https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Asthma and landscape fire smoke: A Thoracic Society of Australia and New Zealand position statement https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53765 Wed 28 Feb 2024 15:59:45 AEDT ]]> Comorbidities Modify the Phenotype but Not the Treatment Effectiveness to Mepolizumab in Severe Eosinophilic Asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49984 Wed 28 Feb 2024 15:55:05 AEDT ]]> Comparative effectiveness of Anti-IL5 and Anti-IgE biologic classes in patients with severe asthma eligible for both https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51883 Wed 28 Feb 2024 15:48:29 AEDT ]]> Beliefs about medicines and adherence to asthma medications during pregnancy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51366 Wed 28 Feb 2024 15:46:29 AEDT ]]> Association Between T2-related Comorbidities and Effectiveness of Biologics in Severe Asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54338 Wed 28 Feb 2024 15:14:18 AEDT ]]> Chlamydial respiratory infection during allergen sensitization drives neutrophilic allergic airways disease https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:11267 Wed 24 Jul 2013 22:28:44 AEST ]]> COPD is characterized by increased detection of Haemophilus influenzae, Streptococcus pneumoniae and a deficiency of Bacillus species https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21992 Bacillus species were identified compared with healthy controls. PCR analyses revealed increased rates of detection of potentially pathogenic bacteria with Haemophilus influenzae detection associated with higher sputum levels of NE and IL-1β, while Streptococcus pneumoniae was more common in male ex-smokers with emphysema and a deficit in diffusion capacity. Conclusion: Non-pathogenic and pathogenic bacteria were altered in the sputum of patients with COPD. These observations highlight the potential to identify treatment and management strategies that both target specific bacterial pathogens and restore the microbial balance, which may lead to reductions in inflammation and subsequent improvements in lung health.]]> Wed 17 Nov 2021 16:31:05 AEDT ]]> Changes in expression of genes regulating airway inflammation following a high-fat mixed meal in asthmatics https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24377 1.5 fold in subjects with asthma, whereas, in healthy controls, only 14 entities were differentially expressed. Of the 168 genes that were changed in asthma, several biological processes were overrepresented, with 25 genes involved in "immune system processes". qPCR confirmed that S100P, S100A16, MAL and MUC1 were significantly increased in the asthma group post-meal. We also observed a strong correlation and a moderate correlation between the change in NLRP12 and S100A16 gene expression at 4 h compared to baseline, and the change in total and saturated non-esterified plasma fatty acid levels at 2 h compared to baseline. In summary, our data identifies differences in inflammatory gene expression that may contribute to increased airway neutrophilia following a high fat meal in subjects with asthma and may provide useful therapeutic targets for immunomodulation. This may be particularly relevant to obese asthmatics, who are habitually consuming diets with a high fat content.]]> Wed 17 Nov 2021 16:29:16 AEDT ]]> Determinants of weight loss success utilizing a meal replacement plan and/or exercise, in overweight and obese adults with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25338 s = 0.398, P = 0.015) and (rs = 0.455, P = 0.005) respectively), with 1.7% greater absolute weight loss at week 10 corresponding to each one unit reduction in the asthma-related quality of life score at baseline. Furthermore, a lower baseline forced expiratory volume in 1 s/forced vital capacity correlated with greater weight loss (rs = 0.398, P = 0.015). Male sex was associated with a 3.6 kg greater weight loss (P = 0.087). Reducing emotional eating during the programme was associated with greater weight loss in women (rs = 0.576, P = 0.010). Conclusions This study demonstrates that individuals with more severe asthma at baseline are more successful in achieving weight loss, which could be a consequence of greater motivation and could be used as a motivational tool within the clinical setting. Gender tailoring of weight loss programmes may be useful to enhance weight loss success. Future studies are urgently needed to establish predictors of long-term weight loss maintenance in those with asthma. See Editorial, page 179 This study is the first to demonstrate that more severe asthma at baseline, male sex, and improvements in eating behaviours during weight loss are associated with greater weight loss success in overweight and obese adults with asthma. Our findings may inform the development of asthma-specific weight management guidelines.]]> Wed 11 Apr 2018 16:17:48 AEST ]]> Altered innate immune responses in neutrophils from patients with well- and suboptimally controlled asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22587 0.75, n=7), and healthy controls (HC) (n=9) were stimulated with bacterial (LPS (1 g/mL), fMLF (100 nM)), and viral (imiquimod (3 g/mL), R848 (1.5 g/mL), and poly I:C (10 g/mL)) surrogates or live rhinovirus (RV) 16 (MOI1). Cell-free supernatant was collected after 1 h for neutrophil elastase (NE) and matrix metalloproteinase- (MMP-) 9 measurements or after 24 h for CXCL8 release. Results: Constitutive NE was enhanced in AGood neutrophils compared to HC. fMLF stimulated neutrophils from ASubopt but not AGood produced 50% of HC levels. fMLF induced MMP-9 was impaired in ASubopt and AGood compared to HC. fMLF stimulated CXCL8 but not MMP-9 was positively correlated with FEV1 and FEV1/FVC. ASubopt and AGood responded similarly to other stimuli. Conclusions: Circulating neutrophils are different in asthma; however, this is likely to be related to airflow limitation rather than asthma control.]]> Wed 11 Apr 2018 14:23:49 AEST ]]> Cough reflex sensitivity improves with speech language pathology management of refractory chronic cough https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:10027 Wed 11 Apr 2018 14:21:50 AEST ]]> Anti-inflammatory effects of long-chain n-3 PUFA in rhinovirus-infected cultured airway epithelial cells https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:6954 Wed 11 Apr 2018 13:48:02 AEST ]]> Asthma in pregnancy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:15377 Wed 11 Apr 2018 13:30:02 AEST ]]> Development and validation of the Newcastle laryngeal hypersensitivity questionnaire https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:16773 Wed 11 Apr 2018 13:24:31 AEST ]]> Airway IL-1β and systemic inflammation as predictors of future exacerbation risk in asthma and COPD https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25075 Wed 11 Apr 2018 12:27:25 AEST ]]> Anti-inflammatory deficiencies in neutrophilic asthma: reduced galectin-3 and IL-1RA/IL-1β https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:27569 Wed 11 Apr 2018 11:56:33 AEST ]]> Airway and systemic inflammation in obese children with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:13797 Wed 11 Apr 2018 11:18:00 AEST ]]> Chronic cough and laryngeal dysfunction improve with specific treatment of cough and paradoxical vocal fold movement https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7661 Wed 11 Apr 2018 10:52:23 AEST ]]> A high-fat challenge increases airway inflammation and impairs bronchodilator recovery in asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17958 Wed 11 Apr 2018 09:41:07 AEST ]]> Alterations in inflammatory, antiviral and regulatory cytokine responses in peripheral blood mononuclear cells from pregnant women with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14143 Wed 11 Apr 2018 09:25:13 AEST ]]> Asthma during pregnancy: exacerbations, management, and health outcomes for mother and infant https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32663 Wed 10 Nov 2021 15:04:16 AEDT ]]> A prospective study of respiratory viral infection in pregnant women with and without asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14664 Wed 04 Sep 2019 11:10:47 AEST ]]> CD8 T cells and dendritic cells: key players in the attenuated maternal immune response to influenza infection https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21107 Wed 04 Sep 2019 10:31:12 AEST ]]> An altered sputum macrophage transcriptome contributes to the neutrophilic asthma endotype https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44806 Wed 01 May 2024 12:05:04 AEST ]]> Asthma control: how it can be best assessed? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21583 Tue 26 Jun 2018 11:28:28 AEST ]]> Consensus goals and standards for specialist cough clinics: the NEUROCOUGH international Delphi study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54370 Tue 20 Feb 2024 19:58:04 AEDT ]]> Characterising a weight loss intervention in obese asthmatic children https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38233 Tue 17 Aug 2021 08:35:47 AEST ]]> Bronchiolitis hospital admission in infancy is associated with later preschool ventilation inhomogeneity https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54571 Tue 14 May 2024 14:15:56 AEST ]]> Breastfeeding and wheeze-related outcomes in high-risk infants: A systematic review and meta-analysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47084 Tue 13 Dec 2022 16:35:23 AEDT ]]> Chronic cough in asthma is associated with increased airway inflammation, more comorbidities, and worse clinical outcomes https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51598 Tue 12 Sep 2023 12:25:08 AEST ]]> Asthma remission- what is it and how can it be achieved? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53621 Tue 12 Dec 2023 15:19:27 AEDT ]]> Characterization of severe asthma worldwide: data from the International Severe Asthma Registry https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38580 Tue 09 Nov 2021 15:45:37 AEDT ]]> Clinical and inflammatory features of exacerbation-prone asthma: a cross-sectional study using multidimensional assessment https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38811 Tue 08 Feb 2022 14:30:33 AEDT ]]> Assessing cough symptom severity in refractory or unexplained chronic cough: findings from patient focus groups and an international expert panel https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51437 Tue 05 Sep 2023 17:56:30 AEST ]]> Cumulative dispensing of high oral corticosteroid doses for treating asthma in Australia https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39063 Tue 03 May 2022 11:38:18 AEST ]]> Azithromycin treatment modifies airway and blood gene expression networks in neutrophilic COPD https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36424 61% or >162x10⁴ cells per mL sputum neutrophils) were randomised to receive either azithromycin or placebo for 12 weeks. Sputum and blood were obtained before and after 12 weeks of treatment. Gene expression was defined using microarrays. Networks were analysed using the Search Tool for the Retrieval of Interacting Gene database. In sputum, 403 genes were differentially expressed following azithromycin treatment (171 downregulated and 232 upregulated), and three following placebo treatment (one downregulated and two upregulated) compared to baseline (adjusted p<0.05 by paired t-test, fold-change >1.5). In blood, 138 genes were differentially expressed with azithromycin (121 downregulated and 17 upregulated), and zero with placebo compared to baseline (adjusted p<0.05 by paired t-test, fold-change >1.3). Network analysis revealed one key network in both sputum (14 genes) and blood (46 genes), involving interferon-stimulated genes, human leukocyte antigens and genes regulating T-cell responses. Long-term, low-dose azithromycin is associated with downregulation of genes regulating antigen presentation, interferon and T-cell responses, and numerous inflammatory pathways in the airways and blood of neutrophilic COPD patients.]]> Thu 30 Apr 2020 12:50:04 AEST ]]> Biologics (mepolizumab and omalizumab) induced remission in severe asthma patients https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54560 Thu 29 Feb 2024 10:27:50 AEDT ]]> A sputum 6-gene signature predicts future exacerbations of poorly controlled asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36051 Thu 28 Oct 2021 13:04:53 AEDT ]]> Absence of airway inflammation in a large proportion of adolescents with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26123 Thu 28 Oct 2021 13:04:19 AEDT ]]> A systematic review of associations of physical activity and sedentary time with asthma outcomes https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:35593 Thu 28 Oct 2021 13:03:46 AEDT ]]> Airway gene expression of IL-1 pathway mediators predicts exacerbation risk in obstructive airway disease https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31397 IL1R1, IL1R2, and IL1RN), and signaling molecules (IRAK2, IRAK3, and PELI1), were measured in sputum using real-time quantitative polymerase chain reaction. Mediators were compared between the frequent (≥2 exacerbations in the 12 months) and infrequent exacerbators, and the predictive relationships investigated using receiver operating characteristic curves and area under the curve (AUC) values. Results: Of the 95 participants, 89 completed the exacerbation follow-up, where 30 participants (n=22 COPD, n=8 asthma) had two or more exacerbations. At the baseline visit, expressions of IRAK2, IRAK3, PELI1, and IL1R1 were elevated in participants with frequent exacerbations of both asthma and COPD combined and separately. In the combined population, sputum gene expression of IRAK3 (AUC=75.4%; P<0.001) was the best predictor of future frequent exacerbations, followed by IL1R1 (AUC=72.8%; P<0.001), PELI1 (AUC=71.2%; P<0.001), and IRAK2 (AUC=68.6; P=0.004). High IL-1 pathway gene expression was associated with frequent prior year exacerbations and correlated with the number and severity of exacerbations. Conclusion: The upregulation of IL-1 pathway mediators is associated with frequent exacerbations of obstructive airway disease. Further studies should investigate these mediators as both potential diagnostic biomarkers predicting at-risk patients and novel treatment targets]]> Thu 28 Oct 2021 13:03:38 AEDT ]]> Airway cells from protracted bacterial bronchitis and bronchiectasis share similar gene expression profiles https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32992 Haemophilus influenzae (NTHi), and expression of genes involved in various inflammatory pathways was assessed. Result: NTHi induced production of large amounts of IL-1ß, IL-6, and IL-8 in adult-control BAL cells, ho wever BAL cells from PBB airways appeared refractory to NTHi stimulation. BAL cells from PBB and bronchiectasis showed differential expression of several genes relative to control cells, including CCL20, MARCO, CCL24, IL-10, PPAR-¿, CD200R, TREM2, RelB. Expression of genes involved in resolution of inflammation and anti-inflammation response, such as CD200R and IL-10, was associated with the number of pathogenic bacteria found in the airways. Conclusion: In summary, we have shown that the expression of genes related to macrophage function and resolution of inflammation are similar in PBB and bronchiectasis. Lung immune cell dysfunction in PBB and bronchiectasis may contribute to poor bacterial clearance and prolonged resolution of inflammation.]]> Thu 28 Oct 2021 13:03:20 AEDT ]]> Airway dysbiosis: Haemophilus influenza and Tropheryma in poorly controlled asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24324 Tropheryma whipplei and Haemophilus influenzae in sputum. Adults with neutrophilic asthma had reduced bacterial diversity and species richness. Tropheryma was identified and confirmed with real-time PCR in 12 (40%) participants. Haemophilus occurred most often in a group of younger atopic males with an increased proportion of neutrophils. PCR confirmed the presence of H. influenzae in 35 (76%) participants with poorly controlled asthma. There are phenotype-specific alterations to the airway microbiome in asthma. Reduced bacterial diversity combined with a high prevalence of H. influenzae was observed in neutrophilic asthma, whereas eosinophilic asthma had abundant T. whipplei.]]> Thu 28 Oct 2021 13:02:17 AEDT ]]> Cord blood group 2 innate lymphoid cells are associated with lung function at 6 weeks of age https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:40658 Thu 28 Jul 2022 12:42:40 AEST ]]> Airway monocyte modulation relates to tumour necrosis factor dysregulation in neutrophilic asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45375 Thu 27 Oct 2022 16:54:22 AEDT ]]> Attack, flare-up, or exacerbation?: The terminology preferences of patients with severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46415 Thu 24 Nov 2022 13:56:58 AEDT ]]> Asthma: interrelationships with pregnancy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48967 Thu 20 Apr 2023 10:09:50 AEST ]]> Chronic cough in vocal cord dysfunction: description of a clinical entity https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38607 Thu 18 Nov 2021 10:35:30 AEDT ]]> Assessment of the long-term safety of mepolizumab and durability of clinical response in patients with severe eosinophilic asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46923 Thu 08 Dec 2022 09:09:54 AEDT ]]> A light at the end of the tunnel of inflammation in obstructive airway diseases? (editorial) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4601 Sat 24 Mar 2018 10:13:47 AEDT ]]> Characterization of laryngeal dysfunction in chronic persistent cough https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7994 Sat 24 Mar 2018 08:42:37 AEDT ]]> Asthma patient education https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:8465 Sat 24 Mar 2018 08:42:08 AEDT ]]> Asthma in older adults: a holistic, person-centred and problem-oriented approach (editorial) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:8406 Sat 24 Mar 2018 08:40:57 AEDT ]]> Azoles for allergic bronchopulmonary aspergillosis associated with asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:8459 Sat 24 Mar 2018 08:38:58 AEDT ]]> Assessment and reproducibility of non-eosinophilic asthma using induced sputum https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7452 Sat 24 Mar 2018 08:38:47 AEDT ]]> Biology of neutrophils https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:8668 Sat 24 Mar 2018 08:38:44 AEDT ]]> Asthma in pregnancy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:8664 Sat 24 Mar 2018 08:38:43 AEDT ]]> An official American Thoracic Society/European Respiratory Society statement: asthma control and exacerbations standardising endpoints for clinical asthma trials and clinical practice https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7529 Sat 24 Mar 2018 08:38:29 AEDT ]]> Alterations of placental vascular function in asthmatic pregnancies https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:1310 0.05). Corticotropin-releasing hormone (CRH), a potent vasodilator that acts via the nitric oxide pathway, caused a dose-dependent vasodilatory response in all placentae in vitro. However, CRH-induced dilation was significantly reduced in moderate and severe asthmatics (ANOVA, p < 0.05). Vasoconstrictor responses to potassium chloride and prostaglandin F2alpha were reduced in placentae from moderate and severe asthmatic women (ANOVA, p < 0.05). These studies demonstrate significant differences in placental vascular function in pregnancies complicated by asthma, which may relate directly to the asthma or be a consequence of the associated glucocorticoid treatment. These changes in vascular function in asthmatic pregnancies may contribute to the low-birthweight outcome observed in this condition.]]> Sat 24 Mar 2018 08:32:42 AEDT ]]> Airway eosinophilia is associated with wheeze but is uncommon in children with persistent cough and frequent chest colds https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:1274 2.5%) was 45% in the wheeze group, which was significantly higher than the control group (9.35%, p = 0.04). Eosinophilic bronchitis was present in two children with cough (20%) and two with chest colds (15%, p > 0.05 versus control). In these groups, eosinophilic bronchitis was not associated with airway hyperresponsiveness (AHR) to hypertonic saline (p > 0.05). Children with cough and chest colds reported greater exposure to environmental tobacco smoke. In conclusion, this community-based survey of children with chronic respiratory symptoms has shown that wheeze is a good discriminator for the presence of eosinophilic bronchitis, and that persistent cough and recurrent chest colds without wheeze should not be considered a variant of asthma. Eosinophilic bronchitis did occur in a significant minority of these "variant asthma" syndromes.]]> Sat 24 Mar 2018 08:32:31 AEDT ]]> Airway and circulating levels of carotenoids in asthma and healthy controls https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:1373 Sat 24 Mar 2018 08:28:19 AEDT ]]> Cough pharmacotherapy: current and future status https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14776 Sat 24 Mar 2018 08:26:29 AEDT ]]> Community-acquired methicillin-resistant Staphylococcus aureus pneumonia: a clinical audit https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:15289 Sat 24 Mar 2018 08:21:52 AEDT ]]> Chronic refractory cough as a sensory neuropathy: evidence from a reinterpretation of cough triggers https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:15430 Sat 24 Mar 2018 08:20:05 AEDT ]]> Asthma and rhinitis in pregnancy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:11184 Sat 24 Mar 2018 08:12:55 AEDT ]]> Asthma in older adults https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:11323 Sat 24 Mar 2018 08:12:35 AEDT ]]> Clinical and physiological features of postinfectious chronic cough associated with H1N1 infection https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18281 Sat 24 Mar 2018 08:04:33 AEDT ]]> Adiponectin: the link between obesity and asthma in women? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:16925 Sat 24 Mar 2018 08:00:30 AEDT ]]> Combined haemophilus influenzae respiratory infection and allergic airways disease drives chronic infection and features of neutrophilic asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21800 Haemophilus influenzae is one of the most commonly isolated bacteria. The relationship between chronic airway colonisation and the development of steroid-resistant neutrophilic asthma is unclear. Objectives: To investigate the relationship between H influenzae respiratory infection and neutrophilic asthma using mouse models of infection and ovalbumin (OVA)-induced allergic airways disease. Methods: BALB/c mice were intratracheally infected with H influenzae (day 10), intraperitoneally sensitised (day 0) and intranasally challenged (day 12–15) with OVA. Treatment groups were administered dexamethasone intranasally during OVA challenge. Infection, allergic airways disease, steroid sensitivity and immune responses were assessed (days 11, 16 and 21). Results: The combination of H influenzae infection and allergic airways disease resulted in chronic lung infection that was detected on days 11, 16 and 21 (21, 26 and 31 days after infection). Neutrophilic allergic airways disease and T helper 17 cell development were induced, which did not require active infection. Importantly, all features of neutrophilic allergic airways disease were steroid resistant. Toll-like receptor 4 expression and activation of phagocytes was reduced, but most significantly the influx and/or development of phagocytosing neutrophils and macrophages into the airways was inhibited. Conclusions: The combination of infection and allergic airways disease promotes bacterial persistence, leading to the development of a phenotype similar to steroid-resistant neutrophilic asthma and which may result from dysfunction in innate immune cells. This indicates that targeting bacterial infection in steroid-resistant asthma may have therapeutic benefit.]]> Sat 24 Mar 2018 07:59:21 AEDT ]]> Asthma education https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18331 Sat 24 Mar 2018 07:52:44 AEDT ]]> Altered sputum granzyme B and granzyme B/proteinase inhibitor-9 in patients with non-eosinophilic asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21345 n = 10), and patients with NEA (n = 22) or eosinophilic asthma (EA) (n = 15) using flow cytometry. Results: Granzyme B expression and the ratio of granzyme B to PI-9 positive cells were highest in those with NEA for both CD3+ and CD4+ T cells. The expression of granzyme B was not statistically different between patients with NEA and EA; however, the ratio of granzyme B to PI-9 positive cells for CD3+ T cells was significantly higher in those with NEA compared with EA. Conclusions: Induced sputum provides a non-invasive tool for investigating T cell cytotoxic mediators in the various asthma subtypes. Granzyme B expression is increased in NEA and the contribution of granzyme B to chronic inflammation requires further study.]]> Sat 24 Mar 2018 07:51:24 AEDT ]]> Characteristic DNA methylation profiles in peripheral blood monocytes are associated with inflammatory phenotypes of asthma. https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18790 Sat 24 Mar 2018 07:51:07 AEDT ]]> Asthma-COPD overlap 2015: now we are six https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:28283 Sat 24 Mar 2018 07:41:21 AEDT ]]> Coal workers' pneumoconiosis: an Australian perspective https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:29058 Sat 24 Mar 2018 07:37:18 AEDT ]]> Comorbidity in chronic obstructive pulmonary disease https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:28982 Sat 24 Mar 2018 07:29:26 AEDT ]]> A comparison of two approaches to the treatment of chronic cough: perceptual, acoustic, and electroglottographic outcomes https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4796 Sat 24 Mar 2018 07:20:40 AEDT ]]> Asthma mortality and management in older Australians: time for a new approach? (letter) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4797 Sat 24 Mar 2018 07:20:40 AEDT ]]> Acoustic and electroglottographic voice characteristics in chronic cough and paradoxical vocal fold movement https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4838 Sat 24 Mar 2018 07:18:50 AEDT ]]> Clarithromycin targets neutrophilic airway inflammation in refractory asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4857 Sat 24 Mar 2018 07:18:49 AEDT ]]> Asthma 2014: from monoclonals to the microbiome https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22281 Sat 24 Mar 2018 07:17:42 AEDT ]]> COPD and its comorbidities: impact, measurement and mechanisms https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22677 Sat 24 Mar 2018 07:12:09 AEDT ]]> Components of Streptococcus pneumoniae suppress allergic airways disease and NKT cells by inducing regulatory T cells https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22106 Streptococcus pneumoniae induces Tregs that have potential to be harnessed therapeutically for asthma. In this study, mouse models of AAD were used to identify the S. pneumoniae components that have suppressive properties, and the mechanisms underlying suppression were investigated. We tested the suppressive capacity of type-3-polysaccharide (T3P), isolated cell walls, pneumolysoid (Ply) and CpG. When coadministered, T3P + Ply suppressed the development of: eosinophilic inflammation, Th2 cytokine release, mucus hypersecretion, and AHR. Importantly, T3P + Ply also attenuated features of AAD when administered during established disease. We show that NKT cells contributed to the development of AAD and also were suppressed by T3P + Ply treatment. Furthermore, adoptive transfer of NKT cells induced AHR, which also could be reversed by T3P + Ply. T3P + Ply-induced Tregs were essential for the suppression of NKT cells and AAD, which was demonstrated by Treg depletion. Collectively, our results show that the S. pneumoniae components T3P + Ply suppress AAD through the induction of Tregs that blocked the activity of NKT cells. These data suggest that S. pneumoniae components may have potential as a therapeutic strategy for the suppression of allergic asthma through the induction of Tregs and suppression of NKT cells.]]> Sat 24 Mar 2018 07:10:19 AEDT ]]> Analysis of comorbidities and multimorbidity in adult patients in the International Severe Asthma Registry https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54592 Sat 02 Mar 2024 11:19:26 AEDT ]]> A feasibility randomised controlled trial of Novel Activity Management in severe ASthma-Tailored Exercise (NAMASTE): yoga and mindfulness https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37810 Mon 31 Jan 2022 15:14:29 AEDT ]]> Biomarker-guided management reduces exacerbations in non-eosinophilic asthma in pregnancy: a secondary analysis of a randomized controlled trial https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38984 9/L and FENO ≤29 ppb. Exacerbations requiring medical intervention were recorded. Results: Among 220 non-smokers (n = 109 control, n = 111 FENO), 1006 treatment decisions were made, with significant group differences after the first and second algorithm applications. 53% of women had NEA. Treatment was better targeted to phenotype in the FENO group: ICS use increased in eosinophilic asthma (EA, 48–86%), while ICS/LABA increased in NEA (11–30%). Fewer women in the FENO group had exacerbations during pregnancy in NEA only (18.9% FENO vs 44% control, P = 0.006). Conclusion: The FENO algorithm was more effective in treating NEA, resulting in reduced exacerbations, compared to a symptom control algorithm. This was not the result of ICS overtreatment, since the benefits occurred at a lower median daily ICS dose. Two applications of the FENO-guided algorithm, one month apart, were sufficient to achieve beneficial effects in terms of asthma exacerbations, among pregnant women with asthma.]]> Mon 29 Jan 2024 17:52:03 AEDT ]]> Asthma across the ages: adults https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38401 Mon 29 Jan 2024 17:48:58 AEDT ]]> Cytokine responses to two common respiratory pathogens in children are dependent on interleukin-1β https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32658 Mon 23 Sep 2019 11:23:10 AEST ]]> "It's like being on a roller coaster": the burden of caring for people with severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46274 Mon 14 Nov 2022 15:28:10 AEDT ]]> Asthma and Comorbid Conditions—Pulmonary Comorbidity https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46221 Mon 14 Nov 2022 12:04:52 AEDT ]]> Defining Asthma–Chronic Obstructive Pulmonary Disease Overlap https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52317 Mon 09 Oct 2023 10:23:55 AEDT ]]> Approaches to the assessment of severe asthma: barriers and strategies https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36441 Mon 04 May 2020 13:05:04 AEST ]]> A sputum gene expression signature predicts oral corticosteroid response in asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34249 Fri 22 Feb 2019 16:55:30 AEDT ]]> Development and validation of a noninvasive prediction model for identifying eosinophilic asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52682 Fri 20 Oct 2023 09:44:34 AEDT ]]> Clinical and lung function outcomes in a cohort of children with severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37978 Fri 16 Jul 2021 18:14:37 AEST ]]> Balancing the needs of the many and the few: where next for adult asthma guidelines? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49414 Fri 12 May 2023 15:02:09 AEST ]]> Airway β-defensin-1 protein Is elevated in COPD and severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22673 Fri 11 Jun 2021 13:31:32 AEST ]]> A sputum 6 gene expression signature predicts inflammatory phenotypes and future exacerbations of COPD https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38377 Fri 10 Sep 2021 12:38:35 AEST ]]> Development of the international severe asthma registry (ISAR): a modified Delphi study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48167 Fri 10 Mar 2023 18:24:35 AEDT ]]> Associations of symptoms of anxiety and depression with health-status, asthma control, dyspnoea, dysfunction breathing and obesity in people with severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51535 Fri 08 Sep 2023 12:31:27 AEST ]]> Characterization and inhibition of inflammasome responses in severe and non-severe asthma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:55056 Fri 05 Apr 2024 14:28:53 AEDT ]]>