Li Zhiwei,Chen Huaping,Ma Qianli,Cheng Xiaoming,Zhang Qiao,Wang Yan,Lin Kexiong,Wang Changzheng.Clinical characteristics of different airway inflammatory phenotypes in patients with asthma[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(08):801-804.
Li Zhiwei,Chen Huaping,Ma Qianli,Cheng Xiaoming,Zhang Qiao,Wang Yan,Lin Kexiong,Wang Changzheng.Clinical characteristics of different airway inflammatory phenotypes in patients with asthma[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(08):801-804.DOI:
Objective To investigate the clinical characteristics of different airway inflammatory phenotypes in patients with asthma. Methods A total of 287 patients with asthma were recruited from the out-patient of Xinqiao Hospital from January 2011 to March 2012
and were divided into four groups according to different counts of sputum cells including an eosinophilic group (Eos group; 41.5%
119/287)
a neutrophilic group (Neu group; 27.5%
79/287)
a pauci-granulocytic group (Pau group; 11.1%
32/287) and a mixed granulocytic group (Mix group; 19.9%
57/287
). The medical records
demographic information
results of the induced sputum cytology and pulmonary function were analyzed retrospectively. Results There were no significant difference in sex
onset age
smoking
atopy
duration of asthma
body mass index
ACT score and regular use of inhaled corticosteroids among the four groups (
P
0.05). However
the total inflammatory cell count in the Mix group was significantly higher than that in other groups (P0.01). In the Neu group and Mix group
there was significantly negative correlation between the neutrophil ratio in induced sputum and FEV1%pred in the patients with airflow limitation (FEV1%pred80%) (r=-0.386 6
P
=0.032). Conclusion Though there are four inflammatory phenotypes of asthma
the clinical characteristics are not significantly different. The neutrophilic airway inflammation may play an important role in airway obstruction of asthma.