Evidence map›Paper›PMID 29631584›Full record

Observational studyBMC pulmonary medicine2018

Effects of endogenous sex hormones on lung function and symptom control in adolescents with asthma.

Mark D DeBoer, Brenda R Phillips, David T Mauger, Joe Zein, Serpil C Erzurum, Anne M Fitzpatrick, Benjamin M Gaston, Ross Myers, Kristie R Ross, James Chmiel and 23 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01748175 (Implications and Stability of Clinical and Molecular Phenotypes of Severe Asthma), which is not on this map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% 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.

NCT01748175 completednot on this map

Implications and Stability of Clinical and Molecular Phenotypes of Severe Asthma

TypeobservationalSponsorSally E. Wenzel MDRan2013 to 2022Enrolled715ConditionsAsthma, Severe Persistent AsthmaArmsTriamcinolone Acetonide
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Proceedings of the National Academy of Sciences of the United States of America · 2020
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Sexual Dimorphism in Allergic and Mast Cell-Associated Diseases.Clinical reviews in allergy & immunology · 2026
    Review
  10. Article
  11. Review
  12. Sex Differences in Asthma Pathogenesis.Immunological reviews · 2026
    Review
  13. Sex, hormones, and lung health.Physiological reviews · 2026
    Review
  14. The testosterone paradox in asthma.Frontiers in allergy · 2026
    Review
  15. Article
  16. Review
  17. Article
  18. Short-term exposure to relative humidity and lung health in early adolescents.Environmental epidemiology (Philadelphia, Pa.) · 2025
    Article
  19. Article
  20. Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life Course.American journal of respiratory and critical care medicine · 2024
    Review

5 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

33 authors at 12 institutions in 1 country.

Mark D DeBoerUniversity of Virginia School of Medicine, Charlottesville, VA, 22908, USA.
Brenda R PhillipsPennsylvania State University School of Medicine, Hershey, USA.
David T MaugerPennsylvania State University School of Medicine, Hershey, USA.
Joe ZeinLerner Research Institute, Cleveland Clinic Foundation, Cleveland, USA.
Serpil C ErzurumLerner Research Institute, Cleveland Clinic Foundation, Cleveland, USA.
Anne M FitzpatrickEmory University School of Medicine, Atlanta, USA.
Benjamin M GastonRainbow Babies and Children's Hospital, Cleveland, USA.
Ross MyersRainbow Babies and Children's Hospital, Cleveland, USA.
Kristie R RossRainbow Babies and Children's Hospital, Cleveland, USA.
James ChmielRainbow Babies and Children's Hospital, Cleveland, USA.
Min Jie LeeEmory University School of Medicine, Atlanta, USA.
John V FahySan Francisco School of Medicine, University of California, San Francisco, USA.
Michael PetersSan Francisco School of Medicine, University of California, San Francisco, USA.
Ngoc P LySan Francisco School of Medicine, University of California, San Francisco, USA.
Sally E WenzelUniversity of Pittsburgh School of Medicine, Pittsburgh, USA.
Merritt L FajtUniversity of Pittsburgh School of Medicine, Pittsburgh, USA.
Fernando HolguinUniversity of Pittsburgh School of Medicine, Pittsburgh, USA.
Wendy C MooreWake Forest University School of Medicine, Winston-Salem, USA.
Stephen P PetersWake Forest University School of Medicine, Winston-Salem, USA.
Deborah MeyersWake Forest University School of Medicine, Winston-Salem, USA.
Eugene R BleeckerWake Forest University School of Medicine, Winston-Salem, USA.
Mario CastroWashington University School of Medicine, St. Louis, USA.
Andrea M CoverstoneWashington University School of Medicine, St. Louis, USA.
Leonard B BacharierWashington University School of Medicine, St. Louis, USA.
Nizar N JarjourUniversity of Wisconsin School of Medicine, Madison, USA.
Ronald L SorknessUniversity of Wisconsin School of Medicine, Madison, USA.
Sima RamratnamUniversity of Wisconsin School of Medicine, Madison, USA.
Anne-Marie IraniVirginia Commonwealth University School of Medicine, Richmond, USA.
Elliot IsraelHarvard University School of Medicine, Boston, USA.
Bruce LevyHarvard University School of Medicine, Boston, USA.
Wanda PhipatanakulHarvard University School of Medicine, Boston, USA.
Jonathan M GaffinHarvard University School of Medicine, Boston, USA.
W Gerald TeagueUniversity of Virginia School of Medicine, Charlottesville, VA, 22908, USA. wgt2p@virginia.edu.
Harvard University · USRainbow Babies & Children's Hospital · USWake Forest University · USUniversity of California, San Francisco · USUniversity of Pittsburgh · USUniversity of Wisconsin–Madison · USWashington University in St. Louis · USCleveland Clinic Lerner College of Medicine · USEmory University · USPennsylvania State University · USUniversity of Virginia · USVirginia Commonwealth University · US

Funding

PEDIATRIC ASTHMA NETWORK DATA COORDINATING CENTERU10HL064313 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 1999 to 2008
$18.3M
Clinical Coordinating Center for the Severe Asthma Research Program (SARP)U10HL109086 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 2011 to 2017
$8.1M
AMSA: ALXR/FBR Mediated Signaling in Severe AsthmaU10HL109172 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ISRAEL, ELLIOT, LEVY, BRUCE D · 2011 to 2016
$4.2M
Airway redox biochemistry as a deteriminant of asthma phenotype during adolescen*U10HL109250 · NHLBI · UNIVERSITY OF VIRGINIA · PI ERZURUM, SERPIL C., GASTON, BENJAMIN · 2011 to 2016
$4.2M
Clinical and Molecular Phenotypes of Severe AsthmaU10HL109146 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FAHY, JOHN V · 2011 to 2016
$4.0M
Implications and Stability of Clinical and Molecular Phenotypes of Severe AsthmaU10HL109152 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WENZEL, SALLY E · 2011 to 2016
$3.9M
Stability of Severe Asthma Phenotypes: Impact of ExacerbationsU10HL109168 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI JARJOUR, NIZAR N · 2011 to 2016
$3.9M
Severe Asthma Research Program (SARP)-Washington UniversityU10HL109257 · NHLBI · WASHINGTON UNIVERSITY · PI CASTRO, MARIO · 2011 to 2016
$3.8M
Longitudinal Phenomics and Genetics of Severe AsthmaU10HL109164 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLEECKER, EUGENE ROLAND, MEYERS, DEBORAH A. · 2011 to 2016
$3.8M
Gender-based precision care for asthmaK08HL133381 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI ZEIN, JOE · 2017 to 2021
$836k
School-based air pollution and asthma morbidity in Inner City School ChildrenK23AI106945 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GAFFIN, JONATHAN MARK · 2013 to 2017
$822k
Uncovering Biologic Mechanisms of Severe AsthmaK23HL138303 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PETERS, MICHAEL · 2017 to 2020
$709k
National Heart, Lung, and Blood Institute U10 HL109257National Heart, Lung, and Blood Institute (US) U10 HL109086-04National Heart, Lung, and Blood Institute (US) U10 HL109146National Heart, Lung, and Blood Institute (US) U10 HL109152National Heart, Lung, and Blood Institute (US) U10 HL109164National Heart, Lung, and Blood Institute (US) U10 HL109168National Heart, Lung, and Blood Institute (US) U10 HL109172National Heart, Lung, and Blood Institute (US) U10 HL109250NHLBI NIH HHS K08 HL133381NHLBI NIH HHS K23 HL138303NHLBI NIH HHS U10 HL064313NHLBI NIH HHS U10 HL109086NHLBI NIH HHS U10 HL109146NHLBI NIH HHS U10 HL109152NHLBI NIH HHS U10 HL109164NHLBI NIH HHS U10 HL109168NHLBI NIH HHS U10 HL109172NHLBI NIH HHS U10 HL109250NHLBI NIH HHS U10 HL109257NIAID NIH HHS K23 AI106945
6 · The paper itself

Abstract

backgroundAlthough pre-puberty asthma is more prevalent in males, after puberty through middle-age, asthma is more prevalent in females. The surge of sex hormones with puberty might explain this gender switch.

methodsTo examine the effects of sex hormones on lung function and symptoms with puberty, Tanner stage was assessed in 187 children 6-18 years of age (59% severe) enrolled in the NIH/NHLBI Severe Asthma Research Program (SARP). The effects of circulating sex hormones (n = 68; testosterone, dehydroepiandrosterone sulfate (DHEA-S), estrogen, and progesterone) on lung function and 4 week symptom control (ACQ6) in cross-section were tested by linear regression.

resultsFrom pre-/early to late puberty, lung function did not change significantly but ACQ6 scores improved in males with severe asthma. By contrast females had lower post-BD FEV

conclusionsThese results support beneficial effects of androgens on lung function and symptom control and weak deleterious effects of estradiol on lung function in children with asthma. Longitudinal data are necessary to confirm these cross-sectional findings and to further elucidate hormonal mechanisms informing sex differences in asthma features with puberty.

trial registrationClinicalTrials.gov registration number: NCT01748175 .

Indexed as

Sex FactorsAdolescentAdrenal Cortex HormonesAsthmaChildCross-Sectional StudiesFemaleGonadal Steroid HormonesHumansLinear ModelsLongitudinal StudiesLungMaleMultivariate AnalysisPubertyRespiratory Function TestsAdrenal Cortex HormonesGonadal Steroid HormonesAsthmaEstradiolLung functionPubertySex hormonesTestosterone

Identifiers

PMID29631584
PMCPMC5891903
OpenAlexW2803598168

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.