic inflammation. The relationship of eosinophil counts with airway bacterial load in COPD patients is uncertain. We tested the hypothesis that bacterial load and eosinophil counts are inversely related.

methodsCOPD patients were seen at stable state and exacerbation onset. Sputum was processed for quantitative polymerase chain reaction detection of the potentially pathogenic microorganisms (PPM) H. influenzae, M. catarrhalis and S. pneumoniae. PPM positive was defined as total load ≥1 × 10

resultsAt baseline, bacterial counts were not related to blood eosinophils, but sputum eosinophil % was significantly lower in patients with PPM positive compared to PPM negative samples (medians: 0.5% vs. 1.25% respectively, p = 0.01). Patients with PPM positive samples during an exacerbation had significantly lower blood eosinophil counts at exacerbation compared to baseline (medians: 0.17 × 10

conclusionsThese findings indicate an inverse relationship between bacterial infection and eosinophil counts. Bacterial infection may influence corticosteroid responsiveness by altering the profile of neutrophilic and eosinophilic inflammation.

Indexed as

Leukocyte CountAdultAgedAged, 80 and overBacterial LoadBloodEosinophilsFemaleHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveReproducibility of ResultsSensitivity and SpecificitySputumBacterial infectionsCOPD exacerbationsPulmonary eosinophilia

Identifiers

PMID28482840
PMCPMC5422866

What OpenQuestion holds

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LicenceCC BY
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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.