Evidence map›Paper›PMID 29310905›Full record

ArticleThe Journal of allergy and clinical immunology2018

Role of airway glucose in bacterial infections in patients with chronic obstructive pulmonary disease.

Patrick Mallia, Jessica Webber, Simren K Gill, Maria-Belen Trujillo-Torralbo, Maria Adelaide Calderazzo, Lydia Finney, Eteri Bakhsoliani, Hugo Farne, Aran Singanayagam, Joseph Footitt and 14 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04448262 (Bronchial Asthma and Diabetes), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
9.7field-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.

NCT04448262 terminatednot on this mapstarted 2019, after this paper: background citation

Bronchial Asthma and Diabetes: Impact on Bronchial Inflammation and Exercise Capacity

TypeobservationalSponsorIstituti Clinici Scientifici Maugeri SpARan2019 to 2024Enrolled39ConditionsAsthma, Diabete Type 2Armsdata collection
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 87 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Elevated glucose increasesInfection and immunity · 2025
    Article
  6. Article
  7. Mechanisms and markers of lung ageing in health and disease.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Advances in metabolomics of chronic obstructive pulmonary disease.Chinese medical journal pulmonary and critical care medicine · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
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

24 authors at 3 institutions in 2 countries.

Patrick MalliaAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom; Imperial College Healthcare, National Health Service Trust, London, United Kingdom.
Jessica WebberCardiff University School of Medicine, UHW Main Building Heath Park Cardiff, Cardiff, United Kingdom.
Simren K GillMucosal Infection and Immunity Group, Section of Virology, Imperial College London, St Mary's Campus, London, United Kingdom.
Maria-Belen Trujillo-TorralboAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Maria Adelaide CalderazzoAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Lydia FinneyAirways Disease Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Eteri BakhsolianiAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Hugo FarneAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Aran SinganayagamAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom; Imperial College Healthcare, National Health Service Trust, London, United Kingdom.
Joseph FootittAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Richard HewittAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Tatiana KebadzeAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Julia AniscenkoAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Vijay PadmanabanImperial College Healthcare, National Health Service Trust, London, United Kingdom.
Philip L MolyneauxAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Ian M AdcockAirways Disease Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Peter J BarnesAirways Disease Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Kazihuro ItoAirways Disease Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Sarah L ElkinAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom; Imperial College Healthcare, National Health Service Trust, London, United Kingdom.
Onn Min KonAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom; Imperial College Healthcare, National Health Service Trust, London, United Kingdom.
William O CooksonMolecular Genetics and Genomics Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Miriam F MoffatMolecular Genetics and Genomics Section, National Heart and Lung Institute, Imperial College, London, United Kingdom.
Sebastian L JohnstonAirway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, United Kingdom; Imperial College Healthcare, National Health Service Trust, London, United Kingdom.
John S TregoningMucosal Infection and Immunity Group, Section of Virology, Imperial College London, St Mary's Campus, London, United Kingdom. Electronic address: john.tregoning@imperial.ac.uk.
Imperial College London · GBNational Health Service · GBCardiff University · GB

Funding

Department of HealthMedical Research Council G0600879Wellcome Trust
6 · The paper itself

Abstract

backgroundPatients with chronic obstructive pulmonary disease (COPD) have increased susceptibility to respiratory tract infection, which contributes to disease progression and mortality, but mechanisms of increased susceptibility to infection remain unclear.

objectivesThe aim of this study was to determine whether glucose concentrations were increased in airway samples (nasal lavage fluid, sputum, and bronchoalveolar lavage fluid) from patients with stable COPD and to determine the effects of viral infection on sputum glucose concentrations and how airway glucose concentrations relate to bacterial infection.

methodsWe measured glucose concentrations in airway samples collected from patients with stable COPD and smokers and nonsmokers with normal lung function. Glucose concentrations were measured in patients with experimentally induced COPD exacerbations, and these results were validated in patients with naturally acquired COPD exacerbations. Relationships between sputum glucose concentrations, inflammatory markers, and bacterial load were examined.

resultsSputum glucose concentrations were significantly higher in patients with stable COPD compared with those in control subjects without COPD. In both experimental virus-induced and naturally acquired COPD exacerbations, sputum and nasal lavage fluid glucose concentrations were increased over baseline values. There were significant correlations between sputum glucose concentrations and sputum inflammatory markers, viral load, and bacterial load. Airway samples with higher glucose concentrations supported more Pseudomonas aeruginosa growth in vitro.

conclusionsAirway glucose concentrations are increased in patients with stable COPD and further increased during COPD exacerbations. Increased airway glucose concentrations might contribute to bacterial infections in both patients with stable and those with exacerbated COPD. This has important implications for the development of nonantibiotic therapeutic strategies for the prevention or treatment of bacterial infection in patients with COPD.

Indexed as

AgedBacterial LoadBronchoalveolar Lavage FluidFemaleGlucoseHumansMaleMiddle AgedNasal Lavage FluidPicornaviridae InfectionsPseudomonas InfectionsPulmonary Disease, Chronic ObstructiveRespiratory SystemRespiratory Tract InfectionsSmokingSputumGlucoseairway inflammationbacterial infectionChronic obstructive pulmonary diseaseglucoseviral infection

Identifiers

PMID29310905
PMCPMC6127032
OpenAlexW2781950597

What OpenQuestion holds

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LicenceCC BY
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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.