PMID- 26491283 OWN - NLM STAT- MEDLINE DCOM- 20160711 LR - 20220310 IS - 1178-2005 (Electronic) IS - 1176-9106 (Print) IS - 1176-9106 (Linking) VI - 10 DP - 2015 TI - Biomarker-based detection of asthma-COPD overlap syndrome in COPD populations. PG - 2169-76 LID - 10.2147/COPD.S88274 [doi] AB - Asthma-chronic obstructive pulmonary disease (COPD) overlap syndrome (ACOS) was proposed by the science committees of both Global Initiative for Asthma (GINA) and Global Initiative for Chronic Obstructive Lung Disease (GOLD). However, the definition of ACOS has remained unclear all over the world, and the prevalence rate of ACOS is basically dependent on the patient's symptoms or the physician's opinion, based on questionnaire testing. In the current case report, we investigated the prevalence rate of COPD patients with high levels of fractional exhaled nitric oxide (FENO) or immunoglobulin E (IgE) as candidate markers of ACOS in COPD, as a multicenter, cross-sectional study. Outpatients with COPD were enrolled from Tohoku University Hospital, Sendai, Japan, and five hospitals (Tohoku University Hospital, Sendai, Japan; NTT East Tohoku Hospital, Sendai, Japan; Wakayama Medical University Hospital, Kimiidera, Japan; Hiraka General Hospital, Yokote, Japan; Iwate Prefectural Isawa Hospital, Oshu, Japan) with pulmonary physicians from March 1, 2013 to February 28, 2014. When they were estimated using 35 ppb as the cutoff value of FENO, the prevalence rate of ACOS was 16.3% in COPD. When estimated by both FENO and IgE, the high-FENO/high-IgE group was 7.8% in COPD. To the best of our knowledge, this study is the first to detect the prevalence rate of ACOS in COPD populations by using objective biomarkers. The results from the current study should be useful to identify the subgroup requiring early intervention by inhaled corticosteroids/long-acting beta agonist combination in COPD in order to improve the long-term management for ACOS. FAU - Tamada, Tsutomu AU - Tamada T AD - Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Sugiura, Hisatoshi AU - Sugiura H AD - Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Takahashi, Tsuneyuki AU - Takahashi T AD - Nippon Telegraph and Telephone East Corporation Tohoku Hospital, Sendai, Japan. FAU - Matsunaga, Kazuto AU - Matsunaga K AD - Division of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube, Japan. FAU - Kimura, Keiji AU - Kimura K AD - Hiraka General Hospital, Yokote, Japan. FAU - Katsumata, Uichiro AU - Katsumata U AD - Iwate Prefectural Isawa Hospital, Oshu, Japan. FAU - Takekoshi, Daisuke AU - Takekoshi D AD - Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Kikuchi, Toshiaki AU - Kikuchi T AD - Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Ohta, Ken AU - Ohta K AD - National Hospital Organization, Tokyo National Hospital, Kiyose, Tokyo, Japan. FAU - Ichinose, Masakazu AU - Ichinose M AD - Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20151009 PL - New Zealand TA - Int J Chron Obstruct Pulmon Dis JT - International journal of chronic obstructive pulmonary disease JID - 101273481 RN - 0 (Biomarkers) RN - 31C4KY9ESH (Nitric Oxide) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Aged MH - *Asthma/diagnosis/epidemiology/metabolism/physiopathology MH - Biomarkers/analysis/metabolism MH - Breath Tests/methods MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Immunoglobulin E/analysis/metabolism MH - Japan/epidemiology MH - Male MH - *Nitric Oxide/analysis/metabolism MH - Prevalence MH - *Pulmonary Disease, Chronic Obstructive/diagnosis/epidemiology/metabolism/physiopathology MH - *Pulmonary Elimination MH - Respiratory Function Tests/methods MH - Syndrome PMC - PMC4608617 OTO - NOTNLM OT - FENO OT - ICS OT - IgE OT - LABA OT - airway inflammation OT - atopic factors EDAT- 2015/10/23 06:00 MHDA- 2016/07/12 06:00 PMCR- 2015/10/09 CRDT- 2015/10/23 06:00 PHST- 2015/10/23 06:00 [entrez] PHST- 2015/10/23 06:00 [pubmed] PHST- 2016/07/12 06:00 [medline] PHST- 2015/10/09 00:00 [pmc-release] AID - copd-10-2169 [pii] AID - 10.2147/COPD.S88274 [doi] PST - epublish SO - Int J Chron Obstruct Pulmon Dis. 2015 Oct 9;10:2169-76. doi: 10.2147/COPD.S88274. eCollection 2015.