Related Experiment Video
Updated: Jun 3, 2026

Methodology for Sputum Induction and Laboratory Processing
Published on: December 17, 2017
Induced sputum in asthma: from bench to bedside
P Bakakos1, F Schleich, M Alchanatis
11st Respiratory Medicine Department, University of Athens, Medical School, Athens, Greece. petros44@hotmail.com
Induced sputum analysis offers a non-invasive method to monitor airway inflammation in asthma and COPD. Sputum eosinophil counts help predict treatment response and guide inhaled corticosteroid (ICS) therapy in asthma patients.
Area of Science:
- Pulmonary Medicine
- Biomarker Research
- Respiratory Inflammation
Background:
- Growing interest in non-invasive biomarkers for airway inflammation in asthma and COPD.
- Sputum induction is a safe and well-tolerated procedure with validated cell count and mediator measurements.
Purpose of the Study:
- To review the role and application of induced sputum markers in respiratory diseases.
- To highlight the utility of sputum analysis in asthma management and phenotyping.
Main Methods:
- Review of European Respiratory Society guidelines on sputum induction.
- Analysis of induced sputum for cell counts and soluble mediators (e.g., eosinophils, nitric oxide derivatives, cytokines).
Main Results:
- Sputum eosinophilia (>3%) is characteristic of asthma, aiding in predicting response to inhaled corticosteroids (ICS).
- Induced sputum analysis provides insights into airway inflammation, disease phenotypes, and treatment response in asthma.
- Sputum induction is the only non-invasive measure of airway inflammation with a proven role in asthma management.
Conclusions:
- Induced sputum analysis is a valuable tool for guiding clinical management in asthma.
- Further application of other induced sputum markers may enhance clinical practice for respiratory conditions.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-I: Introduction
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma III: Clinical Manifestations

