Evidence map›Paper›PMID 27190183›Full record

ArticleThe Journal of infectious diseases2016

Robust Cytokine and Chemokine Response in Nasopharyngeal Secretions: Association With Decreased Severity in Children With Physician Diagnosed Bronchiolitis.

Erin G Nicholson, Chelsea Schlegel, Roberto P Garofalo, Reena Mehta, Margaret Scheffler, Minghua Mei, Pedro A Piedra

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.6field-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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. bioRxiv : the preprint server for biology · 2026
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  16. Gene polymorphisms in asthma: a narrative review.Annals of translational medicine · 2022
    Review
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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

7 authors at 5 institutions in 1 country.

Erin G NicholsonDepartment of Pediatric.
Chelsea SchlegelDepartment of Allergy & ENT Associates, The Woodlands.
Roberto P GarofaloDepartment of Pediatrics, University of Texas Medical Branch, Galveston.
Reena MehtaAllergy & Asthma Specialists, Saddle River, New Jersey.
Margaret SchefflerDepartment of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Minghua MeiDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston.
Pedro A PiedraDepartment of Pediatric Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston.
Baylor College of Medicine · USAsthma and Allergy Specialists · USBrown University · USENT and Allergy · USThe University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
Virus, Tissue Culture and ImmunoassayP01AI062885 · NIAID · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI CASOLA, ANTONELLA · 2005 to 2022
$23.9M
NCATS NIH HHS UL1 TR001439NIAID NIH HHS P01 AI062885
6 · The paper itself

Abstract

backgroundBronchiolitis causes substantial disease in young children. Previous findings had indicated that a robust innate immune response was not associated with a poor clinical outcome in bronchiolitis. This study tested the hypothesis that increased concentrations of cytokines and chemokines in nasal wash specimens were associated with decreased severity in bronchiolitis.

methodsChildren <24 months old who presented to the emergency department with signs and symptoms of bronchiolitis were eligible for enrollment. Nasal wash specimens were analyzed for viral pathogens and cytokine/chemokine concentrations. These results were evaluated with regard to disposition.

resultsOne hundred eleven children with bronchiolitis were enrolled. A viral pathogen was identified in 91.9% of patients (respiratory syncytial virus in 51.4%, human rhinovirus in 11.7%). Higher levels of cytokines and chemokines (interferon [IFN] γ; interleukin [IL] 4, 15, and 17; CXCL10; and eotaxin) were significantly associated with a decreased risk of hospitalization. IL-17, IL-4, IFN-γ, and IFN-γ-inducible protein 10 (CXCL10 or IP-10) remained statistically significant in the multivariate analyses.

conclusionsThe cytokines and chemokines significantly associated with decreased bronchiolitis severity are classified in a wide range of functional groups (T-helper 1 and 2, regulatory, and chemoattractant). The involvement of these functional groups suggest that a broadly overlapping cytokine/chemokine response is required for control of virus-mediated respiratory disease in young children.

Indexed as

Bodily SecretionsBronchiolitisCross-Sectional StudiesCytokinesFemaleHospitalizationHumansInfantInfant, NewbornMaleNasal Lavage FluidNasopharynxProspective StudiesVirusesCytokinesbronchiolitischemokinecytokineinfants and childreninnate antiviral immune response

Identifiers

PMID27190183
PMCPMC4957440
OpenAlexW2398326439

What OpenQuestion holds

Textmetadata
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.