Evidence map›Paper›PMID 40985517›Full record

ArticleAllergy2026

Effect of the Arg16Gly β

Santi Nolasco, Evelina Fagone, Raffaele Campisi, Andrea Portacci, Giulia Scioscia, Corrado Pelaia, Angelantonio Maglio, Claudio Candia, Vitaliano Nicola Quaranta, Isabella Carrieri and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Biological Therapies in Chronic Obstructive Pulmonary Disease: New Directions in Personalised Respiratory Medicine.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Santi NolascoDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0003-3995-7662
Evelina FagoneDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Raffaele CampisiRespiratory Medicine Unit, Policlinico "G. Rodolico-San Marco" University Hospital, Catania, Italy.
Andrea PortacciInstitute of Respiratory Disease, Department of Translational Biomedicine and Neuroscience, University "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0002-6127-2486
Giulia SciosciaDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Corrado PelaiaDepartment of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Angelantonio MaglioDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.ORCID https://orcid.org/0000-0003-1874-1686
Claudio CandiaDepartment of Respiratory Medicine, University "Federico II" of Naples, Naples, Italy.
Vitaliano Nicola QuarantaInstitute of Respiratory Disease, Department of Translational Biomedicine and Neuroscience, University "Aldo Moro", Bari, Italy.ORCID https://orcid.org/0000-0001-9920-780X
Isabella CarrieriDivision of Allergy and Clinical Immunology, University of Salerno, Fisciano, Italy.
Alessandro SagliaDepartment of Respiratory Medicine, University "Federico II" of Naples, Naples, Italy.
Alessandro VatrellaDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Girolamo PelaiaDepartment of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Carlo VancheriDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Maria Pia Foschino BarbaroDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Maria D'AmatoDepartment of Respiratory Medicine, University "Federico II" of Naples, Naples, Italy.
Giovanna Elisiana CarpagnanoInstitute of Respiratory Disease, Department of Translational Biomedicine and Neuroscience, University "Aldo Moro", Bari, Italy.
Nunzio CrimiDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Claudia CrimiDepartment of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Southern Italy Network on Severe Asthma Therapy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundβ

methodsGenotypes from 102 patients with severe eosinophilic asthma receiving mepolizumab were compared with those from 31 individuals with mild asthma and 20 healthy controls. The severe-asthma cohort was followed for up to 24 months, and clinical data were collected at baseline and after 3, 6, 12, and 24 months of treatment. Analyses were stratified by Arg/Arg, Arg/Gly, and Gly/Gly genotypes.

resultsEach additional Arg16 allele increased the odds of severe eosinophilic asthma by 2.61-fold (95% CI 1.48-4.59; p = 0.0001) relative to mild asthma and by 3.61-fold (95% CI 1.78-7.35; p < 0.0001) relative to healthy controls. Over 24 months of mepolizumab treatment, Arg/Arg patients had an increased risk of exacerbations (HR 2.3 [95% CI 1.03-5.20]; p = 0.0414) and poorer asthma control compared with Gly/Gly patients (ACT ≥ 20: 72.4% vs. 100%, p = 0.0308). Gly/Gly patients also experienced less decline in lung function. By month 24, each additional Gly16 allele increased the odds of achieving clinical remission by 2.86-fold (95% CI 1.20-6.81; p = 0.0170), defined as no annual exacerbations, no OCS, and ACT ≥ 20, and by 3.06-fold (95% CI 1.34-6.96; p = 0.0080) when including an FEV

conclusionsThe Arg16 allele of the rs1042713 polymorphism increases the risk of severe eosinophilic asthma and may reduce the long-term efficacy of mepolizumab, whereas the Gly16 allele appears to confer better outcomes and higher remission rates.

Indexed as

Anti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedAsthmaEosinophiliaPolymorphism, GeneticPolymorphism, Single NucleotideReceptors, Adrenergic, beta-2AdultAllelesAmino Acid SubstitutionEosinophilsFemaleGenotypeHumansMaleMiddle AgedAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedmepolizumabReceptors, Adrenergic, beta-2Arg16Glymepolizumabremissionsevere asthmaβ2‐adrenergic receptor

Identifiers

PMID40985517
PMCPMC12954561

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.