Evidence map›Paper›PMID 25748343›Full record

ArticleThe Journal of allergy and clinical immunology2015

Cysteine oxidation impairs systemic glucocorticoid responsiveness in children with difficult-to-treat asthma.

Susan T Stephenson, Lou Ann S Brown, My N Helms, Hongyan Qu, Sheena D Brown, Milton R Brown, Anne M Fitzpatrick

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. A Review of CXCL1 in Cardiac Fibrosis.Frontiers in cardiovascular medicine · 2021
    Pooled it
  3. Rare constituents of the nasal microbiome contribute to the acute exacerbation of chronic rhinosinusitis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  4. L-serine metabolic regulation and host respiratory homeostasis.Frontiers in cellular and infection microbiology · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Defining a role for exercise training in the management of asthma.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  11. Review
  12. Review
  13. Review
  14. Severe Asthma in Children: Lessons Learned and Future Directions.The journal of allergy and clinical immunology. In practice
    Review
  15. Article
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

7 authors at 1 institution in 1 country.

Susan T StephensonEmory University Department of Pediatrics, Atlanta, Ga.
Lou Ann S BrownEmory University Department of Pediatrics, Atlanta, Ga; Children's Healthcare of Atlanta Center for Cystic Fibrosis and Airways Disease Research, Atlanta, Ga.
My N HelmsEmory University Department of Pediatrics, Atlanta, Ga; Children's Healthcare of Atlanta Center for Cystic Fibrosis and Airways Disease Research, Atlanta, Ga.
Hongyan QuEmory University Department of Pediatrics, Atlanta, Ga.
Sheena D BrownEmory University Department of Pediatrics, Atlanta, Ga.
Milton R BrownEmory University Department of Pediatrics, Atlanta, Ga; Children's Healthcare of Atlanta Center for Cystic Fibrosis and Airways Disease Research, Atlanta, Ga.
Anne M FitzpatrickEmory University Department of Pediatrics, Atlanta, Ga; Children's Healthcare of Atlanta Center for Cystic Fibrosis and Airways Disease Research, Atlanta, Ga. Electronic address: anne.fitzpatrick@emory.edu.
Emory University · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Redox disturbances and corticosteroid responses in children with severe asthmaR01NR012021 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2010 to 2014
$1.9M
NCATS NIH HHS UL1 TR000454NINR NIH HHS R01 NR012021
6 · The paper itself

Abstract

backgroundThe mechanisms underlying glucocorticoid responsiveness are largely unknown. Although redox regulation of the glucocorticoid receptor (GR) has been reported, it has not been studied in asthmatic patients.

objectiveWe characterized systemic cysteine oxidation and its association with inflammatory and clinical features in healthy children and children with difficult-to-treat asthma. We hypothesized that cysteine oxidation would be associated with increased markers of oxidative stress and inflammation, increased features of asthma severity, decreased clinically defined glucocorticoid responsiveness, and impaired GR function.

methodsPBMCs were collected from healthy children (n = 16) and children with asthma (n = 118) aged 6 to 17 years. Children with difficult-to-treat asthma underwent glucocorticoid responsiveness testing with intramuscular triamcinolone. Cysteine, cystine, and inflammatory chemokines and reactive oxygen species generation were quantified, and expression and activity of the GR were assessed.

resultsCysteine oxidation was present in children with difficult-to-treat asthma and accompanied by increased reactive oxygen species generation and increased CCL3 and CXCL1 mRNA expression. Children with the greatest extent of cysteine oxidation had more features of asthma severity, including poorer symptom control, greater medication use, and less glucocorticoid responsiveness despite inhaled glucocorticoid therapy. Cysteine oxidation also modified the GR protein by decreasing available sulfhydryl groups and decreasing nuclear GR expression and activity.

conclusionsA highly oxidized cysteine redox state promotes a posttranslational modification of the GR that might inhibit its function. Given that cysteine oxidation is prevalent in children with difficult-to-treat asthma, the cysteine redox state might represent a potential therapeutic target for restoration of glucocorticoid responsiveness in this population.

Indexed as

Protein Processing, Post-TranslationalAdministration, InhalationAdolescentAsthmaChemokine CCL3Chemokine CXCL1ChildCysteineCystineDrug MonitoringFemaleGene ExpressionGlucocorticoidsHumansInjections, IntramuscularLeukocytes, MononuclearCCL3 protein, humanChemokine CCL3Chemokine CXCL1CXCL1 protein, humanCysteineCystineGlucocorticoidsReceptors, GlucocorticoidRNA, MessengerTriamcinoloneBiomarkerchildhood asthmacysteineinflammationoxidative stressrefractory asthmasevere asthmatreatment response

Identifiers

PMID25748343
PMCPMC4530082
OpenAlexW2158613286

What OpenQuestion holds

Textmetadata
LicenceTDM
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.