Evidence map›Paper›PMID 31748420›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2019

The biology of pulmonary exacerbations in bronchiectasis.

Francesco Amati, Edoardo Simonetta, Andrea Gramegna, Paolo Tarsia, Martina Contarini, Francesco Blasi, Stefano Aliberti

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Intermittent prophylactic antibiotics for bronchiectasis.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Inflammatory Phenotypes of Bronchiectasis.Journal of personalized medicine · 2025
    Review
  14. Review
  15. Article
  16. Review
  17. Targeting neutrophil serine proteases in bronchiectasis.The European respiratory journal · 2025
    Review
  18. Article
  19. Article
  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

7 authors at 1 institution in 1 country.

Francesco AmatiDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Edoardo SimonettaDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Andrea GramegnaDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Paolo TarsiaDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Martina ContariniDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Francesco BlasiDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Stefano AlibertiDept of Pathophysiology and Transplantation, University of Milan, Milan, Italy stefano.aliberti@unimi.it.ORCID https://orcid.org/0000-0002-0090-4531
University of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bronchiectasis is a heterogeneous chronic disease. Heterogeneity characterises bronchiectasis not only in the stable state but also during exacerbations, despite evidence on clinical and biological aspects of bronchiectasis, exacerbations still remain poorly understood.Although the scientific community recognises that bacterial infection is a cornerstone in the development of bronchiectasis, there is a lack of data regarding other trigger factors for exacerbations. In addition, a huge amount of data suggest a primary role of neutrophils in the stable state and exacerbation of bronchiectasis, but the inflammatory reaction involves many other additional pathways. Cole's vicious cycle hypothesis illustrates how airway dysfunction, airway inflammation, infection and structural damage are linked. The introduction of the concept of a "vicious vortex" stresses the complexity of the relationships between the components of the cycle. In this model of disease, exacerbations work as a catalyst, accelerating the progression of disease. The roles of microbiology and inflammation need to be considered as closely linked and will need to be investigated in different ways to collect samples. Clinical and translational research is of paramount importance to achieve a better comprehension of the pathophysiology of bronchiectasis, microbiology and inflammation both in the stable state and during exacerbations.

Indexed as

BronchiectasisDisease ProgressionHumans

Identifiers

PMID31748420
PMCPMC9488527
OpenAlexW2990320915

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.