Evidence map›Paper›PMID 27684511›Full record

ArticleAnnals of the American Thoracic Society2016

Constrictive Bronchiolitis in Cystic Fibrosis Adolescents with Refractory Pulmonary Decline.

William T Harris, J Todd Boyd, Gary L McPhail, Alan S Brody, Rhonda D Szczesniak, Leslie L Korbee, Michael L Baker, John P Clancy

Open access · greenAbstract read
In one paragraph

Article in Annals of the American Thoracic Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Pathophysiology of Lung Disease and Wound Repair in Cystic Fibrosis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2021
    Review
  2. Fibrocyte accumulation in the lungs of cystic fibrosis patients.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2020
    Article
  3. Article
  4. MicroRNA-145 Antagonism Reverses TGF-β Inhibition of F508del CFTR Correction in Airway Epithelia.American journal of respiratory and critical care medicine · 2018
    Article
  5. TGFβ as a therapeutic target in cystic fibrosis.Expert opinion on therapeutic targets · 2018
    Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

William T Harris1 Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama.
J Todd Boyd2 Department of Pathology, Dayton Children's Hospital, Dayton, Ohio.
Gary L McPhail3 Division of Pulmonary Medicine.
Alan S Brody4 Department of Radiology.
Rhonda D Szczesniak3 Division of Pulmonary Medicine.
Leslie L Korbee6 Office for Clinical and Translational Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and.
Michael L Baker7 Department of Pathology and Laboratory Medicine, University of Cincinnati, Cincinnati, Ohio.
John P Clancy3 Division of Pulmonary Medicine.
Pulmonary Associates · USCancer Research And Biostatistics · USCincinnati Children's Hospital Medical Center · USDayton Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · US

Funding

Pediatric Physician Training in Translational ResearchK12HD043397 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI STAGNO, SERGIO BRUNO · 2003 to 2012
$3.4M
Preventing rapid decline in CF: statistical research career commitmentK25HL125954 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI SZCZESNIAK, RHONDA · 2015 to 2019
$762k
NHLBI NIH HHS K25 HL125954NICHD NIH HHS K12 HD043397
6 · The paper itself

Abstract

rationaleRefractory lung function decline in association with recurrent pulmonary exacerbations is a common, yet poorly explained finding in cystic fibrosis (CF). To investigate the histopathologic mechanisms of pulmonary deterioration during adolescence and early adulthood, we reviewed clinically-indicated lung biopsy specimens obtained during a period of persistent decline.

objectivesTo determine if peribronchiolar remodeling is prominent in lung biopsy specimens obtained in adolescents with CF refractory to conventional therapy.

methodsSix adolescents with CF (mean age, 16.2 y; mean FEV MEASUREMENTS AND MAIN

resultsAll computed tomography scans demonstrated a mix of bronchiectasis and hyperinflation that was variable across lung regions and within patients. Lung biopsy revealed significant peribronchiolar remodeling, particularly in patients with more advanced disease, with near complete obliteration of the peribronchiolar lumen (constrictive bronchiolitis). Myofibroblast differentiation (a TGF-β-dependent process) was prominent in specimens with significant airway remodeling.

conclusionsConstrictive bronchiolitis is widely present in the lung tissue of adolescents with CF with advanced disease and may contribute to impaired lung function that is refractory to conventional therapy (antibiotics, antiinflammatories, and mucolytics). TGF-β-dependent myofibroblast differentiation is prominent in areas of active fibrogenesis and may foster small airway remodeling in CF lung disease.

Indexed as

Airway RemodelingAdolescentBronchiolitis ObliteransCase-Control StudiesChildCystic FibrosisDisease ProgressionElastinFemaleFibrosisHumansLungMaleMyofibroblastsSpirometryTomography, X-Ray ComputedElastinTransforming Growth Factor betaairway remodelingconstrictive bronchiolitiscystic fibrosismyofibroblasttransforming growth factor-β

Identifiers

PMID27684511
PMCPMC5291494
OpenAlexW2525787019

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.