Evidence map›Paper›PMID 38884647›Full record

ArticleLung2024

Type 2 Biomarkers and Their Clinical Implications in Bronchiectasis: A Prospective Cohort Study.

Yen-Fu Chen, Hsin-Han Hou, Ning Chien, Kai-Zen Lu, Ying-Yin Chen, Zheng-Ci Hung, Jung-Yien Chien, Hao-Chien Wang, Chong-Jen Yu

Registry-linked trialAbstract read
In one paragraph

Article in Lung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07495982 (Correlation of Inflammatory Markers and Radiological Findings in Stable Bronchiectasis Patients With Exacerbation Phenotype), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT07495982 recruitingnot on this mapstarted 2025, after this paper: background citation

Correlation of Inflammatory Markers and Radiological Findings in Stable Bronchiectasis Patients With Exacerbation Phenotype

TypeobservationalSponsorSohag UniversityRan2025 to 2026Enrolled100ConditionsCorrelation of Inflammatory Markers and Radiological Findings in Stable Bronchiectasis PatientsArmsInflammatory Markers and Radiological Findings
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Yen-Fu ChenDepartment of Internal Medicine, National Taiwan University Hospital, Yunlin Branch, Yunlin County, Taiwan.
Hsin-Han HouGraduate Institute of Oral Biology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Ning ChienDepartment of Medical Imaging, National Taiwan University Cancer Center, Taipei, Taiwan.
Kai-Zen LuDepartment of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Ying-Yin ChenPrecision Medicine Center, National Taiwan University Hospital, Yunlin Branch, Hu-Wei, Taiwan.
Zheng-Ci HungDepartment of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Jung-Yien ChienGraduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Hao-Chien WangDepartment of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chong-Jen YuGraduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. jefferycjyu@ntu.edu.tw.

Funding

Ministry of Science and Technology, Taiwan MOST 107-2314-B-002-235-MY3National Taiwan University Hospital, Yun-Lin Branch, Taiwan NTUHYL109. X011National Taiwan University Hospital, Yun-Lin Branch, Taiwan NTUHYL111. X013
6 · The paper itself

Abstract

purposeBronchiectasis is predominantly marked by neutrophilic inflammation. The relevance of type 2 biomarkers in disease severity and exacerbation risk is poorly understood. This study explores the clinical significance of these biomarkers in bronchiectasis patients.

methodsIn a cross-sectional cohort study, bronchiectasis patients, excluding those with asthma or allergic bronchopulmonary aspergillosis, underwent clinical and radiological evaluations. Bronchoalveolar lavage samples were analyzed for cytokines and microbiology. Blood eosinophil count (BEC), serum total immunoglobulin E (IgE), and fractional exhaled nitric oxide (FeNO) were measured during stable disease states. Positive type 2 biomarkers were defined by established thresholds for BEC, total IgE, and FeNO.

resultsAmong 130 patients, 15.3% demonstrated BEC ≥ 300 cells/μL, 26.1% showed elevated FeNO ≥ 25 ppb, and 36.9% had high serum total IgE ≥ 75 kU/L. Approximately 60% had at least one positive type 2 biomarker. The impact on clinical characteristics and disease severity was variable, highlighting BEC and FeNO as reflective of different facets of disease severity and exacerbation risk. The combination of low BEC with high FeNO appeared to indicate a lower risk of exacerbation. However, Pseudomonas aeruginosa colonization and a high neutrophil-to-lymphocyte ratio (NLR ≥ 3.0) were identified as more significant predictors of exacerbation frequency, independent of type 2 biomarker presence.

conclusionsOur study underscores the distinct roles of type 2 biomarkers, highlighting BEC and FeNO, in bronchiectasis for assessing disease severity and predicting exacerbation risk. It advocates for a multi-biomarker strategy, incorporating these with microbiological and clinical assessments, for comprehensive patient management.

Indexed as

BiomarkersBronchiectasisEosinophilsImmunoglobulin ENitric OxideAdultAgedBreath TestsBronchoalveolar Lavage FluidCross-Sectional StudiesDisease ProgressionFemaleHumansLeukocyte CountMaleMiddle AgedBiomarkersImmunoglobulin ENitric OxideBlood eosinophil countBronchiectasisFractional exhaled nitric oxideImmunoglobulin EPseudomonas aeruginosaType 2 biomarkers

Identifiers

PMID38884647
PMCPMC11427600

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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.