Is it possible to claim or refute sputum eosinophils ≥ 3% in asthmatics with sufficient accuracy using biomarkers?

peer reviewed ; The concept of asthma inflammatory phenotypes has proved to be important in predicting response to inhaled corticosteroids. Induced sputum, which has been pivotal in the development of the concept of inflammatory phenotypes, is however not widely available. Several studies have proposed to use surrogate exhaled or blood biomarkers, like fractional exhaled nitric oxide (FENO), blood eosinophils and total serum immunoglobulin E (IgE). However, taken alone, each of these biomarkers has moderate accuracy to identify sputum eosinophilia. Here, we propose a new approach based on the... Mehr ...

Verfasser: Demarche, Sophie
Schleich, Florence
PAULUS, Virginie
HENKET, Monique
Van Hees, Thierry
Louis, Renaud
Dokumenttyp: letter to the editor
Erscheinungsdatum: 2017
Verlag/Hrsg.: BioMed Central Ltd.
Schlagwörter: Asthma / Biomarkers / Blood / Eosinophils / Immunoglobulin E / Nitric oxide / Phenotype / Sputum / Belgium / Letter / Human health sciences / Pharmacy / pharmacology & toxicology / Sciences de la santé humaine / Pharmacie / pharmacologie & toxicologie
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27364219
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://orbi.uliege.be/handle/2268/222133

peer reviewed ; The concept of asthma inflammatory phenotypes has proved to be important in predicting response to inhaled corticosteroids. Induced sputum, which has been pivotal in the development of the concept of inflammatory phenotypes, is however not widely available. Several studies have proposed to use surrogate exhaled or blood biomarkers, like fractional exhaled nitric oxide (FENO), blood eosinophils and total serum immunoglobulin E (IgE). However, taken alone, each of these biomarkers has moderate accuracy to identify sputum eosinophilia. Here, we propose a new approach based on the likelihood ratio to study which thresholds of these biomarkers, taken alone or in combination, were able to rule in or rule out sputum eosinophils ≥3%. We showed in a large population of 869 asthmatics that combining FENO, blood eosinophils and total serum IgE could accurately predict sputum eosinophils ≥ or <3% in 58% of our population. © 2017 The Author(s).