Evidence map›Paper›PMID 29467332›Full record

ArticleJCI insight2018

Chronic β2AR stimulation limits CFTR activation in human airway epithelia.

John J Brewington, Jessica Backstrom, Amanda Feldman, Elizabeth L Kramer, Jessica D Moncivaiz, Alicia J Ostmann, Xiaoting Zhu, L Jason Lu, John P Clancy

Abstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. TGF-β induces excessive pulmonary IL-6 secretion in cystic fibrosis via PI3K.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  4. Update on the Role of β2AR and TRPV1 in Respiratory Diseases.International journal of molecular sciences · 2024
    Review
  5. Heterogeneity in Neutrophil Extracellular Traps from Healthy Human Subjects.International journal of molecular sciences · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Receptor-mediated activation of CFTR via prostaglandin signaling pathways in the airway.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Neutrophil extracellular traps activate IL-8 and IL-1 expression in human bronchial epithelia.American journal of physiology. Lung cellular and molecular physiology · 2020
    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

9 authors.

John J BrewingtonDivision of Pulmonary Medicine, Department of Pediatrics, and.
Jessica BackstromDivision of Pulmonary Medicine, Department of Pediatrics, and.
Amanda FeldmanDivision of Pulmonary Medicine, Department of Pediatrics, and.
Elizabeth L KramerDivision of Pulmonary Medicine, Department of Pediatrics, and.
Jessica D MoncivaizDivision of Pulmonary Medicine, Department of Pediatrics, and.
Alicia J OstmannDivision of Pulmonary Medicine, Department of Pediatrics, and.
Xiaoting ZhuDivision of Biomedical Informatics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
L Jason LuDivision of Biomedical Informatics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
John P ClancyDivision of Pulmonary Medicine, Department of Pediatrics, and.

Funding

A Network-based Approach to Associate HDL Subspeciation with FunctionR01HL111829 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI LU, LONG · 2012 to 2016
$2.6M
Ruth L. Kirschstein National Research Service Award Short-Term Institutional ReseT35HL113229 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI Raouf S. Amin, WILLIAM DAVID HARDIE · 2012 to 2026
$922k
NHLBI NIH HHS R01 HL111829NHLBI NIH HHS T35 HL113229
6 · The paper itself

Abstract

Traditional pulmonary therapies for cystic fibrosis (CF) target the downstream effects of CF transmembrane conductance regulator (CFTR) dysfunction (the cause of CF). Use of one such therapy, β-adrenergic bronchodilators (such as albuterol), is nearly universal for airway clearance. Conversely, novel modulator therapies restore function to select mutant CFTR proteins, offering a disease-modifying treatment. Recent trials of modulators targeting F508del-CFTR, the most common CFTR mutation, suggest that chronic β-agonist use may undermine clinical modulator benefits. We therefore sought to understand the impact of chronic or excess β-agonist exposure on CFTR activation in human airway epithelium. The present studies demonstrate a greater than 60% reduction in both wild-type and modulator-corrected F508del-CFTR activation following chronic exposure to short- and long-acting β-agonists. This reduction was due to reduced cellular generation of cAMP downstream of the β-2 adrenergic receptor-G protein complex. Our results point towards a posttranscriptional reduction in adenylyl cyclase function as the mechanism of impaired CFTR activation produced by prolonged β-agonist exposure. β-Agonist-induced CFTR dysfunction was sufficient to abrogate VX809/VX770 modulation of F508del-CFTR in vitro. Understanding the clinical relevance of our observations is critical for CF patients using these drugs, and for investigators to inform future CFTR modulator drug trials.

Indexed as

Adrenergic beta-2 Receptor AgonistsAlbuterolAminophenolsAminopyridinesBenzodioxolesCell LineCiliaCyclic AMPCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDrug InteractionsEpithelial CellsHumansMutationQuinolonesRespiratory MucosaAdrenergic beta-2 Receptor AgonistsAlbuterolAminophenolsAminopyridinesBenzodioxolesCFTR protein, humanCyclic AMPCystic Fibrosis Transmembrane Conductance RegulatorivacaftorlumacaftorQuinolonesCell BiologyChloride channelsCyclic nucleotidesEpithelial transport of ions and waterPulmonology

Identifiers

PMID29467332
PMCPMC5916247

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.