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. 2024 Sep 26;64(3):2400347.
doi: 10.1183/13993003.00347-2024. Print 2024 Sep.

Association of airway inflammation and smoking status with IL-33 level in sputum of patients with asthma or COPD

Affiliations

Association of airway inflammation and smoking status with IL-33 level in sputum of patients with asthma or COPD

Mustafa Abdo et al. Eur Respir J. .

Abstract

In patients with COPD, targeting IL-33 might be auspicious in former smokers. However, disease severity should also be considered. In patients with severe asthma, targeting IL-33 might be a potential treatment option, irrespective of T2-status. https://bit.ly/3SFspww

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Conflict of interest statement

Conflicts of interest: M. Abdo received travel support from Chiesi, and consulting fees from AstraZeneca, all outside the submitted work. F. Trinkmann reports grants from AstraZeneca, Bayer, Boehringer Ingelheim, Chiesi, Novartis, Roche, BMBF, DZL, Markedsmodningsfonden and E+H Knorr Stiftung, consultancy fees from AstraZeneca, Berlin Chemie, Boehringer Ingelheim, Bristol-Myers Squibb, Chiesi, Fisher & Paykel, GlaxoSmithKline, Janssen-Cilag, Merck Healthcare, Novartis, Omron, OM-Pharma, Roche, Sanofi-Aventis and Thorasys, payment or honoraria for lectures, presentations, manuscript writing or educational events from AstraZeneca, Berlin Chemie, Boehringer Ingelheim, Bristol-Myers Squibb, Chiesi, Fisher & Paykel, GlaxoSmithKline, Janssen-Cilag, Merck Healthcare, Novartis, Omron, OM-Pharma, Roche, Sanofi-Aventis and Thorasys, and support for attending meetings from AstraZeneca, Actelion, Bayer, Berlin Chemie, Boehringer Ingelheim, Chiesi, Mundipharma, Novartis, Pfizer and TEVA. E.E. Groth reports grants from German Federal Ministry of Education and Research and Deutsche Forschungsgemeinschaft (DFG), payment or honoraria for lectures, presentations, manuscript writing or educational events from Dustri Verlag Germany, AstraZeneca, Germany, Health Course Inc., USA, Boehringer Ingelheim, Germany, Sanofi Genzyme, Germany and Insmed GmbH, Germany, and support for attending meetings from GlaxoSmithKline, Germany and Insmed, Germany. T. Bahmer reports grants from BMBF (unrestricted research grant for the German Center for Lung Research (DZL)), during the conduct of the study; consultancy fees from AstraZeneca and GlaxoSmithKline, payment or honoraria for lectures, presentations, manuscript writing or educational events from AstraZeneca, GlaxoSmithKline, Novartis, Roche, Chiesi, Boehringer Ingelheim, Merck and Pfizer, support for attending meetings from Chiesi and AstraZeneca, and participation on a data safety monitoring board or advisory board with CoVit-2 (NCT04751604). H. Watz reports an unrestricted research grant from Chiesi, support from Bayer AG for the COPD cohort, consultancy fees from AZ, BI, Chiesi, GSK, Novartis and Sanofi, payment or honoraria for lectures, presentations, manuscript writing or educational events from AZ, BI, Chiesi, GSK, Novartis and Sanofi, support for attending meetings from AZ, BI, Chiesi, GSK, Novartis and Sanofi, and participation on a data safety monitoring board or advisory board with AZ, BI, Chiesi, GSK, Novartis and Sanofi. K.F. Rabe reports grants from Boehringer Ingelheim and AstraZeneca, payment or honoraria for lectures, presentations, manuscript writing or educational events from AstraZeneca, Boehringer Ingelheim, Chiesi Pharmaceuticals, Novartis, Sanofi & Regeneron, GlaxoSmithKline, Berlin Chemie and Roche Pharma, participation on a data safety monitoring board or advisory board with AstraZeneca, Boehringer Ingelheim, Sanofi & Regeneron and CSL Behring, and leadership roles with German Center for Lung Research (DZL), German Chest Society (DGP) and American Thoracic Society (ATS). The remaining authors have no potential conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
a) Boxplots illustrate sputum interleukin (IL)-33 protein levels in patients with COPD that were stratified based on disease severity grade and smoking status. Pre-COPD active smokers, n=9; pre-COPD ex-smokers, n=11; Global Initiative for Chronic Obstructive Lung Disease (GOLD) I/II active smokers, n=33; GOLD I/II ex-smokers, n=14; GOLD III/IV active smokers, n=7; GOLD III/IV ex-smokers, n=6. Number of patients with airway eosinophilia did not differ significantly between the COPD severity groups (p=0.26); pre-COPD, n=3; GOLD I/II, n=8; GOLD III/IV, n=5. ns: non-significant (p>0.05); *: p<0.05; **: p<0.01. b) Boxplots illustrate sputum IL-33 protein levels in patients with severe asthma who were classified according to the levels of type-2 inflammation markers. T2 high, n=25; T2 low, n=8.

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