Pathways Activated during Human Asthma Exacerbation as Revealed by Gene Expression Patterns in Blood
2011

Gene Expression Patterns in Blood During Asthma Exacerbations

Sample size: 118 publication 10 minutes Evidence: moderate

Author Information

Author(s): Unnur S. Bjornsdottir, Stephen T. Holgate, Padmalatha S. Reddy, Andrew A. Hill, Charlotte M. McKee, Cristina I. Csimma, Amy A. Weaver, Holly M. Legault, Clayton G. Small, Renee C. Ramsey, Debra K. Ellis, Conor M. Burke, Philip J. Thompson, Peter H. Howarth, Andrew J. Wardlaw, Phillip G. Bardin, David I. Bernstein, Louis B. Irving, Geoffrey L. Chupp, George W. Bensch, Gregory W. Bensch, Jon E. Stahlman, Monroe Karetzky, James W. Baker, Rachel L. Miller, Brad H. Goodman, Donald G. Raible, Samuel J. Goldman, Douglas K. Miller, John L. Ryan, Andrew J. Dorner, Frederick W. Immermann, Margot O'Toole

Primary Institution: University of Iceland

Hypothesis

Can mRNA profiling of peripheral blood mononuclear cells (PBMCs) provide insights into the molecular pathways involved during asthma exacerbations?

Conclusion

The study found that gene expression analysis of PBMCs reveals systemic changes during asthma exacerbations, highlighting the involvement of innate and adaptive immune pathways.

Supporting Evidence

  • Gene expression patterns were compared during stable asthma and exacerbation episodes.
  • Three distinct exacerbation-associated gene expression signatures were identified.
  • One signature indicated activation of innate immunity genes even without respiratory infection symptoms.

Takeaway

Researchers looked at blood samples from asthma patients during attacks and found changes in gene activity that help explain why asthma gets worse.

Methodology

The study compared gene expression levels in PBMCs during stable asthma and exacerbation episodes using oligonucleotide arrays.

Potential Biases

Potential bias due to the involvement of company employees in the study design and execution.

Limitations

The study was observational and could not control for all variables affecting asthma exacerbations.

Participant Demographics

337 non-smoking subjects, 64.4% female, 87.1% white.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0021902

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