Evidence map›Paper›PMID 26242299›Full record

Trial reportThe Journal of allergy and clinical immunology2015

Estrogen and progesterone decrease let-7f microRNA expression and increase IL-23/IL-23 receptor signaling and IL-17A production in patients with severe asthma.

Dawn C Newcomb, Jacqueline Yvonne Cephus, Madison G Boswell, John M Fahrenholz, Emily W Langley, Amy S Feldman, Weisong Zhou, Daniel E Dulek, Kasia Goleniewska, Kimberly B Woodward and 4 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report 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. It is linked to trial NCT06224634 (The Effect of Anti-IL17 on Airway Hyperresponsiveness and Resistance), which is not on this map. Cited by 83 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06224634 recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Anti-IL17 on Airway Hyperresponsiveness and Resistance: a Longitudinal Cohort Study

TypeobservationalSponsorCopenhagen University Hospital, HvidovreRan2024 to 2027Enrolled74ConditionsAsthma
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Ovarian hormones and obesity drive Th17-mediated airway inflammation through estrogen receptor-α signaling.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  6. Review
  7. Review
  8. Sex Differences in Asthma Pathogenesis.Immunological reviews · 2026
    Review
  9. Menopause is not associated with asthma or severe asthma.The journal of allergy and clinical immunology. In practice · 2025
    Article
  10. Gut-heart axis: cardiac remodeling and heart failure in the context of inflammatory bowel disease and dysbiosis.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Distinctive CD39Nature communications · 2024
    Article
  17. Novel Machine Learning Identifies 5 Asthma Phenotypes Using Cluster Analysis of Real-World Data.The journal of allergy and clinical immunology. In practice · 2024
    Article
  18. Progesterone amplifies allergic inflammation and airway pathology in association with higher lung ILC2 responses.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  19. Downregulation ofeLife · 2024
    Article
  20. Review

23 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

14 authors.

Dawn C NewcombDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: dawn.newcomb@vanderbilt.edu.
Jacqueline Yvonne CephusDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Madison G BoswellDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
John M FahrenholzDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Emily W LangleyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Amy S FeldmanDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Weisong ZhouDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Daniel E DulekDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tenn.
Kasia GoleniewskaDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Kimberly B WoodwardDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Carla M SevinDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Robert G HamiltonDepartment of Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, Md.
Jay K KollsDepartment of Pediatrics, Children's Hospital of Pittsburgh, Philadelphia, Pa.
R Stokes PeeblesDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.

Funding

Viral and Host Determinants of Infant and Childhood Allergy and AsthmaU19AI095227 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Dawn C Newcomb · 2011 to 2026
$34.9M
Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Interdisciplinary Training Program in Lung ResearchT32HL094296 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Ray Stokes Peebles · 2008 to 2026
$6.3M
Role of Gender in TH17-Mediated Inflammation in Severe AsthmaR01HL122554 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI NEWCOMB, DAWN C · 2015 to 2024
$5.5M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)KL2TR000446 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$2.8M
PGI2 regulation of TSLP-mediated allergic inflammation in the lungR01AI111820 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PEEBLES, RAY STOKES · 2014 to 2018
$2.0M
The role of cyclooxygenase in the adaptive immune response and toleranceI01BX000624 · VA · VETERANS HEALTH ADMINISTRATION · PI PEEBLES, RAY STOKES · 2009 to 2019
–
BLRD VA I01 BX000624NCATS NIH HHS KL2 TR000446NHLBI NIH HHS R01 HL122554NHLBI NIH HHS T32 HL094296NIAID NIH HHS R01 AI 111820NIAID NIH HHS R01 AI111820NIAID NIH HHS U19 AI 095227NIAID NIH HHS U19 AI095227NICHD NIH HHS K12 HD043483NICHD NIH HHS K12HD043483-08
6 · The paper itself

Abstract

backgroundWomen have an increased prevalence of severe asthma compared with men. IL-17A is associated with severe asthma and requires IL-23 receptor (IL-23R) signaling, which is negatively regulated by let-7f microRNA.

objectiveWe sought to Determine the mechanism by which 17β-estradiol (E2) and progesterone (P4) increase IL-17A production.

methodsIL-17A production was determined by using flow cytometry in TH17 cells from women (n = 14) and men (n = 15) with severe asthma. Cytokine levels were measured by using ELISA, and IL-23R and let-7f expression was measured by using quantitative PCR in TH17-differentiated cells from healthy women (n = 13) and men (n = 14). In sham-operated or ovariectomized female mice, 17β-E2, P4, 17β-E2+P4, or vehicle pellets were administered for 3 weeks before ex vivo TH17 cell differentiation. Airway neutrophil infiltration and CXCL1 (KC) expression were also determined in ovalbumin (OVA)-challenged wild-type female recipient mice with an adoptive transfer of OVA-specific TH17 cells from female and male mice.

resultsIn patients with severe asthma and healthy control subjects, IL-17A production was increased in TH17 cells from women compared with men. IL-23R expression was increased and let-7f expression was decreased in TH17-differentiated cells from women compared with men. In ovariectomized mice IL-17A and IL-23R expression was increased and Let-7f expression was decreased in TH17 cells from mice administered 17β-E2+P4 compared with those administered vehicle. Furthermore, transfer of female OVA-specific TH17 cells increased acute neutrophil infiltration in the lungs of OVA-challenged recipient mice compared with transfer of male OVA-specific TH17 cells.

conclusions17β-E2+P4 increased IL-17A production from TH17 cells, providing a potential mechanism for the increased prevalence of severe asthma in women compared with men.

Indexed as

AdolescentAdultAnimalsAsthmaEstrogensFemaleGene Expression RegulationHumansInterleukin-17Interleukin-23MaleMiceMicroRNAsMiddle AgedProgesteroneReceptors, InterleukinEstrogensIL17A protein, humanIl17a protein, mouseIL23R protein, humanInterleukin-17Interleukin-23interleukin-23 receptor, mouseMicroRNAsmirnlet7 microRNA, humanmirnlet7 microRNA, mouseProgesteroneReceptors, InterleukinEstrogenIL-17AIL-23 signalingLet-7fprogesteronesevere asthma

Identifiers

PMID26242299
PMCPMC4600442

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Registered trials

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.