Evidence map›Paper›PMID 27870827›Full record

Observational studyPediatric research2017

Augmented Th17-type immune responses in preterm neonates exposed to histologic chorioamnionitis.

Daniel C Rito, Luke T Viehl, Paula M Buchanan, Seema Haridas, Joyce M Koenig

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

29 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Perturbation of the Preterm Human Immune System in Early Life.medRxiv : the preprint server for health sciences · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Elevated neutrophil-lymphocyte ratios in extremely preterm neonates with histologic chorioamnionitis.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  18. Immunobiology of Acute Chorioamnionitis.Frontiers in immunology · 2020
    Review
  19. Observational
  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

5 authors at 2 institutions in 1 country.

Daniel C RitoDepartment of Neonatology, Henry Ford Medical Group, Detroit, Michigan.
Luke T ViehlDepartment of Pediatrics, Saint Louis University, St. Louis, Missouri.
Paula M BuchananDepartment of Pediatrics, Saint Louis University, St. Louis, Missouri.
Seema HaridasDepartment of Pediatrics, Saint Louis University, St. Louis, Missouri.
Joyce M KoenigDepartment of Pediatrics, Saint Louis University, St. Louis, Missouri.
Saint Louis University · USFord Motor Company (United States) · US

Funding

T Regulatory Cells and Neonatal Innate ImmunityR21AI094478 · NIAID · SAINT LOUIS UNIVERSITY · PI KOENIG, JOYCE MARIE, PENG, GUANGYONG · 2012 to 2013
$413k
NIAID NIH HHS R21 AI094478
6 · The paper itself

Abstract

backgroundHistologic chorioamnionitis (HCA) is a placental inflammatory disorder that frequently precedes preterm delivery. HCA increases risk for long-standing inflammatory injury and may influence immune programming, particularly in preterm (PT) neonates. We hypothesized that HCA exposure is associated with an increased circulating frequency of proinflammatory, Th17-type responses.

methodsPlacental cord blood was collected from HCA-exposed or control neonates (23-41 wk gestation). Frequencies of Th17 and T regulatory (Treg) cells and assessments of Th17-type features in CD4 and Treg cells were determined by flow cytometric analysis.

resultsCord blood samples from 31 PT and 17 term neonates were analyzed by flow cytometry. A diagnosis of HCA in extremely PT (EPT, GA ≤ 30 wk) gestations was associated with the highest cord blood frequencies of progenitor (pTh17, CD4

conclusionTh17-type responses are amplified in preterm neonates exposed to HCA. We speculate that a Th17 bias may potentiate the inflammatory responses and related morbidity observed in preterm neonates whose immune systems have been "primed" by HCA exposure.

Indexed as

AdultCase-Control StudiesCD4-Positive T-LymphocytesChorioamnionitisFemaleFetal BloodFlow CytometryHumansImmune SystemInfant, NewbornInfant, PrematureInflammationInterleukin-17PhenotypePlacentaPregnancyIL17A protein, humanInterleukin-17

Identifiers

PMID27870827
PMCPMC5395318
OpenAlexW2553349213

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.