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Causes and MEchanisms foR non-atopic Asthma in Children (CAMERA) study: rationale and protocol

Title: Causes and MEchanisms foR non-atopic Asthma in Children (CAMERA) study: rationale and protocol
Authors: Njoroge, M; Pinheiro, GP; Santana, CVN; Ali, H; Hobbs, S; Mena-Bucheli, S; Romero-Sandoval, N; Robertson, S; Rutter, CE; Davoren, D; Brooks, C; Douwes, J; Cooper, PJ; Mpairwe, H; Figueiredo, CA; Cruz, AA; Barreto, ML; Pearce, N; Pembrey, L
Publisher Information: Springer Science and Business Media LLC
Publication Year: 2025
Collection: St George's University of London: Repository
Description: Background: The Causes And MEchanisms foR non-atopic Asthma in children (CAMERA) study was designed to investigate risk factors and mechanisms of non-atopic asthma in children and young adults in Brazil, Ecuador, Uganda, and New Zealand. Initial epidemiological analyses using existing datasets identified and compared risk factors for both atopic and non-atopic asthma. The focus of this paper is the protocol for sample collection and analysis of clinical data on possible non-atopic mechanisms. Methods: In each of the four centres, the CAMERA study will enroll 160 participants aged 10–28 years, equally distributed among atopic asthmatics (AA), non-atopic asthmatics (NAA), atopic non-asthmatics and non-atopic non-asthmatics. Participants will be new recruits or returning World ASthma Phenotypes (WASP) study participants. Phase I consists of skin prick tests to define atopy, a general CAMERA questionnaire that covers respiratory and general health to identify asthma cases, followed by an asthma control questionnaire for asthmatics only. Phase II consists of a stress questionnaire and the following clinical assessments: lung function, nasal cytology, blood sampling, in vitro whole blood stimulation to assess IFN-γ production, hair cortisol concentration, dry air and capsaicin challenges, plus in a subset, cold air challenges. Analyses will compare inflammatory, physiological and clinical parameters across the four groups overall and by country. Discussion: Here, we present the protocol for the CAMERA study, to provide relevant methodological details for CAMERA publications and to allow other centres globally to conduct similar analyses. The findings of this mechanistic multi-centre study will inform new and phenotype-specific prevention and treatment approaches. Clinical trial number: Not applicable.
Document Type: article in journal/newspaper
File Description: application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document
Language: English
ISSN: 1465-993X
Relation: https://openaccess.sgul.ac.uk/id/eprint/117629/4/s12931-025-03279-6.pdf; https://openaccess.sgul.ac.uk/id/eprint/117629/1/12931_2025_3279_MOESM1_ESM.docx; https://openaccess.sgul.ac.uk/id/eprint/117629/2/12931_2025_3279_MOESM2_ESM.docx; https://openaccess.sgul.ac.uk/id/eprint/117629/3/12931_2025_3279_MOESM3_ESM.docx; Njoroge, M; Pinheiro, GP; Santana, CVN; Ali, H; Hobbs, S; Mena-Bucheli, S; Romero-Sandoval, N; Robertson, S; Rutter, CE; Davoren, D; et al. Njoroge, M; Pinheiro, GP; Santana, CVN; Ali, H; Hobbs, S; Mena-Bucheli, S; Romero-Sandoval, N; Robertson, S; Rutter, CE; Davoren, D; Brooks, C; Douwes, J; Cooper, PJ; Mpairwe, H; Figueiredo, CA; Cruz, AA; Barreto, ML; Pearce, N; Pembrey, L (2025) Causes and MEchanisms foR non-atopic Asthma in Children (CAMERA) study: rationale and protocol. Respiratory Research, 26 (1). ISSN 1465-993X https://doi.org/10.1186/s12931-025-03279-6 SGUL Authors: Cooper, Philip John
DOI: 10.1186/s12931-025-03279-6
Availability: https://openaccess.sgul.ac.uk/id/eprint/117629/; https://openaccess.sgul.ac.uk/id/eprint/117629/1/12931_2025_3279_MOESM1_ESM.docx; https://openaccess.sgul.ac.uk/id/eprint/117629/2/12931_2025_3279_MOESM2_ESM.docx; https://openaccess.sgul.ac.uk/id/eprint/117629/3/12931_2025_3279_MOESM3_ESM.docx; https://doi.org/10.1186/s12931-025-03279-6
Rights: cc_by_4
Accession Number: edsbas.F94B74E
Database: BASE