Evidence map›Paper›PMID 34128573›Full record

SynthesisClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2021

ADRB2 haplotypes and asthma exacerbations in children and young adults: An individual participant data meta-analysis.

Leila Karimi, Susanne J Vijverberg, Marjolein Engelkes, Natalia Hernandez-Pacheco, Niloufar Farzan, Patricia Soares, Maria Pino-Yanes, Andrea L Jorgensen, Celeste Eng, Somnath Mukhopadhyay and 14 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Advances in the Association Between theCurrent issues in molecular biology · 2026
    Review
  2. Article
  3. Article
  4. Asthma Exacerbations: The Genes Behind the Scenes.Journal of investigational allergology & clinical immunology · 2023
    Review
  5. Transcription Factor E2F1 Regulates the Expression of ADRB2.International journal of analytical chemistry · 2023
    Article
  6. Article
  7. Asthma management and impact on COVID-19 outcomes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    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

24 authors at 11 institutions in 8 countries.

Leila KarimiDepartment of Medical Informatics, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-1746-3314
Susanne J VijverbergDepartment of Respiratory Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Marjolein EngelkesDepartment of Medical Informatics, Erasmus University Medical Center, Rotterdam, The Netherlands.
Natalia Hernandez-PachecoResearch Unit, Hospital Universitario N.S. de Candelaria, Universidad de La Laguna, Santa Cruz de Tenerife, Spain.
Niloufar FarzanDepartment of Respiratory Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Patricia SoaresAcademic Department of Pediatrics, Brighton & Sussex Medical School, Royal Alexandra Children's Hospital, Brighton, UK.ORCID 0000-0001-5033-9115
Maria Pino-YanesGenomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology and Genetics, Universidad de La Laguna, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain.ORCID 0000-0003-0332-437X
Andrea L JorgensenDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.
Celeste EngDepartment of Medicine, University of California, San Francisco, CA, USA.
Somnath MukhopadhyayAcademic Department of Pediatrics, Brighton & Sussex Medical School, Royal Alexandra Children's Hospital, Brighton, UK.
Maximilian SchieckDepartment of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO, Regensburg, Germany.
Michael KabeschDepartment of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO, Regensburg, Germany.
Esteban G BurchardDepartment of Medicine, University of California, San Francisco, CA, USA.
Fook Tim ChewDepartment of Biological Sciences, National University of Singapore, Singapore, Singapore.
Yang Yie SioDepartment of Biological Sciences, National University of Singapore, Singapore, Singapore.
Uroš PotočnikCenter for Human Molecular Genetics and Pharmacogenomics, Faculty of Medicine, University of Maribor, Maribor, Slovenia.
Mario GorenjakCenter for Human Molecular Genetics and Pharmacogenomics, Faculty of Medicine, University of Maribor, Maribor, Slovenia.
Daniel B HawcuttMembers of Liverpool Health Partners, University of Liverpool and Alder Hey Children's Hospital, Liverpool, UK.
Colin N PalmerDivision of Cardiovascular and Diabetes Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Steve TurnerChild Health, University of Aberdeen, Aberdeen, UK.ORCID 0000-0001-8393-5060
Hettie M JanssensDepartment of Pediatrics/division Respiratory Medicine and Allergology Erasmus MC/Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
Anke H Maitland-van der ZeeDepartment of Respiratory Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Katia M C VerhammeDepartment of Medical Informatics, Erasmus University Medical Center, Rotterdam, The Netherlands.
PiCA and SysPharmPedia consortia
Erasmus MC · NLUtrecht University · NLBrighton and Sussex Medical School · GBNational University of Singapore · SGUniversidad de La Laguna · ESUniversity Hospital Regensburg · DEUniversity of California, San Francisco · USUniversity of Liverpool · GBUniversity of Maribor · SIUniversity of Aberdeen · GBUniversity of Dundee · GB

Funding

The Airway Functional Genomics of Bronchodilator Drug Response in Minority Children with AsthmaR01HL117004 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AHITUV, NADAV, SEIBOLD, MAX A · 2013 to 2022
$9.3M
Gene-environments and Admixture in Latino Asthmatics (GALA 2)R01ES015794 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$5.4M
LEARNED MODIFICATION OF VISCERAL FUNCTION IN MANZ01AG000067 · NIA · AGING · PI ENGEL, B T · 1985 to 1988
–
Agency for Science Technology and Research (A*STAR) (Singapore) APG2013/108Agency for Science Technology and Research (A*STAR) (Singapore) BMRC/01/1/21/18/077Agency for Science Technology and Research (A*STAR) (Singapore) BMRC/04/1/21/19/315Agency for Science Technology and Research (A*STAR) (Singapore) H17/01/a0/008Agency for Science Technology and Research (A*STAR) (Singapore) N-154-000-038-001Agency for Science Technology and Research (A*STAR) (Singapore) NMRC/1150/2008Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-191-112Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-404-112Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-553-112Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-565-112Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-630-112Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-A08-592Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-A27-597Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-A91-592Agency for Science Technology and Research (A*STAR) (Singapore) R-154-000-A95-592Agency for Science Technology and Research (A*STAR) (Singapore) R154-000-B99-114Agency for Science Technology and Research (A*STAR) (Singapore) SIgN-06-006Agency for Science Technology and Research (A*STAR) (Singapore) SIgN-08-020Alder Hey Clinical Research FacilityAmerican Asthma FoundationBrighton and Sussex Medical SchoolChief Scientist Office CZH/4/418European Community (EC)European Union under the Horizon 2020Gannochy TrustGerman charity AtemwegsligaGerman Ministry of Science and Education 01ZX1306EGSK (part of a strategic alliance between GSK and Utrecht Institute for Pharmaceutical Sciences (UIPS))Instituto de Salud Carlos III (ISCIII) AC15/00015Instituto de Salud Carlos III (ISCIII) FI16/00136Ministry of Education, Science and Sport of the Republic of Slovenia C3330-16-500106National Heart, Lung, and Blood Institute of the National Institute of Health (NIH) R01HL117004National Heart, Lung, and Blood Institute of the National Institute of Health (NIH) X01 HL134589National Institute for Health Research (NIHR)National Medical Research Council (NMRC) (Singapore)Netherlands Organization for Health Research and Development 113201006NHLBI NIH HHS R01 HL117004NIEHS NIH HHS R01 ES015794Perth and Kinross CouncilRamón y Cajal Program RYC-2015-17205RWJF Amos Medical Faculty Development ProgramSandler Family FoundationScottish Enterprises TaysideSingapore Immunology NetworkSingapore Ministry of Education Academic Research FundSlovenian Research Agency P3-0067Spanish Ministry of Economy, Industry, and CompetitivenessSysPharmPediaUK Department of Health
6 · The paper itself

Abstract

backgroundThe polymorphism Arg16 in β

objectiveWe assessed whether the haplotype analysis could explain the association between the polymorphisms at codons 16 (Arg16Gly) and 27 (Gln27Glu) in ADRB2 and risk of asthma exacerbations in patients treated with inhaled corticosteroids (ICS) plus LABA.

methodsThe study was undertaken using data from 10 independent studies (n = 5903) participating in the multi-ethnic Pharmacogenomics in Childhood Asthma (PiCA) consortium. Asthma exacerbations were defined as asthma-related use of oral corticosteroids or hospitalizations/emergency department visits in the past 6 or 12 months prior to the study visit/enrolment. The association between the haplotypes and the risk of asthma exacerbations was performed per study using haplo.stats package adjusted for age and sex. Results were meta-analysed using the inverse variance weighting method assuming random-effects.

resultsIn subjects treated with ICS and LABA (n = 832, age: 3-21 years), Arg16/Gln27 versus Gly16/Glu27 (OR: 1.40, 95% CI: 1.05-1.87, I CONCLUSION AND CLINICAL RELEVANCE: The ADRB2 Arg16 haplotype, presumably mainly driven by the Arg16, increased the risk of asthma exacerbations in patients treated with ICS plus LABA. This finding could be beneficial in ADRB2 genotype-guided treatment which might improve clinical outcomes in asthmatic patients.

Indexed as

AdolescentAdultAsthmaChildChild, PreschoolFemaleGenotypeHumansMalePolymorphism, GeneticReceptors, Adrenergic, beta-2Young AdultADRB2 protein, humanReceptors, Adrenergic, beta-2ADRB2asthma exacerbationshaplotypesinhaled corticosteroidslong-acting β2-agonists

Identifiers

PMID34128573
PMCPMC8503671
OpenAlexW3170846588

What OpenQuestion holds

Textmetadata
LicenceTDM
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.