Evidence map›Paper›PMID 37924084›Full record

Trial reportBMC pulmonary medicine2023

Exhaled breath particles as a novel tool to study lipid composition of epithelial lining fluid from the distal lung.

Per Larsson, Olaf Holz, Grielof Koster, Anthony Postle, Anna-Carin Olin, Jens M Hohlfeld

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03044327 (Development of Novel Non-invasive Inflammometry Following LPS Challenge in Healthy Volunteers), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT03044327 nacompletednot on this map

Development of Novel Non-invasive Inflammometry Following LPS Challenge in Healthy Volunteers

TypeinterventionalSponsorFraunhofer-Institute of Toxicology and Experimental MedicineRan2017 to 2017Enrolled11ConditionsHealthyArmsLPS challenge
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Assessing Human Lung Pharmacokinetics Using Exhaled Breath Particles.Journal of aerosol medicine and pulmonary drug delivery · 2025
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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

6 authors at 3 institutions in 3 countries.

Per Larsson *Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Olaf Holz *Department of Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, 30625, Hannover, Germany. olaf.holz@item.fraunhofer.de.
Grielof KosterFaculty of Medicine, University of Southampton, Southampton, UK.
Anthony PostleFaculty of Medicine, University of Southampton, Southampton, UK.
Anna-Carin OlinOccupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Jens M HohlfeldDepartment of Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, 30625, Hannover, Germany.
Fraunhofer Institute for Toxicology and Experimental Medicine · DEUniversity of Gothenburg · SEUniversity of Southampton · GB

Funding

1.Swedish Research Council for Health, Working Life and Welfare FORTE project Nr 2017-02-0642.European Respiratory Society (ERS) Short-Term Research Fellowship 2017 NR STRTF201704-00160
6 · The paper itself

Abstract

backgroundSurfactant phospholipid (PL) composition plays an important role in lung diseases. We compared the PL composition of non-invasively collected exhaled breath particles (PEx) with bronchoalveolar lavage (BAL) and induced sputum (ISP) at baseline and following endotoxin (LPS) challenges.

methodsPEx and BAL were collected from ten healthy nonsmoking participants before and after segmental LPS challenge. Four weeks later, PEx and ISP were sampled in the week before and after a whole lung LPS inhalation challenge. PL composition was analysed using mass spectrometry.

resultsThe overall PL composition of BAL, ISP and PEx was similar, with PC(32:0) and PC(34:1) representing the largest fractions in all three sample types (baseline PC(32:0) geometric mean mol%: 52.1, 56.9, and 51.7, PC(34:1) mol%: 11.7, 11.9 and 11.4, respectively). Despite this similarity, PEx PL composition was more closely related to BAL than to ISP. For most lipids comparable inter-individual differences in BAL, ISP, and PEx were found. PL composition of PEx was repeatable. The most pronounced increase following segmental LPS challenge was detected for SM(d34:1) in BAL (0.24 to 0.52 mol%) and following inhalation LPS challenge in ISP (0.45 to 0.68 mol%). An increase of SM(d34:1) following segmental LPS challenge was also detectable in PEx (0.099 to 0.103 mol%). The inhalation challenge did not change PL composition of PEx.

conclusionOur data supports the peripheral origin of PEx. The lack of PL changes in PEx after inhalation challenge might to be due to the overall weaker response of inhaled LPS which primarily affects the larger airways. Compared with BAL, which always contains lining fluid from both peripheral lung and central airways, PEx analysis might add value as a selective and non-invasive method to investigate peripheral airway PL composition.

trial registrationNCT03044327, first posted 07/02/2017.

Indexed as

LipopolysaccharidesPulmonary SurfactantsBronchoalveolar LavageBronchoalveolar Lavage FluidExhalationHumansLungLipopolysaccharidesPulmonary SurfactantsAirway inflammationEndotoxin challengeHuman experimental exposureLPS

Identifiers

PMID37924084
PMCPMC10623716
OpenAlexW4388300601

What OpenQuestion holds

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Registered trials

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.