Evidence map›Paper›PMID 28846439›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Microbial Lineages in Sarcoidosis. A Metagenomic Analysis Tailored for Low-Microbial Content Samples.

Erik L Clarke, Abigail P Lauder, Casey E Hofstaedter, Young Hwang, Ayannah S Fitzgerald, Ize Imai, Wojciech Biernat, Bartłomiej Rękawiecki, Hanna Majewska, Anna Dubaniewicz and 7 more

Abstract readComparative Study
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Immunopathogenesis of Sarcoidosis.Seminars in respiratory and critical care medicine · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Persistent microbial infections and idiopathic pulmonary fibrosis - an insight intoFrontiers in cellular and infection microbiology · 2024
    Review
  17. Pseudomonas-dominant microbiome elicits sustained IL-1β upregulation in alveolar macrophages from lung transplant recipients.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
  18. Metagenomic next-generation sequencing for detectingFrontiers in cellular and infection microbiology · 2023
    Article
  19. Visualization of the individual blood microbiome to study the etiology of sarcoidosis.Computational and structural biotechnology journal · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Erik L Clarke1 Department of Microbiology.ORCID 0000-0002-2031-8791
Abigail P Lauder1 Department of Microbiology.
Casey E Hofstaedter2 Division of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and.
Young Hwang1 Department of Microbiology.
Ayannah S Fitzgerald3 Department of Medicine, and.
Ize Imai3 Department of Medicine, and.
Wojciech Biernat4 Department of Pathomorphology and Neuropathology and.
Bartłomiej Rękawiecki5 Department of Pulmonology, Medical University of Gdansk, Gdansk, Poland.
Hanna Majewska4 Department of Pathomorphology and Neuropathology and.
Anna Dubaniewicz5 Department of Pulmonology, Medical University of Gdansk, Gdansk, Poland.
Leslie A Litzky6 Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Michael D Feldman6 Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Kyle Bittinger2 Division of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and.
Milton D Rossman3 Department of Medicine, and.
Karen C Patterson3 Department of Medicine, and.
Frederic D Bushman1 Department of Microbiology.
Ronald G Collman3 Department of Medicine, and.

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Human Respiratory Tract Microbiome in Health, HIV Infection and HIV Lung DiseaseU01HL098957 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D, COLLMAN, RONALD G · 2009 to 2013
$3.9M
Lung Transplant Microbiome and Chronic Allograft DysfunctionR01HL113252 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D, CHRISTIE, JASON D · 2013 to 2016
$2.9M
The Lung DNA Virome in Health and DiseaseR61HL137063 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D, COLLMAN, RONALD G · 2017 to 2018
$605k
GRADS Clinical Center: Studies in Sarcoidosis and Microbiomics ResearchU01HL112712 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI COLLMAN, RONALD G, ROSSMAN, MILTON DAVID · 2012 to 2014
$469k
NHLBI NIH HHS R01 HL113252NHLBI NIH HHS R61 HL137063NHLBI NIH HHS U01 HL098957NHLBI NIH HHS U01 HL112712NIAID NIH HHS P30 AI045008
6 · The paper itself

Abstract

rationaleThe etiology of sarcoidosis is unknown, but microbial agents are suspected as triggers.

objectivesWe sought to identify bacterial, fungal, or viral lineages in specimens from patients with sarcoidosis enriched relative to control subjects using metagenomic DNA sequencing. Because DNA from environmental contamination contributes disproportionately to samples with low authentic microbial content, we developed improved methods for filtering environmental contamination.

methodsWe analyzed specimens from subjects with sarcoidosis (n = 93), control subjects without sarcoidosis (n = 72), and various environmental controls (n = 150). Sarcoidosis specimens consisted of two independent sets of formalin-fixed, paraffin-embedded lymph node biopsies, BAL, Kveim reagent, and fresh granulomatous spleen from a patient with sarcoidosis. All specimens were analyzed by bacterial 16S and fungal internal transcribed spacer ribosomal RNA gene sequencing. In addition, BAL was analyzed by shotgun sequencing of fractions enriched for viral particles, and Kveim and spleen were subjected to whole-genome shotgun sequencing. MEASUREMENTS AND MAIN

resultsIn one tissue set, fungi in the Cladosporiaceae family were enriched in sarcoidosis compared with nonsarcoidosis tissues; in the other tissue set, we detected enrichment of several bacterial lineages in sarcoidosis but not Cladosporiaceae. BAL showed limited enrichment of Aspergillus fungi. Several microbial lineages were detected in Kveim and spleen, including Cladosporium. No microbial lineage was enriched in more than one sample type after correction for multiple comparisons.

conclusionsMetagenomic sequencing revealed enrichment of microbes in single types of sarcoidosis samples but limited concordance across sample types. Statistical analysis accounting for environmental contamination was essential to avoiding false positives.

Indexed as

Biopsy, NeedleCase-Control StudiesDNA, BacterialFemaleHumansImmunohistochemistryKveim TestMaleMetagenomeMicrobiotaReference ValuesSarcoidosisSensitivity and SpecificityTissue EmbeddingDNA, Bacterialbacterial 16S ribosomal RNAfungal internal transcribed spacer ribosomal RNAmetagenomicmicrobiomesarcoidosis

Identifiers

PMID28846439
PMCPMC5768903

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Registered trials

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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.