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                        <li>
          <span class="label">ISSN (online):</span>
          <span>1399-3003</span>
        </li>
                        <li>
          <span class="label">ISSN (print):</span>
          <span>0903-1936</span>
        </li>
                        <li>
          <span class="label">Impact Factor:</span>
          <span>17.0</span>
        </li>
                      </ul>


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		Research Letter
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/05/15/13993003.00293-2025.atom"></span><h3 class="h5 title"><a 
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        ><div><span class='field--highwire-content-title'>Epigenetic Age among U.S. Adults with Chronic Respiratory Diseases: Results from NHANES 1999-2002</span></div></a></h3><p class="author-name">
        Javier Perez-Garcia
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        Dennis Khodasevich
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        Sara De Matteis
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        Andres Cardenas
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        European Respiratory Journal 2500293; DOI: 10.1183/13993003.00293-2025 Published 29 May 2025
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            </a></div><div class="show-content-toggle"><div xmlns:xhtml="http://www.w3.org/1999/xhtml"><div id="d211857e219" class="abstract" abstract-type="extract"><p id="d211857e222">Chronic respiratory diseases affect over 454 million people worldwide and rank as the third leading cause of mortality [1]. Increasing evidence suggests that ageing significantly contributes to their pathogenesis linked to epigenetic changes over the lifespan [2, 3]. DNA methylation markers, which capture gene-environment factors, may underly the development of…</p></div></div></div></div></div></div>  </article>
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          <div class="card-container"><div class="card-row"><div class="card-content"><h6 class="content-type">
		Editorial | Podcast
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/65/5/25E6505.atom"></span><h3 class="h5 title"><a 
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        ><div><span class='field--highwire-content-title'><em xmlns="http://www.w3.org/1999/xhtml">ERJ</em> Podcast May 2025: Efficacy and safety of the activin signalling inhibitor sotatercept</span></div></a></h3><p class="author-description">
        European Respiratory Journal 65(5): 25E6505; DOI: 10.1183/13993003.E6505-2025 Published 27 May 2025
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            </a></div><div class="show-content-toggle"><div id="d44037e113" class="abstract" abstract-type="extract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><p id="d44037e116">As part of the May issue, the <span class="italic">European Respiratory Journal</span> presents the latest in its series of podcasts. Chief Editor James Chalmers interviews Associate Editor Marius Hoeper about the efficacy and safety of the activin signalling inhibitor sotatercept in a pooled analysis of the PULSAR and STELLAR studies.</p></div></div></div></div></div>  </article>
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		Research Letter
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/05/01/13993003.00198-2025.atom"></span><h3 class="h5 title"><a 
                                    href="/content/erj/early/2025/05/01/1399300300198-2025"
                             
                                    class="title"
         
         
        ><div><span class='field--highwire-content-title'>Comparability, acceptability and longitudinal adherence with digital emPHasis-10 in pulmonary arterial hypertension</span></div></a></h3><p class="author-name">
        Joseph Newman
  </p><p class="author-name">
        Frances Varian
  </p><p class="author-name">
        Felicity Hitchcock
  </p><p class="author-name">
        Rebecca Burney
  </p><p class="author-name">
        Gregg Harry Rawlings
  </p><p class="author-name">
        John Harrington
  </p><p class="author-name">
        Ze Ming Goh
  </p><p class="author-name">
        Jenna Ablott
  </p><p class="author-name">
        David G Kiely
  </p><p class="author-name">
        Iain Armstrong
  </p><p class="author-name">
        A. A. Roger Thompson
  </p><p class="author-name">
        Jill Carlton
  </p><p class="author-name">
        Elin Haf Davies
  </p><p class="author-name">
        Alexander Rothman
  </p><p class="author-sub">
        Mark Toshner
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        European Respiratory Journal 2500198; DOI: 10.1183/13993003.00198-2025 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div id="d265797e302" class="abstract" abstract-type="extract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><p id="d265797e305">Pulmonary hypertension (PH) affects 1% of the global population and significantly impacts health-related quality of life (HRQoL) [1, 2]. Patient reported outcome measures (PROMs) are standardised tools used in clinical practice and research to assess health outcomes from the patient's perspective. Routine measurement of HRQoL is supported by clinical guidelines,…</p></div></div></div></div></div>  </article>
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          <div class="card-container"><div class="card-row"><div class="card-content"><h6 class="content-type">
		Original Research Article
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/05/15/13993003.02303-2024.atom"></span><h3 class="h5 title"><a 
                                    href="/content/erj/early/2025/05/15/1399300302303-2024"
                             
                                    class="title"
         
         
        ><div><span class='field--highwire-content-title'>How do people with COPD walk? A European study on digitally measured real-world gait</span></div></a></h3><p class="author-name">
        Laura Delgado-Ortiz
  </p><p class="author-name">
        Joren Buekers
  </p><p class="author-name">
        Nikolaos Chynkiamis
  </p><p class="author-name">
        Heleen Demeyer
  </p><p class="author-name">
        Anja Frei
  </p><p class="author-name">
        Elena Gimeno-Santos
  </p><p class="author-name">
        Clint Hansen
  </p><p class="author-name">
        Jeffrey M. Hausdorff
  </p><p class="author-name">
        Nicholas S. Hopkinson
  </p><p class="author-name">
        Carl-Philipp Jansen
  </p><p class="author-name">
        Anne Kirsten
  </p><p class="author-name">
        Sarah Koch
  </p><p class="author-name">
        Walter Maetzler
  </p><p class="author-name">
        Dimitrios Megaritis
  </p><p class="author-name">
        Milo A. Puhan
  </p><p class="author-name">
        David Singleton
  </p><p class="author-name">
        Ioannis Vogiatzis
  </p><p class="author-name">
        Henrik Watz
  </p><p class="author-name">
        Silvia Del Din
  </p><p class="author-name">
        Brian Caulfield
  </p><p class="author-name">
        Clemens Becker
  </p><p class="author-name">
        Lynn Rochester
  </p><p class="author-name">
        Thierry Troosters
  </p><p class="author-sub">
        Judith Garcia-Aymerich
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        European Respiratory Journal 2402303; DOI: 10.1183/13993003.02303-2024 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div id="d296943e469" class="abstract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><p class="first" id="d296943e470">The <span class="italic">amount</span> of walking that people with chronic obstructive pulmonary disease (COPD) do is reduced. However, data on their <span class="italic">manner</span> of walking (<span class="italic">i.e.</span>, gait) is still lacking. We characterised real-world gait in COPD by assessing levels and distributions of gait parameters, and comparing them across…</p></div></div></div></div></div>  </article>
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          <div class="card-container"><div class="card-row"><div class="card-content"><h6 class="content-type">
		Original Research Article
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/05/15/13993003.02212-2024.atom"></span><h3 class="h5 title"><a 
                                    href="/content/erj/early/2025/05/15/1399300302212-2024"
                             
                                    class="title"
         
         
        ><div><span class='field--highwire-content-title'>Impaired IgA Mucosal Immunity Following Lung Transplantation: A Potential Trigger for Bronchiolitis Obliterans Syndrome</span></div></a></h3><p class="author-name">
        François M. Carlier
  </p><p class="author-name">
        Bruno Detry
  </p><p class="author-name">
        Jérôme Ambroise
  </p><p class="author-name">
        Nicolas Heddebaut
  </p><p class="author-name">
        Thomas Planté-Bordeneuve
  </p><p class="author-name">
        Aurélie Daumerie
  </p><p class="author-name">
        Elisabeth Longchampt
  </p><p class="author-name">
        Loïc Falque
  </p><p class="author-name">
        Martine Reynaud-Gaubert
  </p><p class="author-name">
        Sandrine Hirschi
  </p><p class="author-name">
        Jean-François Mornex
  </p><p class="author-name">
        Xavier Demant
  </p><p class="author-name">
        Adrien Tissot
  </p><p class="author-name">
        Jérôme Le Pavec
  </p><p class="author-name">
        Vincent Bunel
  </p><p class="author-name">
        David Lair
  </p><p class="author-name">
        Marina Pretolani
  </p><p class="author-name">
        Alexandre Vallée
  </p><p class="author-name">
        Charles Pilette
  </p><p class="author-sub">
        Olivier Brugière
  </p><p class="author-description">
        European Respiratory Journal 2402212; DOI: 10.1183/13993003.02212-2024 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div id="d1097397e373" class="abstract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="section"><span id="d1097397e374"></span><p id="d1097397e377">Bronchiolitis obliterans syndrome (BOS) limits long-term survival after lung transplantation (LuTx) and may be triggered by infections. As immunoglobulin (Ig)A is crucial to ensure adequate mucosal immunity, we explored whether IgA-related mucosal immunity is impaired in BOS.</p></div><div class="section"><span id="d1097397e379"></span><p id=""></p></div></div></div></div></div></div>  </article>
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          <div class="card-container"><div class="card-row"><div class="card-content"><h6 class="content-type">
		Original Research Article
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/05/15/13993003.01610-2024.atom"></span><h3 class="h5 title"><a 
                                    href="/content/erj/early/2025/05/15/1399300301610-2024"
                             
                                    class="title"
         
         
        ><div><span class='field--highwire-content-title'>Particulate matter–related ITIH4 deficiency is associated with an emphysema phenotype of chronic obstructive pulmonary disease through JNK-dependent and JNK-independent signaling</span></div></a></h3><p class="author-name">
        Sheng-Ming Wu
  </p><p class="author-name">
        Kuan-Yuan Chen
  </p><p class="author-name">
        Hsiao-Chi Chuang
  </p><p class="author-name">
        Shu-Chuan Ho
  </p><p class="author-name">
        Cheng-Wei Lin
  </p><p class="author-name">
        Chia-Li Han
  </p><p class="author-name">
        Wei-Lun Sun
  </p><p class="author-name">
        Po-Hao Feng
  </p><p class="author-name">
        Shiou-Fu Lin
  </p><p class="author-name">
        Yueh-Hsi Chen
  </p><p class="author-name">
        Tzu-Tao Chen
  </p><p class="author-name">
        Chien-Hua Tseng
  </p><p class="author-name">
        Wen-Te Liu
  </p><p class="author-sub">
        Kang-Yun Lee
  </p><p class="author-description">
        European Respiratory Journal 2401610; DOI: 10.1183/13993003.01610-2024 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div id="d301563e332" class="abstract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="section"><span id="d301563e333"></span><p id="d301563e336"><strong>:</strong> Prolonged exposure to airborne particulate matter (PM) is associated with emphysema and chronic obstructive pulmonary disease (COPD); however, the precise underlying mechanism remains unclear.</p></div><div class="section"><span id="d301563e340"></span><p id="d301563e343">In a previous high-throughput screen, we identified…</p></div></div></div></div></div></div>  </article>
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          <div class="card-container"><div class="card-row"><div class="card-content"><h6 class="content-type">
		Original Research Article
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/04/23/13993003.02400-2024.atom"></span><h3 class="h5 title"><a 
                                    href="/content/erj/early/2025/04/23/1399300302400-2024"
                             
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        ><div><span class='field--highwire-content-title'>Renal dysfunction and outcomes in pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension: an individual participant data meta-analysis</span></div></a></h3><p class="author-name">
        Amber Meservey
  </p><p class="author-name">
        Nadine Al-Naamani
  </p><p class="author-name">
        Jasleen Minhas
  </p><p class="author-name">
        Jason S. Fritz
  </p><p class="author-name">
        Dina Appleby
  </p><p class="author-name">
        Guillaume Baudry
  </p><p class="author-name">
        Nicolas Girerd
  </p><p class="author-name">
        Rui Feng
  </p><p class="author-name">
        Steven M. Kawut
  </p><p class="author-sub">
        Jude Moutchia
  </p><p class="author-description">
        European Respiratory Journal 2402400; DOI: 10.1183/13993003.02400-2024 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div id="d233561e208" class="abstract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="section"><span id="d233561e209"></span><p id="d233561e212">Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) cause right ventricular dysfunction with extrapulmonary sequalae including renal dysfunction. We sought to characterize renal dysfunction in PAH and CTEPH and to assess the effect of pulmonary hypertension treatment on renal function.</p></div><div></div></div></div></div></div></div>  </article>
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              <li><article class="article-section">
          <div class="card-container"><div class="card-row"><div class="card-content"><h6 class="content-type">
		Original Research Article
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/early/2025/05/15/13993003.00054-2025.atom"></span><h3 class="h5 title"><a 
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        ><div><span class='field--highwire-content-title'>Sputum metagenomics in bronchiectasis reveals pan-European variation: an EMBARC-BRIDGE study</span></div></a></h3><p class="author-name">
        Kai Xian Thng
  </p><p class="author-name">
        Pei Yee Tiew
  </p><p class="author-name">
        Micheál Mac Aogáin
  </p><p class="author-name">
        Jayanth Kumar Narayana
  </p><p class="author-name">
        Tavleen Kaur Jaggi
  </p><p class="author-name">
        Fransiskus Xaverius Ivan
  </p><p class="author-name">
        Morven Shuttleworth
  </p><p class="author-name">
        Merete B Long
  </p><p class="author-name">
        Hollian Richardson
  </p><p class="author-name">
        Holly Lind
  </p><p class="author-name">
        Daniela Alferes de Lima Headley
  </p><p class="author-name">
        Kara Robertson
  </p><p class="author-name">
        Jennifer Pollock
  </p><p class="author-name">
        Pieter C Goeminne
  </p><p class="author-name">
        Michal Shteinberg
  </p><p class="author-name">
        Anthony De Soyza
  </p><p class="author-name">
        Stefano Aliberti
  </p><p class="author-name">
        Josje Altenburg
  </p><p class="author-name">
        Charles S Haworth
  </p><p class="author-name">
        Oriol Sibila
  </p><p class="author-name">
        Eva Polverino
  </p><p class="author-name">
        Michael R Loebinger
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        Felix C Ringshausen
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        Natalie Lorent
  </p><p class="author-name">
        Katerina Dimakou
  </p><p class="author-name">
        Amelia Shoemark
  </p><p class="author-name">
        James D Chalmers
  </p><p class="author-sub">
        Sanjay H. Chotirmall
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        European Respiratory Journal 2500054; DOI: 10.1183/13993003.00054-2025 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div id="d380428e464" class="abstract" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="section"><span id="d380428e465"></span><p id="d380428e468">The EMBARC registry shows considerable variation in culturable microbes in sputum between different European countries. The additive role of next generation metagenomic sequencing remains unexplored and association with antimicrobial resistomes unknown.</p></div><div class="section"><span id="d380428e470"></span><p id="d380428e473">We…</p></div></div></div></div></div></div>  </article>
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        ><div><span class='field--highwire-content-title'>Are systemic corticosteroids needed for all asthma exacerbations?</span></div></a></h3><p class="author-name">
        William W. Busse
  </p><p class="author-sub">
        Paul M. O'Byrne
  </p><p class="author-description">
        European Respiratory Journal 65(5): 2500370; DOI: 10.1183/13993003.00370-2025 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div xmlns:xhtml="http://www.w3.org/1999/xhtml"><div id="d56340e165" class="abstract" abstract-type="extract"><p id="d56340e168">Asthma exacerbations are potentially life-altering crises for many patients [1]. Despite this pivotal impact in the life cycle of asthma, the treatment for exacerbations has not changed in nearly 50 years. In particular, the therapeutic approach to exacerbations has not incorporated directions to identify which patient is most likely to benefit from the current…</p></div></div></div></div></div></div>  </article>
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		Research Letter
	</h6><span class="access-icon-placeholder" data-access-icon="ers_access_icon" data-access-icon-context="" data-apath="/erj/65/5/2500518.atom"></span><h3 class="h5 title"><a 
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        ><div><span class='field--highwire-content-title'>Blood eosinophil counts, airway infections and inhaled antibiotic treatment in bronchiectasis</span></div></a></h3><p class="author-name">
        Ming-xin Shi
  </p><p class="author-name">
        Shu-jun Guo
  </p><p class="author-name">
        Jun-qing Yue
  </p><p class="author-name">
        Xiao-xian Zhang
  </p><p class="author-name">
        Zhen-feng He
  </p><p class="author-name">
        Hui-min Li
  </p><p class="author-name">
        Xiao-fen Zhang
  </p><p class="author-name">
        Zhao-ming Chen
  </p><p class="author-name">
        Lai-jian Cen
  </p><p class="author-name">
        Cui-xia Pan
  </p><p class="author-name">
        Rui-di Tang
  </p><p class="author-name">
        Sheng-zhu Lin
  </p><p class="author-name">
        Jia-hui He
  </p><p class="author-name">
        Dan-yuan Xu
  </p><p class="author-name">
        Zi-wei Chen
  </p><p class="author-name">
        Meng-zhang He
  </p><p class="author-name">
        Yong-hua Gao
  </p><p class="author-sub">
        Wei-jie Guan
  </p><p class="author-description">
        European Respiratory Journal 65(5): 2500518; DOI: 10.1183/13993003.00518-2025 Published 22 May 2025
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            </a></div><div class="show-content-toggle"><div xmlns:xhtml="http://www.w3.org/1999/xhtml"><div id="d46736e344" class="abstract" abstract-type="extract"><p id="d46736e347">Bronchiectasis is a chronic airway disease characterised by recurrent airway infections, inflammation and structural remodelling [1]. Eosinophils contribute to its pathogenesis and progression, with blood eosinophil count (BEC) emerging as a key biomarker. BECs correlate with the disease severity and exacerbation risk, and they predict responsiveness to inhaled…</p></div></div></div></div></div></div>  </article>
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