Evidence map›Paper›PMID 30845351›Full record

ArticleRespirology (Carlton, Vic.)2019

Quantitative assessment of airway remodelling and response to allergen in asthma.

David C Adams, Alyssa J Miller, Matthew B Applegate, Josalyn L Cho, Daniel L Hamilos, Alex Chee, Jasmin A Holz, Margit V Szabari, Lida P Hariri, R Scott Harris and 4 more

Abstract read
In one paragraph

Article in Respirology (Carlton, Vic.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Optical coherence tomography.Nature reviews. Methods primers · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Airway mechanical compression: its role in asthma pathogenesis and progression.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

David C AdamsDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-4589-5384
Alyssa J MillerDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Matthew B ApplegateDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Josalyn L ChoDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Daniel L HamilosCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Alex CheeDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jasmin A HolzDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Margit V SzabariDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Lida P HaririDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
R Scott HarrisDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jason W GriffithDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Andrew D LusterCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Benjamin D MedoffDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Melissa J SuterDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Funding

Tetramer CoreU19AI095261 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI VON ANDRIAN, ULRICH H · 2011 to 2015
$10.8M
Lung-Resident Memory Th2 cells in Asthma - New Therapeutic TargetsR01AI040618 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LUSTER, ANDREW D · 1997 to 2022
$5.6M
Chemokines and Th2 Cell Trafficking in AsthmaR37AI040618 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LUSTER, ANDREW D · 2008 to 2017
$4.0M
Phenotyping Asthma for Bronchial Thermoplasty: Airway Smooth Muscle Structure and FunctionR01HL133664 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SUTER, MELISSA J · 2017 to 2021
$3.7M
Increasing the diagnostic yield of low-risk bronchial biopsy in the evaluation ofR01CA167827 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BOUMA, BRETT E, SUTER, MELISSA J · 2013 to 2017
$2.7M
Distinct Function and Control of Regulatory T Cell Subsets During InfluenzaK08AI125816 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI GRIFFITH, JASON W. · 2017 to 2021
$1.1M
NCI NIH HHS R01 CA167827NHLBI NIH HHS R01 HL133664NIAID NIH HHS K08 AI125816NIAID NIH HHS R01 AI040618NIAID NIH HHS R37 AI040618NIAID NIH HHS U19 AI095261
6 · The paper itself

Abstract

BACKGROUND AND

objectiveIn vivo evaluation of the microstructural differences between asthmatic and non-asthmatic airways and their functional consequences is relevant to understanding and, potentially, treating asthma. In this study, we use endobronchial optical coherence tomography to investigate how allergic airways with asthma differ from allergic non-asthmatic airways in baseline microstructure and in response to allergen challenge.

methodsA total of 45 subjects completed the study, including 20 allergic, mildly asthmatic individuals, 22 non-asthmatic allergic controls and 3 healthy controls. A 3-cm airway segment in the right middle and right upper lobe were imaged in each subject immediately before and 24 h following segmental allergen challenge to the right middle lobe. Relationships between optical airway measurements (epithelial and mucosal thicknesses, mucosal buckling and mucus) and airway obstruction (FEV

resultsSignificant increases at baseline and in response to allergen were observed for all four of our imaging metrics in the asthmatic airways compared to the non-asthmatic airways. Epithelial thickness and mucosal buckling exhibited a significant relationship to FEV

conclusionSimultaneous assessments of airway microstructure, buckling and mucus revealed both structural and functional differences between the mildly asthmatic and control groups, with airway buckling seeming to be the most relevant factor. The results of this study demonstrate that a comprehensive, microstructural approach to assessing the airways may be important in future asthma studies as well as in the monitoring and treatment of asthma.

Indexed as

Airway RemodelingAsthmaLungRespiratory HypersensitivityAdultAllergensBronchial Provocation TestsBronchoscopyFemaleHumansMaleRespiratory Function TestsTomography, Optical CoherenceAllergensasthmabronchoscopy and interventional techniquesradiology and other imagingrespiratory function testrespiratory structure and function

Identifiers

PMID30845351
PMCPMC6732047

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Registered trials

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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.