Research Topics
| Parameswaran NairSummaryAffiliation: McMaster University Country: Canada Publications
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Publications
How to diagnose and phenotype asthmaParameswaran Nair
Department of Medicine, St Joseph s Healthcare, McMaster University, 50 Charlton Avenue East, Hamilton, Ontario L8N4A6, Canada
Clin Chest Med 33:445-57. 2012....
Safety and efficacy of a CXCR2 antagonist in patients with severe asthma and sputum neutrophils: a randomized, placebo-controlled clinical trialP Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Clin Exp Allergy 42:1097-103. 2012..It is not clear if they contribute to the lack of control and severity. There are currently no strategies to investigate this by decreasing neutrophil numbers in the airways...
Clinical equivalence testing of inhaled bronchodilatorsParameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Pol Arch Med Wewn 119:731-5. 2009..RP studies using adequate methodology are necessary to compare long-acting bronchodilators and both short- and long-acting bronchodilators in patients who are also on inhaled corticosteroids...
Altered respiratory physiology in obesityKrishnan Parameswaran
Firestone Institute for Respiratory Health, St Joseph s Healthcare, 50 Charlton Avenue East, Hamilton, Ontario, Canada
Can Respir J 13:203-10. 2006..Whether obesity contributes to asthma and airway hyper-responsiveness is uncertain. Weight reduction and physical activity are effective means of reversing the respiratory complications of obesity...
Ventilation and perfusion lung scintigraphy of allergen-induced airway responses in atopic asthmatic subjectsKrishnan Parameswaran
Department of Respiratory Medicine, Sunderland Royal Hospital, Sunderland, UK
Can Respir J 14:285-91. 2007..Both ventilation (V) and perfusion (Q) of the lungs are altered in asthma, but their relationships with allergen-induced airway responses and gas exchange are not well described...
The effects of leptin on airway smooth muscle responsesParameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare, Hamilton, Ontario, Canada
Am J Respir Cell Mol Biol 39:475-81. 2008..This is partly mediated by PGE(2) secretion from smooth muscle cells induced by leptin. The association between obesity and asthma is unlikely to be due to a direct effect of leptin on airway smooth muscle...
Does early intervention with inhaled corticosteroids alter the natural history of mild persistent asthma?Parameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare, Hamilton, ON, Canada
Pol Arch Med Wewn 118:441-4. 2008....
Mepolizumab for prednisone-dependent asthma with sputum eosinophiliaParameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, ON, Canada
N Engl J Med 360:985-93. 2009..Secondary objectives were to examine its effect on the number of eosinophils in sputum and blood, symptoms, and airflow limitation...
Measuring bronchitis in airway diseases: clinical implementation and application: Airway hyperresponsiveness in asthma: its measurement and clinical significanceParameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare, Department of Medicine, McMaster University, Hamilton, ON, Canada
Chest 138:38S-43S. 2010..The clinical usefulness of measurements in exhaled breath condensate has not yet been established...
Inhaled corticosteroids for asthma: common clinical quandariesKrishnan Parameswaran
Asthma Research Group, Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
J Asthma 40:107-18. 2003..However, they do not normalize lung function and prevent structural changes in the airway wall in all asthmatic patients...
The identification of eosinophilic gastroenteritis in prednisone-dependent eosinophilic bronchitis and asthmaParameswaran Nair
Firestone Institute for Respiratory Health, St, Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Allergy Asthma Clin Immunol 7:4. 2011....
Early interventions with inhaled corticosteroids in asthma: benefits and risksParameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Curr Opin Pulm Med 17:12-5. 2011..intermittent therapy based on the Improving Asthma Control Trial (IMPACT)...
Addition of intravenous aminophylline to beta2 -agonist in adults with acute asthmaStephen Emond
Stanford-Kaiser Emergency Medicine Residency Program, Kaiser Permanente Santa Clara Medical Center, Santa Clara, CA 95051, USA
Ann Emerg Med 40:350-2. 2002
Modulation of human airway smooth muscle migration by lipid mediators and Th-2 cytokinesKrishnan Parameswaran
Firestone Institute for Respiratory Health, St Joseph s Healthcare, 50 Charlton Avenue East, Hamilton, ON, L8N 4A6 Canada
Am J Respir Cell Mol Biol 37:240-7. 2007..IL-13 can promote airway smooth muscle migration through Src-kinase and leukotriene-dependent pathways. This may contribute to the accumulation of smooth muscle cells in remodeled airway submucosa...
The safety of formoterol among patients with asthma using inhaled corticosteroids. Systematic review and meta-analysisRoman Jaeschke
Department of Medicine, McMaster University, Hamilton, ON, Canada
Pol Arch Med Wewn 118:627-35. 2008....
Heterogeneity of bronchitis in airway diseases in tertiary care clinical practiceLiesel D'silva
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario
Can Respir J 18:144-8. 2011..The prevalence of different subtypes of bronchitis in routine clinical practice, however, has not been reported...
Persistent sputum cellularity and neutrophils may predict bronchiectasisNicole Drost
Division of Respirology, St Joseph s Healthcare, Ontario, Canada
Can Respir J 18:221-4. 2011..Quantitative cell counts in sputum provide an accurate assessment of the type and severity of bronchitis...
Association between proximity to major roads and sputum cell countsJulie Wallace
Centre for Spatial Analysis, School of Geography and Earth Sciences, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario
Can Respir J 18:13-8. 2011..Air pollution caused by motor vehicle emissions has been associated with exacerbations of obstructive airway diseases; however, the nature of the resulting bronchitis has not been quantified...
Predictors of loss of asthma control induced by corticosteroid withdrawalJose Belda
Firestone Institute for Respiratory Health, St Joseph's Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Can Respir J 13:129-33. 2006....
Antiinflammatory effects of long-acting beta2-agonists in patients with asthma: a systematic review and metaanalysisAnees Sindi
Firestone Institute for Respiratory Health, St Joseph s Healthcare, Hamilton, ON, Canada L8N 4A6
Chest 136:145-54. 2009....
Asthma management by monitoring sputum neutrophil countShelley Pallan
Firestone Institute for Respiratory Health, St Joseph s Healthcare, Hamilton, Ontario, Canada
Chest 134:628-30. 2008....
The safety of long-acting beta-agonists among patients with asthma using inhaled corticosteroids: systematic review and metaanalysisRoman Jaeschke
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Am J Respir Crit Care Med 178:1009-16. 2008..Objectives: To determine the safety of long-acting beta-agonists among patients with asthma using corticosteroids...
Airway responsiveness to indirect challenges in COPDNesreen M Hassan
Firestone Institute of Respiratory Health, St Joseph s Healthcare, Hamilton, Ontario, Canada
COPD 7:133-40. 2010..The clinical relevance of hyperresponsiveness to an indirect challenge, including the impact on the natural history, relation to types of bronchitis, baseline airway calibre, and response to treatment need to be studied...
PPAR ligands decrease human airway smooth muscle cell migration and extracellular matrix synthesisJancy Stephen
Firestone Institure for Respiratory Health, St Joseph s Healthcare, Dept of Medicine, McMaster University, Hamilton, Ontario, Canada
Eur Respir J 41:425-32. 2013..We conclude that PPAR ligands decrease HASM migration and matrix production and are, therefore, potentially useful for modulating airway remodelling...
Cystic fibrosis transmembrane conductance regulator gene abnormalities in patients with asthma and recurrent neutrophilic bronchitisJodi Goodwin
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario
Can Respir J 19:46-8. 2012....
Proximity to major roadways is a risk factor for airway hyper-responsiveness in adultsShannon Riley
Firsestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario
Can Respir J 19:89-95. 2012..Proximity to major roads is reported to be associated with asthma and airway hyper-responsiveness in children. Similar studies using objective measurements in adults are not available in Canada...
Paranasal sinus disease and sputum eosinophilia in prednisone-dependent asthmaBosco T M Lui
Division of Otolaryngology and Head and Neck Surgery, McMaster University, ON
J Otolaryngol Head Neck Surg 39:703-9. 2010....
Addition of intravenous aminophylline to inhaled beta(2)-agonists in adults with acute asthmaParameswaran Nair
Asthma Research Group, Firestone Institute for Respiratory Health, Hamilton
Cochrane Database Syst Rev 12:CD002742. 2012..Aminophylline has been used extensively to treat exacerbations in acute asthma settings; however, it's role is unclear especially with respect to any additional benefit when added to inhaled beta(2)-agonists...
Cost analysis of monitoring asthma treatment using sputum cell countsLiesel D'silva
Department of Medicine, Firestone Institute for Respiratory Health, St Joseph s Healthcare, McMaster University, Hamilton, Canada
Can Respir J 15:370-4. 2008..objective: To compare the cost of the SS with the CS in the treatment of patients with moderate to severe asthma...
Atmospheric remote sensing to detect effects of temperature inversions on sputum cell counts in airway diseasesJulie Wallace
School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, Ontario
Environ Res 110:624-32. 2010..However, we found that monthly averages of total cell counts were strongly correlated with monthly nitrogen dioxide concentrations, an association not previously identified in the literature...
Lipid and smoker's inclusions in sputum macrophages in patients with airway diseasesAndrew M Wilson
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, 50 Charlton Avenue East, Hamilton, Ontario, Canada L8N 4A6
Respir Med 105:1691-5. 2011..72, p < 0.01). We conclude that smoker's inclusions within sputum macrophages is a reliable indicator of cigarette smoking and that the sputum lipid index cannot be used as an assessment of oropharyngeal reflux in cigarette smokers...
Changing pattern of sputum cell counts during successive exacerbations of airway diseaseLiesel D'silva
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, 50 Charlton Avenue East, Hamilton, Ontario, Canada L8N 4A6
Respir Med 101:2217-20. 2007..We examined changes in the cellular nature of airway inflammation between consecutive exacerbations and their predictors in individual patients...
Pharmacological management of mild or moderate persistent asthmaPaul M O'Byrne
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Lancet 368:794-803. 2006..For patients who do not achieve asthma control despite taking drugs, measurement of the inflammatory response in the airway in induced sputum could provide further information to guide treatment...
Clinical models to compare the safety and efficacy of inhaled corticosteroids in patients with asthmaKrishnan Parameswaran
Asthma Research Group, Firestone Institute of Respiratory Health, St Joseph's Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario
Can Respir J 10:27-34. 2003....
Quantitative sputum cell counts to monitor bronchitis: a qualitative study of physician and patient perspectivesLiesel D'silva
Firestone Institute for Respiratory Health, St Joseph s Healthcare, Ontario, Canada
Can Respir J 20:47-51. 2013..Sixty per cent of family physicians were satisfied with the test and 80% were in favour of it being funded by the government. The authors recommend more widespread use of sputum cell counts to guide the management of airway diseases...
TNFα antagonists for acute exacerbations of COPD: a randomised double-blind controlled trialShawn D Aaron
Department of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Thorax 68:142-8. 2013....
The effect of pranlukast on allergen-induced bone marrow eosinophilopoiesis in subjects with asthmaKrishnan Parameswaran
Firestone Institute for Respiratory Health, St. Joseph's Healthcare, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Am J Respir Crit Care Med 169:915-20. 2004..We conclude that, the cysteinyl leukotriene receptor antagonist, pranlukast, attenuates allergen-induced increase in airway eosinophils by decreasing bone marrow eosinophilopoiesis and airway chemotactic and eosinophilopoietic cytokines...
Sputum neutrophilia can mask eosinophilic bronchitis during exacerbationsChristopher J Allen
Firestone Institute for Respiratory Health, St Joseph s Healthcare, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Can Respir J 14:281-4. 2007..Exacerbations of airway disease are eosinophilic, neutrophilic, both or neither. The primary objective of the present study was to identify whether the treatment of a neutrophilic bronchitis can unmask an associated eosinophilia...
Eosinophilic bronchitis in asthma: a model for establishing dose-response and relative potency of inhaled corticosteroidsMargaret M Kelly
Airways Research Group, Firestone Institute for Respiratory Health, Hamilton, Canada
J Allergy Clin Immunol 117:989-94. 2006..Newer generations and formulations of inhaled corticosteroids have necessitated the development of a clinically relevant model to compare their clinical potency...
Local and systemic immunological parameters associated with remission of asthma symptoms in childrenSusan Waserman
Departments of Medicine, McMaster University, Hamilton, ON, Canada
Allergy Asthma Clin Immunol 8:16. 2012..These findings suggest that decreased type 1 cytokine expression as well as decreased eosinophilic inflammation is associated with the resolution of asthma symptoms...
LXR-induced reverse cholesterol transport in human airway smooth muscle is mediated exclusively by ABCA1Christopher J Delvecchio
Faculty of Science, Department of Biochemistry and Biomedical Sciences, 1280 Main Street W, McMaster University, Hamilton, Ontario, Canada
Am J Physiol Lung Cell Mol Physiol 295:L949-57. 2008....
Cholinergics, airway eosinophils and asthma exacerbation in the elderlyDiana Khalil
Firestone Institute for Respiratory Health, St Joseph s Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Indian J Chest Dis Allied Sci 53:59-61. 2011..This case series emphasises the need to exercise caution while prescribing cholinergic drugs in elderly patients with asthma, particularly in patients with a history of virus-induced exacerbations and airway eosinophilia...
Airway hyperresponsiveness and calcium handling by smooth muscle: a "deeper look"Krishnan Parameswaran
Asthma Research Group, Department of Medicine, St. Joseph's Healthcare and McMaster University, Hamilton, ON, Canada
Chest 121:621-4. 2002..The amplitude, frequency, or localization of Ca(2+) oscillations in the smooth muscle may determine the degree of airway sensitivity and reactivity, which are characteristic features of asthma...
Cysteinyl leukotrienes promote human airway smooth muscle migrationKrishnan Parameswaran
Asthma Research Group, Firestone Institute for Respiratory Health, St. Joseph's Healthcare, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Am J Respir Crit Care Med 166:738-42. 2002..The phosphatidylinositol-3 kinase pathway is a key signaling mechanism in the chemotactic migration of ASM cells in response to cysteinyl leukotrienes...
Role for cysteinyl leukotrienes in allergen-induced change in circulating dendritic cell number in asthmaKrishnan Parameswaran
Firestone Institute for Respiratory Health, St. Joseph's Healthcare, Department of Medicine, McMaster University, Hamilton, Canada
J Allergy Clin Immunol 114:73-9. 2004..CONCLUSION: Pretreatment with pranlukast attenuated allergen-induced airway responses and the decrease in circulating myeloid dendritic cells, demonstrating a novel role of cysteinyl leukotrienes in dendritic cell trafficking...
Asthma associated with incontinentia pigmenti and fanconi anemia: variable airflow limitation without cellular bronchitisAngira Dasgupta
Divisions of Respirology, Department of Medicine, McMaster University, Hamilton, ON, Canada
Chest 143:856-8. 2013....
Reproducibility, validity, and responsiveness of cell counts in blown nasal secretionsParameswaran Nair
Firestone Institute for Respiratory Health, St Joseph s Healthcare, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Allergy Rhinol (Providence) 2:3-5. 2011..The cell counts are responsive to treatment and can help identify allergic and infective rhinosinusitis and guide therapy and are easy to implement in routine clinical practice...
Liver X receptor stimulates cholesterol efflux and inhibits expression of proinflammatory mediators in human airway smooth muscle cellsChristopher J Delvecchio
Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada
Mol Endocrinol 21:1324-34. 2007..Our findings reveal biological roles for LXR in ASM cells and suggest that modulation of LXR activity offers prospects for new therapeutic approaches in the treatment of asthma and other inflammatory respiratory diseases...
Role of extracellular matrix and its regulators in human airway smooth muscle biologyKrishnan Parameswaran
Firestone Institute for Respiratory Health, McMaster University and St Joseph s Healthcare, Hamilton, Ontario, Canada
Cell Biochem Biophys 44:139-46. 2006..Thus, the intertwined relationship of ASM and ECM and their response to stimuli such as chronic inflammation in diseases such as asthma and COPD contribute to the remodeling seen in airways of patients with these diseases...
The effect of cysteinyl leukotrienes on growth of eosinophil progenitors from peripheral blood and bone marrow of atopic subjectsFausto Braccioni
Asthma Research Group, Firestone Institute for Respiratory Health, St Joseph's Healthcare, and the Department of Medicine, McMaster University, Hamilton, Ontario, Canada
J Allergy Clin Immunol 110:96-101. 2002..The suppressive effect by montelukast demonstrates that this is a cysLT(1) receptor-mediated effect...
Treatment strategy for asthma: one for all and all for one?Krishnan Parameswaran
Chest 129:221-3. 2006
[Combining LABA and ICS in patients with severe COPD]Krishnan Parameswaran
Pol Arch Med Wewn 117:6-8. 2007
Leukotriene receptor antagonists for allergic rhinitis: a systematic review and meta-analysisAndrew M Wilson
Firestone Institute for Respiratory Health, St. Joseph's Healthcare, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Am J Med 116:338-44. 2004....
