Effects of systemic glucocorticosteroids on peripheral neutrophil functions in asthmatic subjects: an ex vivo study
1995

Effects of Glucocorticosteroids on Neutrophil Functions in Asthma

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): P. L. Paggiaro, L. Bancalari, D. Giannessi, W. Bernini, G. Lazzerini, R. Sicari, E. Bacci, F. L. Dente, B. Vagaggini, R. De Caterina

Primary Institution: 2nd Institute of Internal Medicine, Respiratory Pathophysiology, and CNR Institute of Clinical Physiology, Pisa, Italy

Hypothesis

Does treatment with systemic glucocorticosteroids modify neutrophil functions in asthmatic subjects during an acute exacerbation?

Conclusion

The study found that neutrophil activation plays a minor role in asthma, and treatment with glucocorticosteroids does not significantly modify most neutrophil functions.

Supporting Evidence

  • Superoxide anion generation was significantly higher in asthmatics compared to normal subjects.
  • Neutrophil chemotaxis showed a significant correlation with asthma severity.
  • After treatment, chemokinesis significantly decreased in all subjects.
  • Neutrophil functions did not change significantly after glucocorticosteroid treatment.

Takeaway

This study looked at how a medicine called glucocorticosteroids affects certain white blood cells in people with asthma. It found that while the medicine helps asthma symptoms, it doesn't change how these cells work very much.

Methodology

The study evaluated neutrophil functions in asthmatic subjects during an acute exacerbation and after treatment with systemic glucocorticosteroids, measuring various parameters including chemotaxis and superoxide generation.

Limitations

The study primarily focused on peripheral neutrophils, which may not fully represent airway neutrophils' behavior.

Participant Demographics

21 asthmatic subjects (7 male, 14 female) with a mean age of 42 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

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