Evidence map›Paper›PMID 36012941›Full record

ArticleJournal of clinical medicine2022

Can Leukotriene Receptor Antagonist Therapy Improve the Control of Patients with Severe Asthma on Biological Therapy and Coexisting Bronchiectasis? A Pilot Study.

Vitaliano Nicola Quaranta, Silvano Dragonieri, Nunzio Crimi, Claudia Crimi, Pierachille Santus, Francesco Menzella, Corrado Pelaia, Giulia Scioscia, Cristiano Caruso, Elena Bargagli and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. 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
1.2field-weighted citation impact, top 22% 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, 10 citations in OpenAlex.

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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

14 authors at 8 institutions in 2 countries.

Vitaliano Nicola QuarantaDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, Section of Respiratory Disease, University "Aldo Moro" of Bari, 70121 Bari, Italy.
Silvano DragonieriDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, Section of Respiratory Disease, University "Aldo Moro" of Bari, 70121 Bari, Italy.
Nunzio CrimiDepartment of Internal Medicine and Specialistic Medicine, Section of Respiratory Diseases, University of Catania, 95123 Catania, Italy.
Claudia CrimiDepartment of Internal Medicine and Specialistic Medicine, Section of Respiratory Diseases, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-9088-5214
Pierachille SantusDepartment of Clinical and Biomedical Sciences, Division of Respiratory Diseases, Università degli Studi di Milano, "L. Sacco" University Hospital, ASST Fatebenefratelli-Sacco, 20157 Milan, Italy.ORCID 0000-0003-3462-8253
Francesco MenzellaPulmonology Unit, S. Valentino Hospital, 31044 Montebelluna City, Italy.ORCID 0000-0003-3950-5789
Corrado PelaiaDepartment of Health Sciences, Section of Respiratory Disease, University ''Magna Græcia'' of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0002-4236-7367
Giulia SciosciaDepartment of Medical and Surgical Sciences, University Hospital Policlinico Riuniti of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-2667-077X
Cristiano CarusoUOSD DH Gastroenterology Polyclinic Foundation A. Gemelli IRCCS, Department of Medical and Surgical Sciences, Cattolica University del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0001-7631-029X
Elena BargagliRespiratory Diseases and Lung Transplant Unit, Department of Medical and Surgical Sciences and Neurosciences, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-8351-3703
Konstantinos KostikasRespiratory Medicine Department, University of Ioannina School of Medicine, 45500 Ioannina, Greece.ORCID 0000-0003-0774-3942
Christos KyriakopoulosRespiratory Medicine Department, University of Ioannina School of Medicine, 45500 Ioannina, Greece.ORCID 0000-0001-8806-2561
Nicola ScichilonePromise Department, University of Palermo, 90133 Palermo, Italy.ORCID 0000-0001-6400-6573
Giovanna Elisiana CarpagnanoDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, Section of Respiratory Disease, University "Aldo Moro" of Bari, 70121 Bari, Italy.
University of Bari Aldo Moro · ITUniversity of Catania · ITUniversity of Ioannina · GRMagna Graecia University · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Milan · ITUniversity of Palermo · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAsthma and bronchiectasis appear to be two related diseases and in their complex inflammatory interaction, the cysteinyl leukotriene/cysteinyl leukotriene receptor 1 (cysLT/cysLTR1) axis appears to play an important role given its involvement also in the neutrophilic pathway. To our knowledge, few studies have been conducted so far to evaluate the role of the leukotriene cysLT/cysLTr1 axis in the management of clinical and inflammatory outcomes within a population of patients with severe asthma and bronchiectasis. The aim of our study was to verify in this population the effect of leukotriene receptor antagonist (LTRA) therapy in clinical and inflammatory control before and after 6 months of introduction of biologic therapy.

methodsWe retrospectively enrolled, from eight different severe asthma centers' outpatients, 36 atopic patients with the simultaneous presence of non-cystic fibrosis (non-CF) and non-allergic bronchopulmonary aspergillosis (non-ABPA) bronchiectasis and severe asthma. The first biological injection was performed at baseline (T0 time). Patients who were already taking LTRA therapy at time T0 were recorded, and no new prescriptions were made. We observed our population over a 6-month period (T1 time). At the baseline we collected the following data: baseline characteristics, clinical history, high resolution computed tomography and bronchiectasis-related parameters and skin prick test. At both times T0 and T1 we collected the following data: asthma control test (ACT), asthma control questionnaire (ACQ), immunoglobulin E (IgE) level, blood count, fractional exhaled nitric oxide 50 (FeNO 50) and flow-volume spirometry. The study was retrospectively registered.

resultsOur population had a mean age of 59.08 ± 11.09 and 50% were female. At T1, patients on LTRA therapy had a significantly lower FeNO value (33.03 ± 23.61 vs. 88.92 ± 77.96;

conclusionThe presence of LTRA in therapy in a population of severe asthmatics with coexisting non-ASBPA bronchiectasis and non-cystic fibrosis, acting simultaneously on the T helper type 2 (TH2) pathway and probably on the neutrophilic component of bronchiectasis, would allow a further amplification of the beneficial effects of biological therapy, leading to a reduction in the number of unplanned visits to specialists.

Indexed as

biologicalbronchiectasisLTRA therapysevere asthma

Identifiers

PMID36012941
PMCPMC9410441
OpenAlexW4291123590

What OpenQuestion holds

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LicenceCC BY
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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.