Serum periostin relates to type‐2 inflammation and lung function in asthma: Data from the large population‐based cohort Swedish GA(2)LEN

Background Periostin has been suggested as a novel, phenotype‐specific biomarker for asthma driven by type 2 inflammation. However, large studies examining relationships between circulating periostin and patient characteristics are lacking and the suitability of periostin as a biomarker in asthma re...

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Veröffentlicht in:Allergy (Copenhagen) 2017-11, Vol.72 (11), p.1753-1760
Hauptverfasser: James, A., Janson, C., Malinovschi, A., Holweg, C., Alving, K., Ono, J., Ohta, S., Ek, A., Middelveld, R., Dahlén, B., Forsberg, B., Izuhara, K., Dahlén, S.‐E.
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container_end_page 1760
container_issue 11
container_start_page 1753
container_title Allergy (Copenhagen)
container_volume 72
creator James, A.
Janson, C.
Malinovschi, A.
Holweg, C.
Alving, K.
Ono, J.
Ohta, S.
Ek, A.
Middelveld, R.
Dahlén, B.
Forsberg, B.
Izuhara, K.
Dahlén, S.‐E.
description Background Periostin has been suggested as a novel, phenotype‐specific biomarker for asthma driven by type 2 inflammation. However, large studies examining relationships between circulating periostin and patient characteristics are lacking and the suitability of periostin as a biomarker in asthma remains unclear. Aim To examine circulating periostin in healthy controls and subjects with asthma from the general population with different severity and treatment profiles, both with and without chronic rhinosinusitis (CRS), in relation to other biomarkers and clinical characteristics. Methods Serum periostin was examined by ELISA in 1100 subjects aged 17‐76 from the Swedish Global Allergy and Asthma European Network (GA(2)LEN) study, which included 463 asthmatics with/without chronic rhinosinusitis (CRS), 98 individuals with CRS only, and 206 healthy controls. Clinical tests included measurement of lung function, Fraction of exhaled NO (FeNO), IgE, urinary eosinophil‐derived neurotoxin (U‐EDN), and serum eosinophil cationic protein (S‐ECP), as well as completion of questionnaires regarding respiratory symptoms, medication, and quality of life. Results Although median periostin values showed no differences when comparing disease groups with healthy controls, multiple regression analyses revealed that periostin was positively associated with higher FeNO, U‐EDN, and total IgE. In patients with asthma, an inverse relationship with lung function was also observed. Current smoking was associated with decreased periostin levels, whereas increased age and lower body mass index (BMI) related to higher periostin levels in subjects both with and without asthma. Conclusion We confirm associations between periostin and markers of type 2 inflammation, as well as lung function, and identify novel constitutional factors of importance to the use of periostin as a phenotype‐specific biomarker in asthma.
doi_str_mv 10.1111/all.13181
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However, large studies examining relationships between circulating periostin and patient characteristics are lacking and the suitability of periostin as a biomarker in asthma remains unclear. Aim To examine circulating periostin in healthy controls and subjects with asthma from the general population with different severity and treatment profiles, both with and without chronic rhinosinusitis (CRS), in relation to other biomarkers and clinical characteristics. Methods Serum periostin was examined by ELISA in 1100 subjects aged 17‐76 from the Swedish Global Allergy and Asthma European Network (GA(2)LEN) study, which included 463 asthmatics with/without chronic rhinosinusitis (CRS), 98 individuals with CRS only, and 206 healthy controls. Clinical tests included measurement of lung function, Fraction of exhaled NO (FeNO), IgE, urinary eosinophil‐derived neurotoxin (U‐EDN), and serum eosinophil cationic protein (S‐ECP), as well as completion of questionnaires regarding respiratory symptoms, medication, and quality of life. Results Although median periostin values showed no differences when comparing disease groups with healthy controls, multiple regression analyses revealed that periostin was positively associated with higher FeNO, U‐EDN, and total IgE. In patients with asthma, an inverse relationship with lung function was also observed. Current smoking was associated with decreased periostin levels, whereas increased age and lower body mass index (BMI) related to higher periostin levels in subjects both with and without asthma. Conclusion We confirm associations between periostin and markers of type 2 inflammation, as well as lung function, and identify novel constitutional factors of importance to the use of periostin as a phenotype‐specific biomarker in asthma.</description><identifier>ISSN: 0105-4538</identifier><identifier>ISSN: 1398-9995</identifier><identifier>EISSN: 1398-9995</identifier><identifier>DOI: 10.1111/all.13181</identifier><identifier>PMID: 28398635</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Allergies ; Asthma ; Asthma - blood ; Asthma - epidemiology ; Asthma - pathology ; Asthma - physiopathology ; Biomarkers ; Body mass ; Body mass index ; Case-Control Studies ; Cell Adhesion Molecules - blood ; Enzyme-linked immunosorbent assay ; Eosinophil cationic protein ; Eosinophil-derived neurotoxin ; Humans ; Immunoglobulin E ; Inflammation ; Inflammation - etiology ; Lung - pathology ; Lung - physiopathology ; Lungs ; Middle Aged ; periostin ; Quality of life ; Respiratory function ; Rhinitis ; Rhinosinusitis ; Sinusitis ; Smoking ; Sweden ; Young Adult</subject><ispartof>Allergy (Copenhagen), 2017-11, Vol.72 (11), p.1753-1760</ispartof><rights>2017 EAACI and John Wiley and Sons A/S. 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However, large studies examining relationships between circulating periostin and patient characteristics are lacking and the suitability of periostin as a biomarker in asthma remains unclear. Aim To examine circulating periostin in healthy controls and subjects with asthma from the general population with different severity and treatment profiles, both with and without chronic rhinosinusitis (CRS), in relation to other biomarkers and clinical characteristics. Methods Serum periostin was examined by ELISA in 1100 subjects aged 17‐76 from the Swedish Global Allergy and Asthma European Network (GA(2)LEN) study, which included 463 asthmatics with/without chronic rhinosinusitis (CRS), 98 individuals with CRS only, and 206 healthy controls. Clinical tests included measurement of lung function, Fraction of exhaled NO (FeNO), IgE, urinary eosinophil‐derived neurotoxin (U‐EDN), and serum eosinophil cationic protein (S‐ECP), as well as completion of questionnaires regarding respiratory symptoms, medication, and quality of life. Results Although median periostin values showed no differences when comparing disease groups with healthy controls, multiple regression analyses revealed that periostin was positively associated with higher FeNO, U‐EDN, and total IgE. In patients with asthma, an inverse relationship with lung function was also observed. Current smoking was associated with decreased periostin levels, whereas increased age and lower body mass index (BMI) related to higher periostin levels in subjects both with and without asthma. 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Janson, C. ; Malinovschi, A. ; Holweg, C. ; Alving, K. ; Ono, J. ; Ohta, S. ; Ek, A. ; Middelveld, R. ; Dahlén, B. ; Forsberg, B. ; Izuhara, K. ; Dahlén, S.‐E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5321-39502a3a7582feebde13d73d8182e0d1b5e93ef9451114d826477a4629401d643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Allergies</topic><topic>Asthma</topic><topic>Asthma - blood</topic><topic>Asthma - epidemiology</topic><topic>Asthma - pathology</topic><topic>Asthma - physiopathology</topic><topic>Biomarkers</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Case-Control Studies</topic><topic>Cell Adhesion Molecules - blood</topic><topic>Enzyme-linked immunosorbent assay</topic><topic>Eosinophil cationic protein</topic><topic>Eosinophil-derived neurotoxin</topic><topic>Humans</topic><topic>Immunoglobulin E</topic><topic>Inflammation</topic><topic>Inflammation - etiology</topic><topic>Lung - pathology</topic><topic>Lung - physiopathology</topic><topic>Lungs</topic><topic>Middle Aged</topic><topic>periostin</topic><topic>Quality of life</topic><topic>Respiratory function</topic><topic>Rhinitis</topic><topic>Rhinosinusitis</topic><topic>Sinusitis</topic><topic>Smoking</topic><topic>Sweden</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>James, A.</creatorcontrib><creatorcontrib>Janson, C.</creatorcontrib><creatorcontrib>Malinovschi, A.</creatorcontrib><creatorcontrib>Holweg, C.</creatorcontrib><creatorcontrib>Alving, K.</creatorcontrib><creatorcontrib>Ono, J.</creatorcontrib><creatorcontrib>Ohta, S.</creatorcontrib><creatorcontrib>Ek, A.</creatorcontrib><creatorcontrib>Middelveld, R.</creatorcontrib><creatorcontrib>Dahlén, B.</creatorcontrib><creatorcontrib>Forsberg, B.</creatorcontrib><creatorcontrib>Izuhara, K.</creatorcontrib><creatorcontrib>Dahlén, S.‐E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Umeå universitet</collection><collection>SWEPUB Uppsala universitet</collection><jtitle>Allergy (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>James, A.</au><au>Janson, C.</au><au>Malinovschi, A.</au><au>Holweg, C.</au><au>Alving, K.</au><au>Ono, J.</au><au>Ohta, S.</au><au>Ek, A.</au><au>Middelveld, R.</au><au>Dahlén, B.</au><au>Forsberg, B.</au><au>Izuhara, K.</au><au>Dahlén, S.‐E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum periostin relates to type‐2 inflammation and lung function in asthma: Data from the large population‐based cohort Swedish GA(2)LEN</atitle><jtitle>Allergy (Copenhagen)</jtitle><addtitle>Allergy</addtitle><date>2017-11</date><risdate>2017</risdate><volume>72</volume><issue>11</issue><spage>1753</spage><epage>1760</epage><pages>1753-1760</pages><issn>0105-4538</issn><issn>1398-9995</issn><eissn>1398-9995</eissn><abstract>Background Periostin has been suggested as a novel, phenotype‐specific biomarker for asthma driven by type 2 inflammation. However, large studies examining relationships between circulating periostin and patient characteristics are lacking and the suitability of periostin as a biomarker in asthma remains unclear. Aim To examine circulating periostin in healthy controls and subjects with asthma from the general population with different severity and treatment profiles, both with and without chronic rhinosinusitis (CRS), in relation to other biomarkers and clinical characteristics. Methods Serum periostin was examined by ELISA in 1100 subjects aged 17‐76 from the Swedish Global Allergy and Asthma European Network (GA(2)LEN) study, which included 463 asthmatics with/without chronic rhinosinusitis (CRS), 98 individuals with CRS only, and 206 healthy controls. Clinical tests included measurement of lung function, Fraction of exhaled NO (FeNO), IgE, urinary eosinophil‐derived neurotoxin (U‐EDN), and serum eosinophil cationic protein (S‐ECP), as well as completion of questionnaires regarding respiratory symptoms, medication, and quality of life. Results Although median periostin values showed no differences when comparing disease groups with healthy controls, multiple regression analyses revealed that periostin was positively associated with higher FeNO, U‐EDN, and total IgE. In patients with asthma, an inverse relationship with lung function was also observed. Current smoking was associated with decreased periostin levels, whereas increased age and lower body mass index (BMI) related to higher periostin levels in subjects both with and without asthma. Conclusion We confirm associations between periostin and markers of type 2 inflammation, as well as lung function, and identify novel constitutional factors of importance to the use of periostin as a phenotype‐specific biomarker in asthma.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>28398635</pmid><doi>10.1111/all.13181</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2698-8419</orcidid></addata></record>
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subjects Adolescent
Adult
Aged
Allergies
Asthma
Asthma - blood
Asthma - epidemiology
Asthma - pathology
Asthma - physiopathology
Biomarkers
Body mass
Body mass index
Case-Control Studies
Cell Adhesion Molecules - blood
Enzyme-linked immunosorbent assay
Eosinophil cationic protein
Eosinophil-derived neurotoxin
Humans
Immunoglobulin E
Inflammation
Inflammation - etiology
Lung - pathology
Lung - physiopathology
Lungs
Middle Aged
periostin
Quality of life
Respiratory function
Rhinitis
Rhinosinusitis
Sinusitis
Smoking
Sweden
Young Adult
title Serum periostin relates to type‐2 inflammation and lung function in asthma: Data from the large population‐based cohort Swedish GA(2)LEN
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