Change in biomarkers of type-2 inflammation following severe exacerbations of asthma

We investigated the time course of change of type-2 asthma biomarkers after a severe asthma exacerbation. Blood eosinophils were lowest immediately after treatment was initiated (0.07 vs 0.33×109/L, p

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Veröffentlicht in:Thorax 2019-01, Vol.74 (1), p.95-98
Hauptverfasser: Semprini, Ruth, Shortt, Nick, Ebmeier, Stefan, Semprini, Alex, Varughese, Rachel, Holweg, Cecile T J, Matthews, John G, Fingleton, James, Weatherall, Mark, Beasley, Richard, Braithwaite, Irene
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container_end_page 98
container_issue 1
container_start_page 95
container_title Thorax
container_volume 74
creator Semprini, Ruth
Shortt, Nick
Ebmeier, Stefan
Semprini, Alex
Varughese, Rachel
Holweg, Cecile T J
Matthews, John G
Fingleton, James
Weatherall, Mark
Beasley, Richard
Braithwaite, Irene
description We investigated the time course of change of type-2 asthma biomarkers after a severe asthma exacerbation. Blood eosinophils were lowest immediately after treatment was initiated (0.07 vs 0.33×109/L, p
doi_str_mv 10.1136/thoraxjnl-2018-211657
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Blood eosinophils were lowest immediately after treatment was initiated (0.07 vs 0.33×109/L, p&lt;0.001) while serum IgE levels were at their highest (339 vs 249 U/L, p&lt;0.001). Fractional exhaled Nitric Oxide levels were lowest 2 weeks after treatment (23 vs 33 ppb, p=0.06) and serum periostin levels were lowest 1 week after treatment (45·9 vs 50·9 ng/mL, p&lt;0.001). A delay of 4–8 weeks following a severe exacerbation is required if these biomarkers are used to guide the ongoing management of patients with asthma.Trial registration numberPost-results; The Australia New Zealand Trial Registry, &gt;ACTRN12614000443695.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thoraxjnl-2018-211657</identifier><identifier>PMID: 30021810</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Thoracic Society</publisher><subject>Asthma ; Biomarkers ; Brief communication ; Inflammation ; Nitric oxide</subject><ispartof>Thorax, 2019-01, Vol.74 (1), p.95-98</ispartof><rights>Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. 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subjects Asthma
Biomarkers
Brief communication
Inflammation
Nitric oxide
title Change in biomarkers of type-2 inflammation following severe exacerbations of asthma
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