Variability of sputum inflammatory cells in asthmatic patients receiving corticosteroid therapy: A prospective study using multiple samples

The subjects were taking 176 to 880 μg/d fluticasone (or equivalent) with or without β-agonists, a leukotriene receptor antagonist, or theophylline; used 2 or fewer steroid bursts in the previous year and none in the previous 3 months with less than 30 days of oral steroids in the previous 12 mont...

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Veröffentlicht in:Journal of allergy and clinical immunology 2010-05, Vol.125 (5), p.1161-1163.e4
Hauptverfasser: Al-Samri, Mohammed T., MD, Benedetti, Andrea, PhD, Préfontaine, David, MSc, Olivenstein, Ron, MD, Lemière, Catherine, MD, MSc, Nair, Parameswaran, MD, PhD, Martin, James G., MD, DSc, Hamid, Qutayba, MD, PhD
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container_end_page 1163.e4
container_issue 5
container_start_page 1161
container_title Journal of allergy and clinical immunology
container_volume 125
creator Al-Samri, Mohammed T., MD
Benedetti, Andrea, PhD
Préfontaine, David, MSc
Olivenstein, Ron, MD
Lemière, Catherine, MD, MSc
Nair, Parameswaran, MD, PhD
Martin, James G., MD, DSc
Hamid, Qutayba, MD, PhD
description The subjects were taking 176 to 880 μg/d fluticasone (or equivalent) with or without β-agonists, a leukotriene receptor antagonist, or theophylline; used 2 or fewer steroid bursts in the previous year and none in the previous 3 months with less than 30 days of oral steroids in the previous 12 months; had an FEV1 of 70% or greater of predicted value and 90% or greater of personal best in previous 2 years; and had 1 or more unscheduled visits for asthma in the previous 12 months.  Severe asthma[low *] (n = 37) Moderate asthma[low *] (n = 24) P value Age (y) 47.6 ± 11.76 51.6 ± 10.2 NS Sex (M/F) 21/16 14/10 NS FEV1 (% predicted)[dagger] 66.6 ± 21.9 85.0 ± 12.2 .0003 Prebronchodilator FEV1/FVC ratio 65.7 ± 11.9 73.1 ± 5.5 .0058 BMI (kg/m2) 28.2 ± 6.1 27.2 ± 6.3 NS Subjects with atopy[double dagger] 31 (84%) 21 (88%) NS Dose of inhaled corticosteroid (μg/d)[low *] 1,275 ± 324 618 ± 325
doi_str_mv 10.1016/j.jaci.2010.02.005
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Vasculitis ; Sputum - cytology ; Sputum - drug effects ; Sputum - immunology ; Treatment Outcome ; Values</subject><ispartof>Journal of allergy and clinical immunology, 2010-05, Vol.125 (5), p.1161-1163.e4</ispartof><rights>American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2010 American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Elsevier Limited May 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-3b92b05324fbab32b82131989517fafdb726496d23aae718f892f8f94a856bc23</citedby><cites>FETCH-LOGICAL-c544t-3b92b05324fbab32b82131989517fafdb726496d23aae718f892f8f94a856bc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaci.2010.02.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22823947$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20392486$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Samri, Mohammed T., MD</creatorcontrib><creatorcontrib>Benedetti, Andrea, PhD</creatorcontrib><creatorcontrib>Préfontaine, David, MSc</creatorcontrib><creatorcontrib>Olivenstein, Ron, MD</creatorcontrib><creatorcontrib>Lemière, Catherine, MD, MSc</creatorcontrib><creatorcontrib>Nair, Parameswaran, MD, PhD</creatorcontrib><creatorcontrib>Martin, James G., MD, DSc</creatorcontrib><creatorcontrib>Hamid, Qutayba, MD, PhD</creatorcontrib><title>Variability of sputum inflammatory cells in asthmatic patients receiving corticosteroid therapy: A prospective study using multiple samples</title><title>Journal of allergy and clinical immunology</title><addtitle>J Allergy Clin Immunol</addtitle><description>The subjects were taking 176 to 880 μg/d fluticasone (or equivalent) with or without β-agonists, a leukotriene receptor antagonist, or theophylline; used 2 or fewer steroid bursts in the previous year and none in the previous 3 months with less than 30 days of oral steroids in the previous 12 months; had an FEV1 of 70% or greater of predicted value and 90% or greater of personal best in previous 2 years; and had 1 or more unscheduled visits for asthma in the previous 12 months.  Severe asthma[low *] (n = 37) Moderate asthma[low *] (n = 24) P value Age (y) 47.6 ± 11.76 51.6 ± 10.2 NS Sex (M/F) 21/16 14/10 NS FEV1 (% predicted)[dagger] 66.6 ± 21.9 85.0 ± 12.2 .0003 Prebronchodilator FEV1/FVC ratio 65.7 ± 11.9 73.1 ± 5.5 .0058 BMI (kg/m2) 28.2 ± 6.1 27.2 ± 6.3 NS Subjects with atopy[double dagger] 31 (84%) 21 (88%) NS Dose of inhaled corticosteroid (μg/d)[low *] 1,275 ± 324 618 ± 325 &lt;.0001 Asthma exacerbation per subject per visit in the previous year 0.1 ± 0.1 0.03 ± 0.07 .007 Exsmokers 14 (38%) 7 (29%) NS Symptom score 1.8 ± 1.0 1.0 ± 0.6 .001 Subjects taking oral steroids 25 (68%) 3 (13%) &lt;.0001 Subjects taking long-acting β2-agonists[dagger] 36 (97%) 17 (71%) .0036 Table I Clinical characteristics Values are presented as means ± SDs or numbers.BMI, Body mass index; F, female; FVC, forced vital capacity; M, male; NS, not significant.</description><subject>Administration, Inhalation</subject><subject>Adrenal Cortex Hormones - administration &amp; dosage</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Adult</subject><subject>Allergy and Immunology</subject><subject>Androstadienes - administration &amp; dosage</subject><subject>Androstadienes - therapeutic use</subject><subject>Animals</subject><subject>Asthma</subject><subject>Asthma - drug therapy</subject><subject>Asthma - immunology</subject><subject>Asthma - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Eosinophils - cytology</subject><subject>Eosinophils - immunology</subject><subject>Female</subject><subject>Fluticasone</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Inflammation - drug therapy</subject><subject>Inflammation - immunology</subject><subject>Inflammation - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neutrophils - cytology</subject><subject>Neutrophils - immunology</subject><subject>Patients</subject><subject>Pneumology</subject><subject>Prospective Studies</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Sputum - cytology</subject><subject>Sputum - drug effects</subject><subject>Sputum - immunology</subject><subject>Treatment Outcome</subject><subject>Values</subject><issn>0091-6749</issn><issn>1097-6825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksuKFTEQhhtRnOPoC7iQgIirPubSl0REGAZvMODCyzak04mTtm-TSh_oZ_ClreYcHZiFbhJS-f5Kqv7KsqeM7hll1atu3xkb9pxigPI9peW9bMeoqvNK8vJ-tqNUsbyqC3WWPQLoKJ6FVA-zM06F4oWsdtmv7yYG04Q-pJVMnsC8pGUgYfS9GQaTprgS6_oeMEQMpGuMBUtmXN2YgERnXTiE8QexU8SbCZKLU2hJunbRzOtrckHmOMHsbAoHRyAt7UoW2BTD0qcw9xg0A27wOHvgTQ_uyWk_z769f_f18mN-9fnDp8uLq9yWRZFy0Sje0FLwwjemEbyRnAmmpCpZ7Y1vm5pXhapaLoxxNZNeKu6lV4WRZdVYLs6zl8e8-LGbxUHSQ4CtSDO6aQFdl9gaJUvxf1IIQbH_Esnnd8huWuKIZWhWlpQpptRG8SNlsSUQnddzDIOJq2ZUb57qTm-e6s1TTblGT1H07JR6aQbX_pX8MRGBFyfAgDW9j2a0AW45LrlQRY3cmyPnsLmH4KIGiy5a1wa0Mel2Cv_-x9s7ctuHMeCLP93q4LZeDSjQX7bp24aP4dxxWUjxGxeY1pA</recordid><startdate>20100501</startdate><enddate>20100501</enddate><creator>Al-Samri, Mohammed T., MD</creator><creator>Benedetti, Andrea, PhD</creator><creator>Préfontaine, David, MSc</creator><creator>Olivenstein, Ron, MD</creator><creator>Lemière, Catherine, MD, MSc</creator><creator>Nair, Parameswaran, MD, PhD</creator><creator>Martin, James G., MD, DSc</creator><creator>Hamid, Qutayba, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SS</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20100501</creationdate><title>Variability of sputum inflammatory cells in asthmatic patients receiving corticosteroid therapy: A prospective study using multiple samples</title><author>Al-Samri, Mohammed T., MD ; Benedetti, Andrea, PhD ; Préfontaine, David, MSc ; Olivenstein, Ron, MD ; Lemière, Catherine, MD, MSc ; Nair, Parameswaran, MD, PhD ; Martin, James G., MD, DSc ; Hamid, Qutayba, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-3b92b05324fbab32b82131989517fafdb726496d23aae718f892f8f94a856bc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Administration, Inhalation</topic><topic>Adrenal Cortex Hormones - administration &amp; dosage</topic><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Adult</topic><topic>Allergy and Immunology</topic><topic>Androstadienes - administration &amp; dosage</topic><topic>Androstadienes - therapeutic use</topic><topic>Animals</topic><topic>Asthma</topic><topic>Asthma - drug therapy</topic><topic>Asthma - immunology</topic><topic>Asthma - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Body mass index</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Eosinophils - cytology</topic><topic>Eosinophils - immunology</topic><topic>Female</topic><topic>Fluticasone</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Inflammation - drug therapy</topic><topic>Inflammation - immunology</topic><topic>Inflammation - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neutrophils - cytology</topic><topic>Neutrophils - immunology</topic><topic>Patients</topic><topic>Pneumology</topic><topic>Prospective Studies</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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subjects Administration, Inhalation
Adrenal Cortex Hormones - administration & dosage
Adrenal Cortex Hormones - therapeutic use
Adult
Allergy and Immunology
Androstadienes - administration & dosage
Androstadienes - therapeutic use
Animals
Asthma
Asthma - drug therapy
Asthma - immunology
Asthma - physiopathology
Biological and medical sciences
Body mass index
Chronic obstructive pulmonary disease, asthma
Eosinophils - cytology
Eosinophils - immunology
Female
Fluticasone
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Immunopathology
Inflammation - drug therapy
Inflammation - immunology
Inflammation - physiopathology
Male
Medical sciences
Middle Aged
Neutrophils - cytology
Neutrophils - immunology
Patients
Pneumology
Prospective Studies
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Sputum - cytology
Sputum - drug effects
Sputum - immunology
Treatment Outcome
Values
title Variability of sputum inflammatory cells in asthmatic patients receiving corticosteroid therapy: A prospective study using multiple samples
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