Evidence map›Paper›PMID 38686450›Full record

Trial reportAllergy2024

The effects of inhaled corticosteroids on healthy airways.

Emanuele Marchi, Timothy S C Hinks, Matthew Richardson, Latifa Khalfaoui, Fiona A Symon, Poojitha Rajasekar, Rachel Clifford, Beverley Hargadon, Cary D Austin, Julia L MacIsaac and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Allergy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

16 authors.

Emanuele MarchiNIHR Oxford Respiratory BRC and Respiratory Medicine Unit, Experimental Medicine, Nuffield Department of Medicine, John Radcliffe Hospital, Oxford, UK.
Timothy S C HinksNIHR Oxford Respiratory BRC and Respiratory Medicine Unit, Experimental Medicine, Nuffield Department of Medicine, John Radcliffe Hospital, Oxford, UK.ORCID 0000-0003-0699-2373
Matthew RichardsonDepartment of Respiratory Sciences, University of Leicester, Leicester Respiratory NIHR BRC, Glenfield Hospital, Leicester, UK.
Latifa KhalfaouiDepartment of Respiratory Sciences, University of Leicester, Leicester Respiratory NIHR BRC, Glenfield Hospital, Leicester, UK.
Fiona A SymonDepartment of Respiratory Sciences, University of Leicester, Leicester Respiratory NIHR BRC, Glenfield Hospital, Leicester, UK.
Poojitha RajasekarCentre for Respiratory Research, Translational Medical Sciences, School of Medicine, Nottingham NIHR Biomedical Research Centre, Biodiscovery Institute, University Park, University of Nottingham, Nottingham, UK.
Rachel CliffordCentre for Respiratory Research, Translational Medical Sciences, School of Medicine, Nottingham NIHR Biomedical Research Centre, Biodiscovery Institute, University Park, University of Nottingham, Nottingham, UK.ORCID 0000-0002-8677-452X
Beverley HargadonDepartment of Respiratory Sciences, University of Leicester, Leicester Respiratory NIHR BRC, Glenfield Hospital, Leicester, UK.
Cary D AustinGenentech, Inc., South San Francisco, California, USA.
Julia L MacIsaacEdwin S.H. Leong Centre for Healthy Aging, Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.
Michael S KoborEdwin S.H. Leong Centre for Healthy Aging, Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.
Salman SiddiquiDepartment of Respiratory Sciences, University of Leicester, Leicester Respiratory NIHR BRC, Glenfield Hospital, Leicester, UK.
Jordan S MarGenentech, Inc., South San Francisco, California, USA.
Joseph R ArronGenentech, Inc., South San Francisco, California, USA.
David F ChoyGenentech, Inc., South San Francisco, California, USA.
Peter BraddingDepartment of Respiratory Sciences, University of Leicester, Leicester Respiratory NIHR BRC, Glenfield Hospital, Leicester, UK.ORCID 0000-0001-8403-0319

Funding

Asthma and Lung UK WADR22\100015GenentechNational Institute for Health Research (NIHR): Leicester Biomedical Research Centre (Respiratory)Wellcome Trust 211050Wellcome Trust 211050/Z/18/z
6 · The paper itself

Abstract

backgroundThe effects of inhaled corticosteroids (ICS) on healthy airways are poorly defined.

objectivesTo delineate the effects of ICS on gene expression in healthy airways, without confounding caused by changes in disease-related genes and disease-related alterations in ICS responsiveness.

methodsRandomized open-label bronchoscopy study of high-dose ICS therapy in 30 healthy adult volunteers randomized 2:1 to (i) fluticasone propionate 500 mcg bd daily or (ii) no treatment, for 4 weeks. Laboratory staff were blinded to allocation. Biopsies and brushings were analysed by immunohistochemistry, bulk RNA sequencing, DNA methylation array and metagenomics.

resultsICS induced small between-group differences in blood and lamina propria eosinophil numbers, but not in other immunopathological features, blood neutrophils, FeNO, FEV

conclusionsIn healthy airways, 4-week ICS exposure reduces gene expression related to both innate and adaptive immunity, and reduces markers of type-2 inflammation. This implies that homeostasis in health involves tonic type-2 signalling in the airway mucosa, which is exquisitely sensitive to ICS.

Indexed as

Adrenal Cortex HormonesHealthy VolunteersAdministration, InhalationAdultDNA MethylationFemaleFluticasoneGene Expression RegulationHumansMaleMiddle AgedRespiratory MucosaYoung AdultAdrenal Cortex HormonesFluticasoneasthmabronchial biopsyepigeneticshealthinhaled corticosteroidsmicrobiometranscriptome

Identifiers

PMID38686450
PMCPMC7616167

What OpenQuestion holds

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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.