Evidence map›Paper›PMID 39902268›Full record

ArticleERJ open research2025

Targeted DNase treatment of obstructive lung disease: a pilot randomised controlled trial.

Netsanet A Negewo, Natalie M Niessen, Penelope J Baines, Evan J Williams, Naomi Fibbens, Jodie L Simpson, Vanessa M McDonald, Bronwyn S Berthon, Peter G Gibson, Katherine J Baines

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
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

10 authors.

Netsanet A NegewoImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0002-5765-9151
Natalie M NiessenImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0002-1047-6251
Penelope J BainesImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
Evan J WilliamsImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0003-0532-2060
Naomi FibbensImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
Jodie L SimpsonImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0001-5299-4236
Vanessa M McDonaldCentre of Excellence in Treatable Traits, University of Newcastle, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0001-9890-3408
Bronwyn S BerthonImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0001-7858-6513
Peter G GibsonCentre of Excellence in Treatable Traits, University of Newcastle, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0001-5865-489X
Katherine J BainesImmune Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0002-4240-6581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sputum extracellular DNA (eDNA) is associated with disease severity in asthma and COPD and therefore emerging as a potential therapeutic target. The aim of this study was to investigate the effect of 10 days of recombinant human DNase (rhDNase) treatment of eDNA-high asthma and COPD on sputum eDNA levels, neutrophil-related inflammation, lung function and symptoms. Methods: Adults with asthma (n=80) or COPD (n=66) were screened for the presence of high (>20 µg·mL Results: At screening, high eDNA was associated with significantly higher sputum total cell count, sputum colour score and inflammation (HNP1-3, LL-37 and interleukin-1β) in both asthma and COPD compared to low eDNA groups. In asthma, participants with high eDNA were older and had poorer lung function and asthma control compared to low eDNA. Administration of nebulised rhDNase significantly reduced sputum eDNA levels in both asthma (median (Q1-Q3) Pre: 48.4 (22.1-74.1); Post: 17.0 (5.0-31.0) µg·mL Conclusion: Targeted rhDNase treatment for 10 days effectively reduced sputum eDNA in eDNA-high asthma and COPD.

Identifiers

PMID39902268
PMCPMC11788809

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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.