Blood eosinophil count and airway epithelial transcriptome relationships in COPD versus asthma

Leena George, Adam R. Taylor, Anna Esteve-Codina, María Soler Artigas, Gian Andri Thun, Stewart Bates, Stelios Pavlidis, Scott Wagers, Anne Boland, Antje Prasse, Piera Boschetto, David G. Parr, Adam Nowinski, Imre Barta, Jens Hohlfeld, Timm Greulich, Maarten van den Berge, Pieter S. Hiemstra, Wim Timens, Timothy HinksSally Wenzel, Salman Siddiqui, Matthew Richardson, Per Venge, Simon Heath, Ivo Gut, Martin D. Tobin, Lindsay Edwards, John H. Riley, Ratko Djukanovic, Charles Auffray, Bertrand De-Meulder, Sven Erik-Dahlen, Ian M. Adcock, Kian Fan Chung, Loems Ziegler-Heitbrock, Peter J. Sterk, Dave Singh, Christopher E. Brightling

    Research output: Contribution to journalArticleResearch

    6 Citations (Scopus)


    © 2019 The Authors. Allergy published by John Wiley & Sons Ltd Background: Whether the clinical or pathophysiologic significance of the “treatable trait” high blood eosinophil count in COPD is the same as for asthma remains controversial. We sought to determine the relationship between the blood eosinophil count, clinical characteristics and gene expression from bronchial brushings in COPD and asthma. Methods: Subjects were recruited into a COPD (emphysema versus airway disease [EvA]) or asthma cohort (Unbiased BIOmarkers in PREDiction of respiratory disease outcomes, U-BIOPRED). We determined gene expression using RNAseq in EvA (n = 283) and Affymetrix microarrays in U-BIOPRED (n = 85). We ran linear regression analysis of the bronchial brushings transcriptional signal versus blood eosinophil counts as well as differential expression using a blood eosinophil > 200 cells/μL as a cut-off. The false discovery rate was controlled at 1% (with continuous values) and 5% (with dichotomized values). Results: There were no differences in age, gender, lung function, exercise capacity and quantitative computed tomography between eosinophilic versus noneosinophilic COPD cases. Total serum IgE was increased in eosinophilic asthma and COPD. In EvA, there were 12 genes with a statistically significant positive association with the linear blood eosinophil count, whereas in U-BIOPRED, 1197 genes showed significant associations (266 positive and 931 negative). The transcriptome showed little overlap between genes and pathways associated with blood eosinophil counts in asthma versus COPD. Only CST1 was common to eosinophilic asthma and COPD and was replicated in independent cohorts. Conclusion: Despite shared “treatable traits” between asthma and COPD, the molecular mechanisms underlying these clinical entities are predominately different.
    Original languageEnglish
    JournalAllergy: European Journal of Allergy and Clinical Immunology
    Publication statusPublished - 1 Jan 2019


    • asthma
    • chronic obstructive pulmonary disease
    • eosinophil
    • gene expression
    • T2-immunity


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