Evidence map›Paper›PMID 27318328›Full record

Observational studyEarly human development2016

Histological chorioamnionitis shapes the neonatal transcriptomic immune response.

Jörn-Hendrik Weitkamp, Scott O Guthrie, Hector R Wong, Lyle L Moldawer, Henry V Baker, James L Wynn

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Early human development, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Necrotizing Enterocolitis: What's New and What's Next?International journal of molecular sciences · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Chorioamnionitis and neonatal outcomes.Pediatric research · 2022
    Review
  14. Article
  15. COVID-19 in pregnancy: Placental and neonatal involvement.American journal of reproductive immunology (New York, N.Y. : 1989) · 2020
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 4 institutions in 1 country.

Jörn-Hendrik WeitkampDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States.
Scott O GuthrieDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States; Ayers Children's Medical Center, Jackson-Madison County General Hospital, Jackson, TN, United States.
Hector R WongCincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Lyle L MoldawerDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Henry V BakerDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, FL, United States.
James L WynnDepartment of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States; Department of Pathology, Immunology, and Laboratory Medicine, University of Florida College of Medicine, Gainesville, FL, United States. Electronic address: james.wynn@peds.ufl.edu.
University of Florida · USCincinnati Children's Hospital Medical Center · USJackson-Madison County General Hospital · USVanderbilt University Medical Center · US

Funding

MMP-8 as a novel therapeutic target in sepsisR01GM096994 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI WONG, HECTOR R. · 2011 to 2014
$1.2M
The Role of the Inflammasome in Neonatal SepsisK08GM106143 · NIGMS · VANDERBILT UNIVERSITY · PI WYNN, JAMES LAWRENCE · 2013 to 2017
$875k
Development of Intestinal Immune Regulation in Human InfantsK08HD061607 · NICHD · VANDERBILT UNIVERSITY · PI WEITKAMP, JOERN-HENDRIK · 2009 to 2013
$628k
NICHD NIH HHS K08 HD061607NIGMS NIH HHS K08 GM106143NIGMS NIH HHS R01 GM096994
6 · The paper itself

Abstract

backgroundHistologic chorioamnionitis (HCA) is commonly associated with preterm birth and deleterious post-natal outcomes including sepsis and necrotizing enterocolitis. Transcriptomic analysis has been used to uncover gene signatures that permit diagnosis and prognostication, show new therapeutic targets, and reveal mechanisms that underlie differential outcomes with other complex disease states in neonates such as sepsis.

aimsTo define the transcriptomic and inflammatory protein response in peripheral blood among infants with exposure to histologic chorioamnionitis. STUDY

designProspective, observational study. SUBJECTS: Uninfected preterm neonates retrospectively categorized based on placental pathology with no HCA exposure (n=18) or HCA exposure (n=15). OUTCOMES MEASURES: We measured the transcriptomic and inflammatory mediator response in prospectively collected whole blood.

resultsWe found 488 significant (p<0.001), differentially expressed genes in whole blood samples among uninfected neonates with HCA exposure that collectively represented activated innate and adaptive immune cellular pathways and revealed a potential regulatory role for the pleotropic microRNA molecule miR-155. Differentially secreted plasma cytokines in patients with HCA exposure compared to patients without HCA included MCP-1, MPO, and MMP-9 (p<0.05).

conclusionsExposure to HCA distinctively activates the neonatal immune system in utero with potentially long-term health consequences.

Indexed as

TranscriptomeAdaptive ImmunityBiomarkersChemokine CCL2ChorioamnionitisCytokinesFemaleHumansImmunity, InnateInfant, NewbornInfant, PrematureMaleMatrix Metalloproteinase 9MicroRNAsPregnancyBiomarkersCCL2 protein, humanChemokine CCL2CytokinesMatrix Metalloproteinase 9MicroRNAsMIRN155 microRNA, humanMMP9 protein, humanHistologic chorioamnionitisNeonatePrematureTranscriptome

Identifiers

PMID27318328
PMCPMC4947555
OpenAlexW2441467290

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.