Evidence map›Paper›PMID 32227160›Full record

ArticleClinical science (London, England : 1979)2020

Effects of corticosteroids on COPD lung macrophage phenotype and function.

Andrew Higham, Tom Scott, Jian Li, Rosemary Gaskell, Aisha Baba Dikwa, Rajesh Shah, M Angeles Montero-Fernandez, Simon Lea, Dave Singh

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Clinical science (London, England : 1979), 2020. 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
1.6field-weighted citation impact, top 16% 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, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. When clearance fails: the role of efferocytosis in COPD.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  4. Review
  5. Review
  6. [Periodontitis Aggravates Chronic Obstructive Pulmonary Disease Progression by Promoting Pulmonary Macrophage M1 Polarizations].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  7. The potential role of 1,25(OH)Journal of inflammation (London, England) · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. How inhaled corticosteroids target inflammation in COPD.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  14. Article
  15. M1/M2 macrophages and their overlaps - myth or reality?Clinical science (London, England : 1979) · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Plasticity towards Rigidity: A Macrophage Conundrum in Pulmonary Fibrosis.International journal of molecular sciences · 2022
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Andrew HighamDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, U.K.
Tom ScottMedicines Evaluation Unit, The Langley Building, Southmoor Road, Manchester, U.K.
Jian LiDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, U.K.
Rosemary GaskellDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, U.K.
Aisha Baba DikwaDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, U.K.
Rajesh ShahDepartment of Thoracic Surgery, Manchester University Hospital NHS Foundation Trust, Manchester, U.K.
M Angeles Montero-FernandezDepartment of Histopathology, Manchester University Hospital NHS Foundation Trust, Manchester, U.K.
Simon LeaDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, U.K.
Dave SinghDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, U.K.
Manchester Academic Health Science Centre · GBManchester University NHS Foundation Trust · GBMedicines Evaluation Unit · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The numbers of macrophages are increased in the lungs of chronic obstructive pulmonary disease (COPD) patients. COPD lung macrophages have reduced ability to phagocytose microbes and efferocytose apoptotic cells. Inhaled corticosteroids (ICSs) are widely used anti-inflammatory drugs in COPD; however, their role beyond suppression of cytokine release has not been explored in COPD macrophages. We have examined the effects of corticosteroids on COPD lung macrophage phenotype and function. Lung macrophages from controls and COPD patients were treated with corticosteroids; effects on gene and protein expression of CD163, CD164, CD206, MERTK, CD64, CD80 and CD86 were studied. We also examined the effect of corticosteroids on the function of CD163, MERTK and cluster of differentiation 64 (CD64). Corticosteroid increased CD163, CD164, CD206 and MERTK expression and reduced CD64, CD80 and CD86 expression. We also observed an increase in the uptake of the haemoglobin-haptoglobin complex (CD163) from 59 up to 81% and an increase in efferocytosis of apoptotic neutrophils (MERTK) from 15 up to 28% following corticosteroid treatment. We observed no effect on bacterial phagocytosis. Corticosteroids alter the phenotype and function of COPD lung macrophages. Our findings suggest mechanisms by which corticosteroids exert therapeutic benefit in COPD, reducing iron available for bacterial growth and enhancing efferocytosis.

Indexed as

Adrenal Cortex HormonesAgedAntigens, CDAntigens, Differentiation, MyelomonocyticApoptosisCase-Control StudiesCD163 AntigenCells, Culturedc-Mer Tyrosine KinaseCoculture TechniquesDexamethasoneFemaleGene Expression RegulationHumansIronLungAdrenal Cortex HormonesAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 Antigenc-Mer Tyrosine KinaseDexamethasoneIronMERTK protein, humanReceptors, Cell SurfaceReceptors, IgGCD163haptoglobininhaled corticosteroidsm1/m2 macrophagesMERTKphagocytosis

Identifiers

PMID32227160
OpenAlexW3013771721

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.