Evidence map›Paper›PMID 28476135›Full record

ArticleMicrobiome2017

The effects of inhaled aztreonam on the cystic fibrosis lung microbiome.

Alya A Heirali, Matthew L Workentine, Nicole Acosta, Ali Poonja, Douglas G Storey, Ranjani Somayaji, Harvey R Rabin, Fiona J Whelan, Michael G Surette, Michael D Parkins

Open access · goldAbstract read
In one paragraph

Article in Microbiome, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Article
  3. Sex Differences in Lung Immunity.Immunological reviews · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Exploring the Cystic Fibrosis Lung Microbiome: Making the Most of a Sticky Situation.Journal of the Pediatric Infectious Diseases Society · 2022
    Review
  11. Therapeutic Targeting of the Respiratory Microbiome.American journal of respiratory and critical care medicine · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. Outcomes of cystic fibrosis pulmonary exacerbations treated with antibiotics with activity against anaerobic bacteria.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review
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

10 authors at 2 institutions in 1 country.

Alya A HeiraliDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Matthew L WorkentineFaculty of Veterinary Medicine, The University of Calgary, Calgary, AB, Canada.
Nicole AcostaDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Ali PoonjaDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Douglas G StoreyDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Ranjani SomayajiDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Harvey R RabinDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Fiona J WhelanDepartment of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, ON, Canada.
Michael G SuretteDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada.
Michael D ParkinsDepartment of Microbiology, Immunology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada. mdparkin@ucalgary.ca.
University of Calgary · CAMcMaster University · CA

Funding

CIHR 364568
6 · The paper itself

Abstract

backgroundAztreonam lysine for inhalation (AZLI) is an inhaled antibiotic used to treat chronic Pseudomonas aeruginosa infection in CF. AZLI improves lung function and quality of life, and reduces exacerbations-improvements attributed to its antipseudomonal activity. Given the extremely high aztreonam concentrations achieved in the lower airways by nebulization, we speculate this may extend its spectrum of activity to other organisms. As such, we sought to determine if AZLI affects the CF lung microbiome and whether community constituents can be used to predict treatment responsiveness.

methodsPatients were included if they had chronic P. aeruginosa infection and repeated sputum samples collected before and after AZLI. Sputum DNA was extracted, and the V3-hypervariable region of the 16S ribosomal RNA (rRNA) gene amplified and sequenced.

resultsTwenty-four patients naïve to AZLI contributed 162 samples. The cohort had a median age of 37.1 years, and a  median FEV

conclusionsResults from our study suggest potential alternate/additional mechanisms by which AZLI functions. Moreover, our study suggests that the CF microbiota may be used as a biomarker to predict patient responsiveness to therapy suggesting the microbiome may be harnessed for the personalization of therapies.

Indexed as

Administration, InhalationAdultAnti-Bacterial AgentsAztreonamBacteriaCystic FibrosisDNA, BacterialDNA, RibosomalHumansLungMaleMicrobiotaMiddle AgedPseudomonas aeruginosaPseudomonas InfectionsQuality of LifeAnti-Bacterial AgentsAztreonamDNA, BacterialDNA, RibosomalRNA, Ribosomal, 16SAZLIFusobacteriumInhaled antibioticsMicrobiotaPrevotellaPseudomonas aeruginosa

Identifiers

PMID28476135
PMCPMC5420135
OpenAlexW2611411432

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.