Evidence map›Paper›PMID 21901105›Full record

ArticlePLoS genetics2011

Temporal dynamics of host molecular responses differentiate symptomatic and asymptomatic influenza a infection.

Yongsheng Huang, Aimee K Zaas, Arvind Rao, Nicolas Dobigeon, Peter J Woolf, Timothy Veldman, N Christine Øien, Micah T McClain, Jay B Varkey, Bradley Nicholson and 5 more

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 1 pooled it
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 1 synthesis or guideline pooled it, 209 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Article
  6. Article
  7. Immune Responses to Influenza Infection in Children.Open forum infectious diseases · 2026
    Article
  8. Article
  9. Multivariate Host-Pathogen Interactions Driving Heterogeneous Viral Shedding and CD8medRxiv : the preprint server for health sciences · 2025
    Article
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  14. medRxiv : the preprint server for health sciences · 2024
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  15. Review
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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Yongsheng HuangCenter for Computational Biology and Bioinformatics, University of Michigan, Ann Arbor, Michigan, United States of America.
Aimee K Zaas
Arvind Rao
Nicolas Dobigeon
Peter J Woolf
Timothy Veldman
N Christine Øien
Micah T McClain
Jay B Varkey
Bradley Nicholson
Lawrence Carin
Stephen Kingsmore
Christopher W Woods
Geoffrey S Ginsburg
Alfred O Hero
Duke University · USUniversity of Michigan · USCarnegie Mellon University · USChildren's Mercy Hospital · USEmory University · USInstitut Polytechnique de Bordeaux · FR

Funding

Genomic signatures for detection of upper respiratory viral infectionsIK2CX000611 · VA · DURHAM VA MEDICAL CENTER · PI MCCLAIN, MICAH T. · 2013 to 2016
–
CSRD VA IK2 CX000611
6 · The paper itself

Abstract

Exposure to influenza viruses is necessary, but not sufficient, for healthy human hosts to develop symptomatic illness. The host response is an important determinant of disease progression. In order to delineate host molecular responses that differentiate symptomatic and asymptomatic Influenza A infection, we inoculated 17 healthy adults with live influenza (H3N2/Wisconsin) and examined changes in host peripheral blood gene expression at 16 timepoints over 132 hours. Here we present distinct transcriptional dynamics of host responses unique to asymptomatic and symptomatic infections. We show that symptomatic hosts invoke, simultaneously, multiple pattern recognition receptors-mediated antiviral and inflammatory responses that may relate to virus-induced oxidative stress. In contrast, asymptomatic subjects tightly regulate these responses and exhibit elevated expression of genes that function in antioxidant responses and cell-mediated responses. We reveal an ab initio molecular signature that strongly correlates to symptomatic clinical disease and biomarkers whose expression patterns best discriminate early from late phases of infection. Our results establish a temporal pattern of host molecular responses that differentiates symptomatic from asymptomatic infections and reveals an asymptomatic host-unique non-passive response signature, suggesting novel putative molecular targets for both prognostic assessment and ameliorative therapeutic intervention in seasonal and pandemic influenza.

Indexed as

Asymptomatic InfectionsHost-Pathogen InteractionsInfluenza A Virus, H3N2 SubtypeAdolescentAdultCytokinesGene Expression ProfilingHumansInfluenza, HumanMiddle AgedOxidative StressRibosomal ProteinsStress, PhysiologicalCytokinesRibosomal Proteins

Identifiers

PMID21901105
PMCPMC3161909
OpenAlexW2154349465

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.