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Blood granulocyte patterns as predictors of asthma phenotypes in adults from the EGEA study.
- Source :
-
The European respiratory journal [Eur Respir J] 2016 Oct; Vol. 48 (4), pp. 1040-1051. Date of Electronic Publication: 2016 Aug 04. - Publication Year :
- 2016
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Abstract
- To what extent blood granulocyte patterns may predict asthma control remains under-studied. Our aim was to study associations between blood neutrophilia and eosinophilia and asthma control outcomes in adults.Analyses were conducted in 474 asthmatics from the first follow-up of the Epidemiological Study on the Genetics and Environment of Asthma (EGEA2), including 242 asthmatics who were adults a decade earlier (EGEA1). At EGEA2, asthma control was assessed using the Global Initiative for Asthma definition (2015), and asthma exacerbations by use of urgent care or courses of oral corticosteroids in the past year. Blood EOS <superscript>lo</superscript> /EOS <superscript>hi</superscript> was defined as </≥250 eosinophils·mm <superscript>-3</superscript> , respectively, and NEU <superscript>lo</superscript> /NEU <superscript>hi</superscript> as </≥5000 neutrophils·mm <superscript>-3</superscript> , respectively. Estimates were adjusted for age, sex and smoking.At EGEA2, NEU <superscript>hi</superscript> was associated with asthma exacerbations and poor asthma control (OR >2.10). EOS <superscript>hi</superscript> was associated with higher bronchial hyperresponsiveness (BHR) (OR (95% CI) 2.21 (1.24-3.97)), poor lung function (p=0.02) and higher total IgE level (p=0.002). Almost 50% of asthmatics had a persistent pattern between surveys. Persistent NEU <superscript>hi</superscript> was associated with poor asthma control at EGEA2 (OR (95% CI) 3.09 (1.18-7.05)). EOS <superscript>hi</superscript> at EGEA1 and persistent EOS <superscript>hi</superscript> were associated with higher BHR (OR (95% CI) 2.36 (1.10-5.07) and 3.85 (1.11-13.34), respectively), poor lung function (p<0.06) and higher immunoglobulin E level (p<10 <superscript>-4</superscript> ) at EGEA2.Granulocyte patterns were differently associated with asthma outcomes, suggesting specific roles for each one, which could be tested as predictive signatures.<br /> (Copyright ©ERS 2016.)
- Subjects :
- Adrenal Cortex Hormones therapeutic use
Adult
Body Mass Index
Bronchial Hyperreactivity genetics
Cohort Studies
Cross-Sectional Studies
Eosinophils cytology
Female
Humans
Immunoglobulin E blood
Leukocyte Count
Male
Middle Aged
Neutrophils cytology
Phenotype
Smoking
Treatment Outcome
Asthma blood
Asthma physiopathology
Granulocytes cytology
Subjects
Details
- Language :
- English
- ISSN :
- 1399-3003
- Volume :
- 48
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The European respiratory journal
- Publication Type :
- Academic Journal
- Accession number :
- 27492832
- Full Text :
- https://doi.org/10.1183/13993003.00336-2016