Evidence map›Paper›PMID 29528197›Full record

ArticlePediatric pulmonology2018

Divergent transcriptional profiles in pediatric asthma patients of low and high socioeconomic status.

Gregory E Miller, Edith Chen, Madeleine U Shalowitz, Rachel E Story, Adam K K Leigh, Paula Ham, Jesusa M G Arevalo, Steve W Cole

Open access · greenAbstract read
In one paragraph

Article in Pediatric pulmonology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Atopic Dermatitis Across Shades of Skin.American journal of clinical dermatology · 2023
    Review
  2. Structural Racism and the Social Determinants of Health in Asthma.Advances in experimental medicine and biology · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Structural racism and its pathways to asthma and atopic dermatitis.The Journal of allergy and clinical immunology · 2021
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Asthma.Pediatrics in review · 2019
    Review
  14. Review
  15. Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Gregory E MillerDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, Illinois.ORCID 0000-0002-7217-1082
Edith ChenDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, Illinois.
Madeleine U ShalowitzNorthShore University Health Systems, University of Chicago, Pritzker School of Medicine, Chicago, Illinois.
Rachel E StoryNorthShore University Health Systems, University of Chicago, Pritzker School of Medicine, Chicago, Illinois.
Adam K K LeighDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, Illinois.
Paula HamDepartment of Psychology and Institute for Policy Research, Northwestern University, Evanston, Illinois.
Jesusa M G ArevaloDivision of Hematology-Oncology, UCLA AIDS Institute, Molecular Biology Institute, Jonsson Comprehensive Cancer Center, and Norman Cousins Center, UCLA School of Medicine, Los Angeles, California.
Steve W ColeDivision of Hematology-Oncology, UCLA AIDS Institute, Molecular Biology Institute, Jonsson Comprehensive Cancer Center, and Norman Cousins Center, UCLA School of Medicine, Los Angeles, California.
Northwestern University · USMolecular Oncology (United States) · USNorthShore University HealthSystem · US

Funding

Childhood Origins of CHD Disparities: Neural & Immune PathwaysR01HL122328 · NHLBI · NORTHWESTERN UNIVERSITY · PI MILLER, GREGORY EVAN · 2015 to 2018
$3.1M
Multi-Level Understanding of Social Contributors to SES Disparities in AsthmaR01HL108723 · NHLBI · NORTHWESTERN UNIVERSITY · PI CHEN, EDITH · 2012 to 2016
$2.0M
NHLBI NIH HHS R01 HL108723NHLBI NIH HHS R01 HL122328
6 · The paper itself

Abstract

aimThere are marked socioeconomic disparities in pediatric asthma control, but the molecular origins of these disparities are not well understood. To fill this gap, we performed genome-wide expression profiling of monocytes and T-helper cells from pediatric asthma patients of lower and higher socioeconomic status (SES).

methodNinety-nine children with asthma participated in a cross-sectional assessment. Out of which 87% were atopic, and most had disease of mild (54%) or moderate (29%) severity. Children were from lower-SES (n = 49; household income <$50 000) or higher-SES (n = 50; household income >$140 000) families. Peripheral blood monocytes and T-helper cells were isolated for genome-wide expression profiling of mRNA.

resultsLower-SES children had worse asthma quality of life relative to higher-SES children, by both their own and their parents' reports. Although the groups had similar disease severity and potential confounds were controlled, their transcriptional profiles differed notably. The monocytes of lower-SES children showed transcriptional indications of up-regulated anti-microbial and pro-inflammatory activity. The T-helper cells of lower-SES children also had comparatively reduced expression of genes encoding γ-interferon and tumor necrosis factor-α, cytokines that orchestrate Type 1 responses. They also showed up-regulated activity of transcription factors that polarize cells towards Type 2 responses and promote Th17 cell maturation.

conclusionCollectively, these patterns implicate pro-inflammatory monocytes and Type 2 cytokine activity as mechanisms contributing to worse asthma control among lower-SES children.

Indexed as

AdolescentAsthmaChildCross-Sectional StudiesCytokinesFemaleHumansMaleMonocytesQuality of LifeSocial ClassT-Lymphocytes, Helper-InducerTranscriptomeCytokinesasthmacytokineshealth disparitiespediatrics

Identifiers

PMID29528197
PMCPMC5992048
OpenAlexW2792107333

What OpenQuestion holds

Textmetadata
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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.