Evidence map›Paper›PMID 29137638›Full record

Trial reportRespiratory research2017

Virus-triggered exacerbation in allergic asthmatic children: neutrophilic airway inflammation and alteration of virus sensors characterize a subgroup of patients.

Antoine Deschildre, Muriel Pichavant, Ilka Engelmann, Carole Langlois, Elodie Drumez, Guillaume Pouessel, Sophie Boileau, David Romero-Cubero, Irina Decleyre-Badiu, Anny Dewilde and 6 more

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04670627 (Investigation of Molecular Biomarkers Associated With Occurrence of Seasonal Allergic Rhinitis), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT04670627 completednot on this mapstarted 2021, after this paper: background citation

Investigation of Molecular Biomarkers Associated With Occurrence of Seasonal Allergic Rhinitis (AR) In and Out of Active Allergy Season

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2021 to 2023Enrolled92ConditionsSeasonal Allergic Rhinitis, Rhinovirus
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Prevalence of respiratory viruses in stable and acute asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. A Comprehensive Analysis of the Stability of Blood Eosinophil Levels.Annals of the American Thoracic Society · 2021
    Trial
  3. Dose-dependent IL-29 activation of TLR4 signalling drives eosinophil infiltration in chronic rhinosinusitis with nasal polyps.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026
    Article
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  13. How can we minimise the use of regular oral corticosteroids in asthma?European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  14. Rupintrivir reduces RV-induced TRespiratory research · 2019
    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

16 authors at 4 institutions in 1 country.

Antoine DeschildreUniversity Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, F-59000, Lille, France. Antoine.deschildre@chru-lille.fr.
Muriel PichavantUniversity Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, F-59000, Lille, France.
Ilka EngelmannCHU Lille, Service de Virologie, F-59000, Lille, France.
Carole LangloisCHU Lille, Departement de Biostatistiques, F-59000, Lille, France.
Elodie DrumezCHU Lille, Departement de Biostatistiques, F-59000, Lille, France.
Guillaume PouesselCH Roubaix, Service de Pédiatrie, Hôpital Victor Provo, F-59100, Roubaix, France.
Sophie BoileauCHU Lille, Unité de Pneumologie et Allergologie Pédiatrique, Hopital Jeanne de Flandre, F-59000, Lille, France.
David Romero-CuberoCHU Lille, Unité de Pneumologie et Allergologie Pédiatrique, Hopital Jeanne de Flandre, F-59000, Lille, France.
Irina Decleyre-BadiuCHU Lille, Unité de Pneumologie et Allergologie Pédiatrique, Hopital Jeanne de Flandre, F-59000, Lille, France.
Anny DewildeCHU Lille, Service de Virologie, F-59000, Lille, France.
Didier HoberCHU Lille, Service de Virologie, F-59000, Lille, France.
Véronique NéveUniversity Lille, EA 2694 - Santé publique: épidémiologie et qualité des soins, Département de Biostatistique, F-59000, Lille, France.
Caroline ThumerelleUniversity Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, F-59000, Lille, France.
Stéphanie LejeuneUniversity Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, F-59000, Lille, France.
Clémence MordacqUniversity Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, F-59000, Lille, France.
Philippe GossetUniversity Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, F-59000, Lille, France. philippe.gosset@pasteur-lille.fr.ORCID http://orcid.org/0000-0002-4043-6429
Centre National de la Recherche Scientifique · FRUniversité de Lille · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier de Roubaix · FR

Funding

Comité national contre les maladies respiratoires 2009Conseil Régional Nord Pas de Calais 2010Société Française d'Hypertension Artérielle (FR) 2009
6 · The paper itself

Abstract

backgroundViruses are important triggers of asthma exacerbations. They are also detected outside of exacerbation. Alteration of anti-viral response in asthmatic patients has been shown although the mechanisms responsible for this defect remain unclear. The objective of this study was to compare in virus-infected and not-infected allergic asthmatic children, aged 6 to 16 years, admitted to hospital for a severe exacerbation, the innate immune response and especially the expression of pattern recognition receptor (PRR) and their function.

methodsVirus identification was performed both during the exacerbation and at steady state (eight weeks later). Data assessed at both periods included clinical features, anti-viral response and inflammation (in sputum and plasma), and PRR expression/function in blood mononuclear cells.

resultsViruses were identified in 46 out of 72 children (median age 8.9 years) during exacerbation, and among them, in 17 at steady state. IFN-β, IFN-γ and IL-29 levels in sputum and plasma were similar between infected and not infected patients at both times, as well as the expression of TLR3, RIG-I and MDA5 in blood monocytes and dendritic cells. Airway inflammation in infected patients was characterized by significantly higher IL-5 concentration and eosinophil count. Compared to patients only infected at exacerbation, the re-infected children significantly exhibited lower levels of IFN-γ in plasma and sputum at exacerbation associated with modifications in PRR expression and function in blood mononuclear cells. These re-infected patients also presented an airway neutrophilic inflammation at steady state.

conclusionOur results reports in asthmatic children that impaired anti-viral response during virus-induced exacerbation is more pronounced in a subgroup of patients prone to re-infection by virus. This subgroup is characterized by altered PRR function and a different pattern of airway inflammation.

trial registrationThis multicenter prospective study was approved by the regional investigational review board (ref: 08/07).

Indexed as

Disease ProgressionInflammation MediatorsAdolescentAsthmaChildFemaleHumansHypersensitivityInflammationMaleNeutrophilsProspective StudiesInflammation MediatorsAllergic asthmaExacerbationInterferonPattern recognition receptorViral infection

Identifiers

PMID29137638
PMCPMC5686805
OpenAlexW2770753561

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.