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Table 3 Lung disease characteristics of PI*Mmalton (moderate and severe) and PI*ZZ patients

From: Characterization of the Mmalton carrier’s cohort within the EARCO (European Alpha- 1 Antitrypsin Research Collaboration) registry

 

Moderate

PI*Mmalton

N = 26

Severe

PI*Mmalton

N = 33

PI*ZZ

N = 827

P-value1

Reasons that led to the diagnosis

 Respiratory symptoms

16

(61.5%)

24

(72.7%)

540

(65.3%)

0.620

 Liver symptoms

3

(11.5%)

1

(3.0%)

68

(8.2%)

n.a

 Family screening

4

(15.4%)

5

(15.2%)

138

(16.7%)

0.960

 Other

3

(11.5%)

4

(12.1%)

54

(6.5%)

n.a

Symptoms at presentation

 Dyspnea, n (%)

14

(53.8%)

21

(63.6%)

527

(63.7%)

0.588

 Cough, n (%)

9

(34.6%)

8

(24.2%)

269

(32.5%)

0.588

 Sputum, n (%)

3

(11.5%)

5

(15.2%)

184

(22.2%)

0.278

 Jaundice, n (%)

1

(3.8%)

0

(0.0%)

15

(1.8%)

n.a

 Abnormal liver function test, n(%)

3

(11.5%)

1

(3.0%)

35

(4.2%)

n.a

 Other, n (%)

1

(3.8%)

2

(6.1%)

55

(6.7%)

n.a

 Asymptomatic, n (%)

7

(26.9%)

8

(24.2%)

122

(14.8%)

0.087

 Lung disease, n (%)

13

(50.0%) a

27

(81.8%)b

646

(83.6%) b

 < 0.0012

 COPD3, n (%)

8

(30.8%)

20

(60.6)%

429

(51.9%)

0.060

 Emphysema3, n (%)

9

(34.6%) a

18

(54.5%)a,b

506

(61.2%) b

0.0192

 Chronic Bronchitis3, n (%)

2

(7.7%)

1

(3.0%)

50

(6.0%)

n.a

 Bronchiectasis3, n (%)

2

(7.7%)

6

(18.2%)

183

(22.1%)

0.188

 Asthma3, n (%)

2

(7.7%)

2

(6.1%)

120

(14.5%)

n.a

 Lung cancer3, n(%)

0

(0.0%)

0

(0.0%)

1

(0.1%)

n.a

 Lung disease type (Other)3, n(%)

1

(3.8%)

0

(0.0%)

22

(2.7%)

n.a

Exacerbations/Respiratory Infections

 Ambulatory exacerbations (Last 12 months) ≥ 2, n(%)

3

(11.5%)

1

(3.1%)

95

(11.6%)

n.a

 Admissions in hospital related to COPD (Last 12 months) ≥ 1, n(%)

0

(0.0%)

2

(6.5%)

66

(8.1%)

n.a

 Had pneumonia, n(%)

6

(24.0%)

11

(34.4%)

226

(31.6%)

0.679

 No. episodes, Median (IQR)

1

(1–3)

1

(1–1)

1

(1–2)

0.628

Functional Respiratory Tests

 FEV1 (%) (Prebronchodilator) Mean ± SD

85.3

 ± 28.5

62.2

 ± 24.6

71.5

 ± 30.5

0.058

 FVC (%) (Prebronchodilator), Mean ± SD

100.5

 ± 21.6

83.1

 ± 23.5

94.5

 ± 23.3

0.051

 FEV1/FVC (%) (Prebronchodilator), Mean ± SD

69.0a

 ± 18.0

55.9b

 ± 17.8

57.6b

 ± 19.4

0.0182

 DLCO (%), Mean ± SD

77.0a

 ± 30.9

67.2a,b

 ± 20.9

63.3b

 ± 24.9

0.0312

 KCO (%), Mean ± SD

77.9

 ± 34.4

68.9

 ± 26.2

67.7

 ± 22.9

0.140

Comorbidities

 Charlson Comorbidity Index, Mean ± SD

3.4

 ± 2.7

3.0

 ± 1.8

3.2

 ± 2.0

0.792

Symptom Scores

 BODEX, Mean ± SD

1.0

 ± 1.3

2.0

 ± 1.6

2.0

 ± 2.0

0.054

 CAT, Mean ± SD

7.2a

 ± 6.8

9.4a,b

 ± 8.1

13.5b

 ± 9.6

 < 0.0012

 If dyspnea(current symptoms): mMRC, Median (IQR)

2

1–2

2

1–2

2

1–2

0.355

  1. Abbreviations: n.a not applicable, BODEX Body mass index, airflow obstruction, dyspnea, exacerbations index, CAT COPD Assessment Test, COPD Chronic obstructive pulmonary disease, DLCO Diffusing capacity of the lungs for carbon monoxide, FEV1 Forced expiratory volume in 1 s, FVC Forced vital capacity, IQR Interquartile range, KCO Carbon monoxide transfer coefficient, mMRC Modified Medical Research Council dyspnea scale, SD Standard deviation
  2. 1P-value for the global comparison between moderate PI*Mmalton, severe PI*Mmalton and PI*ZZ patients
  3. 2Different lowercase letters are used to indicate significant differences (P < 0.05) between two groups of patients; if two groups have the same lowercase letter, the differences are not significant
  4. 3marked yes in the total sample