Evidence map›Paper›PMID 37118704›Full record

ArticleBMC pulmonary medicine2023

The effect of azithromycin on sputum inflammatory markers in bronchiectasis.

L C Terpstra, J Altenburg, H J Doodeman, Y S Sabogal Piñeros, R Lutter, H G M Heijerman, W G Boersma

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Antibiotics for Rheumatologic Diseases: A Critical Review.International journal of molecular sciences · 2025
    Review
  3. European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  4. Article
  5. Article
  6. 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 3 institutions in 2 countries.

L C TerpstraDepartment of Pulmonary Diseases, Northwest Clinics, Wilhelminalaan 12, 1812 JD, Alkmaar, The Netherlands. l.c.terpstra@nwz.nl.
J AltenburgDepartment of Pulmonary Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
H J DoodemanDepartment of Northwest Academy, Northwest Clinics, Alkmaar, The Netherlands.
Y S Sabogal PiñerosDepartment of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
R LutterDepartment of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
H G M HeijermanDepartment of Pulmonary Diseases, University Medical Centre Utrecht and Utrecht University, Utrecht, The Netherlands.
W G BoersmaDepartment of Pulmonary Diseases, Northwest Clinics, Wilhelminalaan 12, 1812 JD, Alkmaar, The Netherlands.
Amsterdam University Medical Centers · NLNorthwest Hospital · USUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong term macrolide treatment has been found beneficial in bronchiectasis (BE) -pathogical bronchial dilatation- possibly due to a combined anti-bacterial and immunomodulatory effect. The exact mechanism of inflammatory response is unknown. Here, we investigated the effect of maintenance macrolide treatment on the inflammatory response in BE. In addition, we assessed the inflammatory profile in BE in relation to disease severity.

methodsDuring the BAT randomized controlled trial (investigating the effect of 1 year of azithromycin (AZM) in 83 BE patients), data on BE severity, lung function and sputum microbiology was collected. For the current study, a wide range of inflammatory markers were analysed in 3- monthly sputum samples in all participants.

resultsAt baseline, marked neutrophilic but also eosinophilic inflammation was present in both groups, which remained stable throughout the study and was not affected by AZM treatment. Significant upregulation of pro-inflammatory markers correlated with FEV

conclusionOne year of AZM treatment did not result in attenuation of the inflammatory response in BE. Increasing disease severity and the presence of an exacerbation were reflected by upregulation of pro-inflammatory markers.

Indexed as

AzithromycinBronchiectasisAnti-Bacterial AgentsBronchiHumansInflammationInterleukin-1MacrolidesSputumTumor Necrosis Factor-alphaAnti-Bacterial AgentsAzithromycinInterleukin-1MacrolidesTumor Necrosis Factor-alphaAzithromycin (AZM)BronchiectasisInflammationInflammatory markers

Identifiers

PMID37118704
PMCPMC10148509
OpenAlexW4367301384

What OpenQuestion holds

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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.