Noneosinophilic responders with occupational asthma: A phenotype associated with a poor asthma prognosis

Not only did the noneosinophilic responders with OA appeared to have a more severe asthma than did eosinophilic responders at the time of diagnosis, but they also had a poorer prognosis than did eosinophilic responders as shown by a greater airflow obstruction, a greater airway hyperresponsiveness,...

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Veröffentlicht in:Journal of allergy and clinical immunology 2014-03, Vol.133 (3), p.883-885.e3
Hauptverfasser: Lemiere, Catherine, MD, MSc, Chaboillez, Simone, RT, Bohadana, Abraham, MD, Blais, Lucie, PhD, Maghni, Karim, PhD
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container_title Journal of allergy and clinical immunology
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creator Lemiere, Catherine, MD, MSc
Chaboillez, Simone, RT
Bohadana, Abraham, MD
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Maghni, Karim, PhD
description Not only did the noneosinophilic responders with OA appeared to have a more severe asthma than did eosinophilic responders at the time of diagnosis, but they also had a poorer prognosis than did eosinophilic responders as shown by a greater airflow obstruction, a greater airway hyperresponsiveness, and a poorer asthma control in spite of a higher dose of inhaled corticosteroids 5 years after diagnosis.  Noneosinophilic responders (n = 15) Eosinophilic responders (n = 29) P value MMP-1 (pg/mL) 78.2 ± 81.2 71.22 ± 75.3 .8 MMP-2 (pg/mL) 1,042.4 ± 1,246.7 832.9 ± 596.9 .5 MMP-3 (pg/mL) 197.1 ± 136.1 269.5 ± 292.9 .4 MMP-8 (pg/mL) 59,824.4 ± 2.1 x 104 58,346.6 ± 5.7 x 104 .9 MMP-9 (pg/mL) 1.4 x 105 ± 1.9 x 105 1.8 x 105 ± 2.6 x 105 .6 MMP-12 (pg/mL) 66.4 ± 33.9 91.9 ± 111.5 .4 TIMP-1 (ng/mL) 119.9 ± 65.6 124.3 ± 69.8 .8 MMP-9/TIMP-1 0.3 ± 0.4 0.5 ± 0.6 .4 IL-4 (pg/mL) 0 ± 0 0.3 ± 1.2 .3 IL-5 (pg/mL) 1.7 ± 3.6 4.0 ± 7.6 .3 IL-13 (pg/mL) 0 ± 0 0.02 ± 0.1 .4 IL-2 (pg/mL) 0.4 ± 0.4 1.0 ± 0.9 .02 IFN-γ (pg/mL) 0.2 ± 0.3 0.5 ± 0.5 .03 IL-8 (pg/mL) 415.9 ± 113.3 475.8 ± 435.2 .6 MCP-3 (pg/mL) 6.9 ± 3.7 10.4 ± 5.7 .04 ICTP (ng/mL) 0.04 ± 0.05 0.04 ± 0.04 .7 PICP (ng/mL) 16.2 ± 32.2 5.7 ± 7.3 .1 Table E2 Inflammatory markers in eosinophilic and noneosinophilic responders assessed at the time of the study ICTP, Carboxyterminal telopeptide of type I collagen; MCP-3, monocyte chemotactic protein-3; MMPs, matrix metalloproteinases; PICP, procollagen type I C peptide; TIMP-1, tissue inhibitor of metalloproteinase-1.
doi_str_mv 10.1016/j.jaci.2013.09.005
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Psychology</subject><subject>Fundamental immunology</subject><subject>Genotype &amp; phenotype</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nitric oxide</subject><subject>Phenotype</subject><subject>Pneumology</subject><subject>Prognosis</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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subjects Adult
Allergy and Immunology
Asthma
Asthma, Occupational - immunology
Asthma, Occupational - physiopathology
Biological and medical sciences
Chronic obstructive pulmonary disease, asthma
Cross-Sectional Studies
Female
Forced Expiratory Volume
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Genotype & phenotype
Humans
Immunopathology
Male
Medical sciences
Middle Aged
Nitric oxide
Phenotype
Pneumology
Prognosis
Quality of Life
Questionnaires
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
title Noneosinophilic responders with occupational asthma: A phenotype associated with a poor asthma prognosis
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