Evidence map›Paper›PMID 29943875›Full record

ArticleRespirology (Carlton, Vic.)2018

Inflammation-dependent and independent airway remodelling in asthma.

John G Elliot, Peter B Noble, Thais Mauad, Tony R Bai, Michael J Abramson, Karen O McKay, Francis H Y Green, Alan L James

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Respirology (Carlton, Vic.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 79 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Structure and function of small airways in asthma patients revisited.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  17. Article
  18. Article
  19. Chromosome 17q21 SNP rs8076131 risk allele associates with airway smooth muscle hypertrophy in fatal asthma.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

John G ElliotWest Australian Sleep Disorders Research Institute, Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital, Perth, WA, Australia.ORCID 0000-0002-4899-2948
Peter B NobleSchool of Human Sciences, University of Western Australia, Perth, WA, Australia.
Thais MauadDepartment of Pathology, University Medical School, Sao Paulo, Brazil.
Tony R BaiDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Michael J AbramsonDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-9954-0538
Karen O McKayDepartment of Respiratory Medicine, Children's Hospital at Westmead, Sydney, NSW, Australia.
Francis H Y GreenDepartment of Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada.
Alan L JamesWest Australian Sleep Disorders Research Institute, Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital, Perth, WA, Australia.
The University of Western Australia · AUChildren's Hospital at Westmead · AUMonash University · AUSir Charles Gairdner Hospital · AUUniversidade de São Paulo · BRUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe pathology of asthma is characterized by airway inflammation (granulocytic (GA) or paucigranulocytic (PGA)) and remodelling of airway structures. However, the relationship between inflammatory phenotypes and remodelling is unclear. We hypothesized that some features of airway remodelling are dependent on granulocytic airway inflammation while others are not.

methodsPost-mortem airway sections from control subjects (n = 48) and cases of asthma with (n = 51) or without (n = 29) granulocytic inflammation in the inner airway wall were studied. The thickness of the airway smooth muscle (ASM) layer, basement membrane and inner and outer airway walls, the size and number of ASM cells, the volume fraction of extracellular matrix within the ASM layer, ASM shortening and luminal mucus were estimated. Airway dimensions were compared between the three subject groups.

resultsIn cases of PGA, only the thickness of the ASM layer and basement membrane was increased compared with control subjects. In cases of GA, not only the ASM and basement membrane were increased in thickness, but there was also increased inner and outer airway wall thickness and increased narrowing of the airway lumen due to ASM shortening and mucus obstruction, compared with control subjects. Granulocytic inflammation was observed more often in cases of fatal asthma.

conclusionThese findings suggest that inner and outer wall thickening coexists with inflammation, whereas thickening of the ASM layer and basement membrane may be present even in the absence of inflammation. Remodelling of the ASM layer and basement membrane may therefore be less susceptible to anti-inflammatory therapy.

Indexed as

AsthmaRespiratory SystemAdultAirway RemodelingAutopsyBasement MembraneFemaleHumansInflammationMaleairway morphologyasthmainflammationstereology

Identifiers

PMID29943875
OpenAlexW2810180050

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.