Evidence map›Paper›PMID 31438916›Full record

Trial reportBMC pulmonary medicine2019

Expression of eosinophil β chain-signaling cytokines receptors, outer-membrane integrins, and type 2 inflammation biomarkers in severe non-allergic eosinophilic asthma.

Virginija Kalinauskaite-Zukauske, Andrius Januskevicius, Ieva Janulaityte, Skaidrius Miliauskas, Kestutis Malakauskas

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03388359 (Role of Extracellular Matrix in the Development of Airway Remodeling in Asthma), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT03388359 naunknown statusnot on this map

Role of Extracellular Matrix in the Development of Airway Remodeling in Asthma

TypeinterventionalSponsorLithuanian University of Health SciencesRan2017 to 2020Enrolled60ConditionsAllergic Asthma, Airway Remodelling, Extracellular Matrix AlterationArmsBronchial challenge with allergen, Co-culture formation, Inhibition of Wnt and Smad signaling pathways, Extracellular matrix turnover and deposition assessment, Dermatophagoides pteronyssinus allergen
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Clinical implications of asthma endotypes and phenotypes.Allergy and asthma proceedings · 2022
    Article
  10. Article
  11. Holy Grail: the journey towards disease modification in asthma.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  12. Review
  13. αJournal of personalized medicine · 2021
    Article
  14. Review
  15. Review
  16. 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

5 authors at 1 institution in 1 country.

Virginija Kalinauskaite-ZukauskeDepartment of Pulmonology, Lithuanian University of Health Sciences, Kaunas, Lithuania. virginija.kalinauskaite@lsmuni.lt.ORCID http://orcid.org/0000-0001-6870-343X
Andrius JanuskeviciusLaboratory of Pulmonology, Department of Pulmonology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Ieva JanulaityteLaboratory of Pulmonology, Department of Pulmonology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Skaidrius MiliauskasDepartment of Pulmonology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Kestutis MalakauskasDepartment of Pulmonology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Lithuanian University of Health Sciences · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere non-allergic eosinophilic asthma (SNEA) is a rare asthma phenotype associated with severe clinical course, frequent exacerbations, and resistance to therapy, including high steroid doses. The key feature is type 2 inflammation with predominant airway eosinophilia. Eosinophil maturation, activation, survivability, and recruitment are mainly induced by interleukin (IL)-3, IL-5 and granulocyte-macrophage colony-stimulating factor (GM-CSF) through their receptors on eosinophil surface and related with integrins activation states. The aim of the study was to estimate the expression of eosinophil β chain-signaling cytokines receptors, outer-membrane integrins, and serum-derived type 2 inflammation biomarkers in SNEA.

methodsWe examined 8 stable SNEA patients with high inhaled steroid doses, 12 steroid-free patients with non-severe allergic asthma (AA), 12 healthy subjects (HS). Blood eosinophils were isolated using Ficol gradient centrifugation and magnetic separation. Eosinophils were lysed, and mRNA was isolated. Gene expressions of IL-5Rα, IL-3Rα, GM-CSFRα, and α4β1, αMβ2 integrins were analyzed using quantitative real-time reverse transcription polymerase chain reaction. Type 2 inflammation activity was evaluated measuring exhaled nitric oxide concentration (FeNO) collected with the electrochemical sensing device. Serum IL-5, IL-3, GM-CSF, periostin, chemokine ligand (CCL) 17 and eotaxin concentrations were assessed by enzyme-linked immunosorbent assay.

resultsEosinophils from SNEA patients demonstrated significantly increased gene expression of IL-3Rα, IL-5Rα and GM-CSFRα as well as α4, β1 and αM integrin subunits compared with the AA group. The highest IL-5 serum concentration was in the SNEA group; it significantly differed compared with AA and HS. GM-CSF serum levels were similar in the SNEA and AA groups and were significantly lower in the HS group. No differences in serum IL-3 concentration were found among all groups. Furthermore, serum levels of eotaxin, CCL17 and FeNO, but not periostin, differed in all groups, with the highest levels in SNEA patients.

conclusionsEosinophil demonstrated higher expression of IL-3, IL-5, GM-CSF α-chain receptors and α4, β1, αM integrins subunits in SNEA compared with the AA group. Additionally, SNEA patients had increased serum levels of IL-5, eotaxin and CCL-17.

trial registrationClinicalTrials.gov Identifier NCT03388359.

Indexed as

AdultAsthmaBiomarkersChemokine CCL17EosinophilsFemaleGene ExpressionGranulocyte-Macrophage Colony-Stimulating FactorHumansInflammationIntegrinsInterleukin-3Interleukin-5Leukocyte CountLithuaniaMaleBiomarkersChemokine CCL17Granulocyte-Macrophage Colony-Stimulating FactorIntegrinsInterleukin-3Interleukin-5Receptors, Granulocyte-Macrophage Colony-Stimulating FactorCCL17EosinophilEotaxinGM-CSFIL-3IL-5IntegrinsSevere non-allergic eosinophilic asthma

Identifiers

PMID31438916
PMCPMC6706886
OpenAlexW2969723283

What OpenQuestion holds

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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.