Evidence map›Paper›PMID 25822228›Full record

ArticlePloS one2015

Adult non-cystic fibrosis bronchiectasis is characterised by airway luminal Th17 pathway activation.

Alice C-H Chen, Megan L Martin, Rohan Lourie, Geraint B Rogers, Lucy D Burr, Sumaira Z Hasnain, Simon D Bowler, Michael A McGuckin, David J Serisier

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Bronchiectasis in children: a systematic review of cytokine profile, immune cell phenotypes and microbiota in bronchoalveolar lavage fluid.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Neutrophilic inflammation in bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Airway Mucus Hyperconcentration in Non-Cystic Fibrosis Bronchiectasis.American journal of respiratory and critical care medicine · 2020
    Article
  9. Review
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  11. Article
  12. Article
  13. Observational
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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

9 authors at 5 institutions in 1 country.

Alice C-H ChenImmunity, Infection and Inflammation Program, Mater Research-University of Qld, Translational Research Institute, Woolloongabba, Qld, Australia.
Megan L MartinDepartment of Respiratory Medicine, Mater Adult Hospital, South Brisbane, Qld, Australia.
Rohan LourieImmunity, Infection and Inflammation Program, Mater Research-University of Qld, Translational Research Institute, Woolloongabba, Qld, Australia; Department of Anatomical Pathology, Mater Health Services, South Brisbane, Qld, Australia.
Geraint B RogersInfection and Immunity Theme, South Australia Health and Medical Research Institute, North Terrace, Adelaide, Australia; School of Medicine, Flinders University, Bedford Park, Adelaide, Australia.
Lucy D BurrImmunity, Infection and Inflammation Program, Mater Research-University of Qld, Translational Research Institute, Woolloongabba, Qld, Australia; Department of Respiratory Medicine, Mater Adult Hospital, South Brisbane, Qld, Australia.
Sumaira Z HasnainImmunity, Infection and Inflammation Program, Mater Research-University of Qld, Translational Research Institute, Woolloongabba, Qld, Australia.
Simon D BowlerDepartment of Respiratory Medicine, Mater Adult Hospital, South Brisbane, Qld, Australia.
Michael A McGuckinImmunity, Infection and Inflammation Program, Mater Research-University of Qld, Translational Research Institute, Woolloongabba, Qld, Australia; School of Biomedical Science, The University of Queensland, Qld, Australia.
David J SerisierImmunity, Infection and Inflammation Program, Mater Research-University of Qld, Translational Research Institute, Woolloongabba, Qld, Australia; Department of Respiratory Medicine, Mater Adult Hospital, South Brisbane, Qld, Australia.
Mater Research · AUMater Adult Hospital · AUTranslational Research Institute · AUSouth Australian Health and Medical Research Institute · AUUniversity of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-cystic fibrosis (CF) bronchiectasis is characterised by chronic airway infection and neutrophilic inflammation, which we hypothesised would be associated with Th17 pathway activation.

methodsTh17 pathway cytokines were quantified in bronchoalveolar lavage fluid (BALF), and gene expression of IL-17A, IL-1β, IL-8 and IL-23 determined from endobronchial biopsies (EBx) in 41 stable bronchiectasis subjects and 20 healthy controls. Relationships between IL-17A levels and infection status, important clinical measures and subsequent Pseudomonas aeruginosa infection were determined.

resultsBALF levels of all Th17 cytokines (median (IQR) pg/mL) were significantly higher in bronchiectasis than control subjects, including IL-17A (1.73 (1.19, 3.23) vs. 0.27 (0.24, 0.35), 95% CI 1.05 to 2.21, p<0.0001) and IL-23 (9.48 (4.79, 15.75) vs. 0.70 (0.43, 1.79), 95% CI 4.68 to 11.21, p<0.0001). However, BALF IL-17A levels were not associated with clinical measures or airway microbiology, nor predictive of subsequent P. aeruginosa infection. Furthermore, gene expression of IL-17A in bronchiectasis EBx did not differ from control. In contrast, gene expression (relative to medians of controls) in bronchiectasis EBx was significantly higher than control for IL1β (4.12 (1.24, 8.05) vs 1 (0.13, 2.95), 95% CI 0.05 to 4.07, p = 0.04) and IL-8 (3.75 (1.64, 11.27) vs 1 (0.54, 3.89), 95% CI 0.32 to 4.87, p = 0.02) and BALF IL-8 and IL-1α levels showed significant relationships with clinical measures and airway microbiology. P. aeruginosa infection was associated with increased levels of IL-8 while Haemophilus influenzae was associated with increased IL-1α. CONCLUSIONS AND CLINICAL RELEVANCE: Established adult non-CF bronchiectasis is characterised by luminal Th17 pathway activation, however this pathway may be relatively less important than activation of non-antigen-specific innate neutrophilic immunity.

Indexed as

AdolescentAdultAgedAged, 80 and overBronchiectasisBronchoalveolar Lavage FluidCase-Control StudiesFemaleHaemophilus influenzaeHumansInterleukinsMaleMiddle AgedPseudomonas aeruginosaTh17 CellsInterleukins

Identifiers

PMID25822228
PMCPMC4379018
OpenAlexW2055088282

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.