- Title
- Periostin levels and eosinophilic inflammation in poorly-controlled asthma
- Creator
- Simpson, Jodie L.; Yang, Ian A.; Gibson, Peter G.; Upham, John W.; Reynolds, Paul N.; Hodge, Sandra; James, Alan L.; Jenkins, Christine; Peters, Matthew J.; Jia, Guiquan; Holweg, Cecile T. J.
- Relation
- NHMRC
- Relation
- BMC Pulmonary Medicine Vol. 16, Issue 1
- Publisher Link
- http://dx.doi.org/10.1186/s12890-016-0230-4
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2016
- Description
- Periostin levels are associated with airway eosinophilia and are suppressed by corticosteroid treatment in asthma. This study sought to determine the relationship between serum and sputum periostin, airway inflammatory phenotype and asthma control.Adults with poorly-controlled asthma (n=83) underwent a clinical assessment, sputum induction and blood sampling. Dispersed sputum was used for a differential cell count and periostin assessment (ELISA). Serum periostin was determined by the Elecsys® immunoassay.Periostin levels were significantly higher in serum (median (IQR) of 51.6 (41.8, 62.6) ng/mL) than in sputum (1.1 (0.5, 2.0) ng/mL) (p<0.001). Serum and sputum periostin were significantly higher in patients with eosinophilic asthma (n=37) compared with non-eosinophilic asthma. Both serum and sputum periostin levels were significantly associated with proportion of sputum eosinophils (r=0.422, p<0.001 and r=0.364, p=0.005 respectively) but were not associated with asthma control. In receiver operator characteristic curve analysis, the area under the curve (AUC) for serum periostin (n=83) was 0.679, p=0.007. Peripheral blood eosinophils assessed in 67 matched samples, had a numerically greater AUC of 0.820 compared with serum periostin, p=0.086 for the detection of eosinophilic asthma.In poorly-controlled asthma, sputum and serum periostin levels are significantly related to sputum eosinophil proportions while their ability to predict the presence of eosinophilic asthma is modest.
- Subject
- periostin; eosinophilic asthma; non-eosinophillic asthma; phenotype; inflammation
- Identifier
- http://hdl.handle.net/1959.13/1323616
- Identifier
- uon:24852
- Identifier
- ISSN:1471-2466
- Rights
- © 2016 Simpson et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Language
- eng
- Full Text
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