Evidence map›Paper›PMID 41474423›Full record

ArticleLung India : official organ of Indian Chest Society2026

Evaluating serum TNF α in relation to bronchiectasis severity: Insights from FACED and BSI scoring systems.

Santhiya Ramachandran, Yuvarajan Sivagnaname, Antonious Maria Selvam, Praveen Radhakrishnan, Arivarasan Barathi

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Article in Lung India : official organ of Indian Chest Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Santhiya RamachandranDepartment of Respiratory Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Puducherry, India.
Yuvarajan SivagnanameDepartment of Respiratory Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Antonious Maria SelvamDepartment of Respiratory Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.
Praveen RadhakrishnanDepartment of Respiratory Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Arivarasan BarathiDepartment of Community Medicine, ESI Medical College and Hospital, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchiectasis is a chronic respiratory condition characterised by abnormal bronchial dilation, often accompanied by inflammation and infection. Tumour necrosis factor-alpha (TNF α) has been implicated in inflammatory processes, and its role in bronchiectasis severity remains underexplored. This study aimed to assess the correlation between serum TNF α levels and bronchiectasis severity using established scoring systems.

methodsA cross-sectional study was conducted among 96 patients diagnosed with bronchiectasis. Serum TNF α levels were measured and analysed in relation to clinical parameters, radiological features, and severity scores such as FACED and Bronchiectasis Severity Index (BSI). Statistical tests including the Mann-Whitney U-test and Kruskal-Wallis test were used to identify significant associations.

resultsElevated serum TNF α levels were significantly associated with fever, leukocytosis, recent hospital admissions, and bronchiectasis exacerbations. Patients with multi-lobar involvement and bilateral lung disease exhibited significantly higher TNF α levels (P = 0.01). Pseudomonas colonisation was linked to increased TNF α levels. Severity scoring demonstrated a strong association with TNF α levels, with higher values seen in patients categorised as moderate or severe by FACED and BSI scores.

conclusionSerum TNF α levels are a potential biomarker for assessing bronchiectasis severity. Elevated TNF α levels were notably linked to exacerbations, microbial colonisation, and severe disease presentations, underscoring its clinical relevance in guiding prognosis and management strategies.

Indexed as

BronchiectasisBSI scoreFACED scoreinflammationTNF α

Identifiers

PMID41474423
PMCPMC12857838

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