Evidence map›Paper›PMID 34737220›Full record

ArticleThe European respiratory journal2022

Plasma proteins elevated in severe asthma despite oral steroid use and unrelated to Type-2 inflammation.

Maria Sparreman Mikus, Johan Kolmert, Lars I Andersson, Jörgen Östling, Richard G Knowles, Cristina Gómez, Magnus Ericsson, John-Olof Thörngren, Payam Emami Khoonsari, Barbro Dahlén and 40 more

Open access · hybridAbstract readControlled Clinical Trial
In one paragraph

Article in The European respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Asthma endotypes and theratypes.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Role and regulators of NFrontiers in pharmacology · 2024
    Review
  14. Article
  15. Review
  16. Promising treatment biomarkers in asthma.Frontiers in drug safety and regulation · 2023
    Review
  17. Reply: U-BIOPRED/BIOAIR proteins: inflammation or infection?The European respiratory journal · 2022
    Article
  18. Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

50 authors at 20 institutions in 13 countries.

Maria Sparreman MikusDept of Protein Science, KTH Royal Institute of Technology, SciLifeLab, Stockholm, Sweden maria.mikus@ki.se.
Johan KolmertInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Lars I AnderssonInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Jörgen ÖstlingPEXA AB, Gothenburg, Sweden.
Richard G KnowlesKnowles Consulting, Stevenage Bioscience Catalyst, Stevenage, UK.
Cristina GómezInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8518-0095
Magnus EricssonDept of Laboratory Medicine, Karolinska University Hospital Huddinge, Stockholm, Sweden.
John-Olof ThörngrenDept of Laboratory Medicine, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Payam Emami KhoonsariDept of Biochemistry and Biophysics, National Bioinformatics Infrastructure Sweden, Science for Life Laboratory, Solna, Sweden.
Barbro DahlénInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Maciej KupczykInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Bertrand De MeulderEuropean Institute for Systems Biology and Medicine, Lyon, France.
Charles AuffrayEuropean Institute for Systems Biology and Medicine, Lyon, France.
Per S BakkeDept of Clinical Science, University of Bergen, Bergen, Norway.
Bianca BegheDept of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Elisabeth H BelDept of Respiratory Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Massimo CarusoDept of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.ORCID 0000-0002-4412-2080
Pascal ChanezAssistance Publique des Hôpitaux de Marseille, Clinique des Bronches, Allergies et Sommeil, Aix Marseille Université, Marseille, France.
Bo ChawesCOPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Stephen J FowlerDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester; Manchester Academic Health Science Centre and NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.ORCID 0000-0002-4524-1663
Mina GagaRespiratory Medicine Dept and Asthma Centre, Athens Chest Hospital "Sotiria", University of Athens, Athens, Greece.ORCID 0000-0002-9949-6012
Thomas GeiserDept for Pulmonary Medicine, University Hospital and University of Bern, Bern, Switzerland.
Mark GjomarkajInstitute for Research and Biomedical Innovation, Italian National Research Council, Palermo, Italy.
Ildikó HorváthDept of Pulmonology, Semmelweis University, Budapest, Hungary.
Peter H HowarthNIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, and Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0003-0619-7927
Sebastian L JohnstonNational Heart and Lung Institute, Imperial College London, London, UK.
Guy JoosDept of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.ORCID 0000-0002-3149-9444
Norbert KrugFraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany.
Paolo MontuschiDept of Pharmacology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Jacek MusialDept of Internal Medicine, Jagiellonian University Medical College, Krakow, Poland.
Ewa Niżankowska-MogilnickaDept of Internal Medicine, Jagiellonian University Medical College, Krakow, Poland.
Henric K OlssonTranslational Science and Experimental Medicine, Research and Early Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Alberto PapiDivision of lnternal and Cardiorespiratory Medicine, University of Ferrara, Ferrara, Italy.
Klaus F RabeDept of Internal Medicine, Christian Albrechts University Kiel, Kiel, Germany.
Thomas SandströmDept of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Dominick E ShawRespiratory Research Unit, University of Nottingham, Nottingham, UK.ORCID 0000-0003-4106-8469
Nikolaos M SiafakasDept of Thoracic Medicine, Medical School, University of Crete, Heraklion, Crete, Greece.
Mathias UhlénDept of Protein Science, KTH Royal Institute of Technology, SciLifeLab, Stockholm, Sweden.
John H RileyRespiratory Therapeutic Unit, GlaxoSmithKline, London, UK.
Stewart BatesRespiratory Therapeutic Unit, GlaxoSmithKline, London, UK.
Roelinde J M MiddelveldInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Craig E WheelockCentre for Allergy Research, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8113-0653
Kian Fan ChungNational Heart and Lung Institute, Imperial College London, London, UK.
Ian M AdcockNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0003-2101-8843
Peter J SterkDept of Respiratory Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Ratko DjukanovicNIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, and Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Peter NilssonDept of Protein Science, KTH Royal Institute of Technology, SciLifeLab, Stockholm, Sweden.ORCID 0000-0002-4657-8532
Sven-Erik DahlénInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Anna JamesInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
U-BIOPRED (Unbiased Biomarkers for the Prediction of Respiratory Disease outcome) Study Group and the BIOAIR (Longitudinal Assessment of Clinical Course and Biomarkers in Severe Chronic Airway Disease) Consortium
Karolinska Institutet · SEKarolinska University Hospital · SEScience for Life Laboratory · SEImperial College London · GBAmsterdam University Medical Centers · NLEuropean Institute for Systems Biology and MedicineGlaxoSmithKline (United Kingdom) · GBJagiellonian University · PLUniversity Hospital Southampton NHS Foundation Trust · GBAix-Marseille Université · FRAstraZeneca (Sweden) · SEChristian-Albrechts-Universität zu Kiel · DEFraunhofer Institute for Toxicology and Experimental Medicine · DEGhent University Hospital · BEInstitute for Biomedical Research and Innovation · ITManchester Academic Health Science Centre · GBNational and Kapodistrian University of Athens · GRSemmelweis University · HUStevenage Bioscience Catalyst · GBUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleAsthma phenotyping requires novel biomarker discovery.

objectivesTo identify plasma biomarkers associated with asthma phenotypes by application of a new proteomic panel to samples from two well-characterised cohorts of severe (SA) and mild-to-moderate (MMA) asthmatics, COPD subjects and healthy controls (HCs).

methodsAn antibody-based array targeting 177 proteins predominantly involved in pathways relevant to inflammation, lipid metabolism, signal transduction and extracellular matrix was applied to plasma from 525 asthmatics and HCs in the U-BIOPRED cohort, and 142 subjects with asthma and COPD from the validation cohort BIOAIR. Effects of oral corticosteroids (OCS) were determined by a 2-week, placebo-controlled OCS trial in BIOAIR, and confirmed by relation to objective OCS measures in U-BIOPRED.

resultsIn U-BIOPRED, 110 proteins were significantly different, mostly elevated, in SA compared to MMA and HCs. 10 proteins were elevated in SA

conclusionsThe plasma proteomic panel revealed previously unexplored yet potentially useful Type-2-independent biomarkers and validated several proteins with established involvement in the pathophysiology of SA.

Indexed as

AsthmaQuality of LifeBlood ProteinsHumansInflammationProteomicsSeverity of Illness IndexSteroidsBlood ProteinsSteroids

Identifiers

PMID34737220
PMCPMC8850689
OpenAlexW3208628371

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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.