Evidence map›Paper›PMID 29997110›Full record

ArticleAnnals of the rheumatic diseases2018

Characterisation of the nasal microbiota in granulomatosis with polyangiitis.

Rennie L Rhee, Antoine G Sreih, Catherine E Najem, Peter C Grayson, Chunyu Zhao, Kyle Bittinger, Ronald G Collman, Peter A Merkel

Abstract readEvaluation Study
In one paragraph

Article in Annals of the rheumatic diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Upper Respiratory Microbiome in Vasculitis.Rheumatic diseases clinics of North America · 2025
    Review
  4. Review
  5. Article
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  8. Article
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  11. Using a Network-Based Analysis Approach to Investigate the Involvement ofInternational journal of molecular sciences · 2023
    Article
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  16. Article
  17. Review
  18. Article
  19. Review
  20. Granulomatous Inflammation in ANCA-Associated Vasculitis.International journal of molecular sciences · 2021
    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

8 authors at 3 institutions in 1 country.

Rennie L RheeDivision of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Antoine G SreihDivision of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Catherine E NajemDivision of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Peter C GraysonVasculitis Translational Research Program, National Institutes of of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Chunyu ZhaoDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Kyle BittingerDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Ronald G CollmanDivision of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Peter A MerkelDivision of Rheumatology and the Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · US

Funding

Clinical Support Services for the NIAMS Intramural Research ProgramZIDAR041180 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$119.2M
Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
Lung Transplant Microbiome and Chronic Allograft DysfunctionR01HL113252 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D, CHRISTIE, JASON D · 2013 to 2016
$2.9M
Nasal Microbiome and Host Immunity in Granulomatosis with PolyangiitisK23AR071514 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI RHEE, RENNIE · 2017 to 2022
$957k
NHLBI NIH HHS R01 HL113252NIAMS NIH HHS K23 AR071514
6 · The paper itself

Abstract

objectivesPrior studies have suggested a potential link between nasal microbes and granulomatosis with polyangiitis (GPA; Wegener's), but these studies relied on culture-dependent methods. This study comprehensively examined the entire community of nasal microbiota (bacteria and fungi) in participants with GPA compared with healthy controls using deep sequencing methods.

methods16S rRNA and internal transcribed spacer gene sequencing were performed on nasal microbial DNA isolated from nasal swabs of 60 participants with GPA and 41 healthy controls. Alpha and beta diversity were assessed as well as the relative abundance of the most abundant bacterial and fungal taxa. The effects of covariates including disease activity and immunosuppressive therapies on microbial composition were evaluated.

resultsCompared with controls, participants with GPA had a significantly different microbial composition (weighted UniFrac p=0.04) and lower relative abundance of

conclusionsGPA is associated with an altered nasal microbial composition, at both the bacterial and fungal levels. Use of immunosuppressive therapies and disease remission are associated with healthy microbial communities.

Indexed as

MicrobiotaAdultAgedDNA, BacterialDNA, FungalFemaleGranulomatosis with PolyangiitisHumansImmunosuppressive AgentsMalasseziaMaleMiddle AgedNasal CavityPropionibacteriumRNA, Ribosomal, 16SStaphylococcus epidermidisDNA, BacterialDNA, FungalImmunosuppressive AgentsRNA, Ribosomal, 16Sdisease activitygranulomatosis with polyangiitisinfections

Identifiers

PMID29997110
PMCPMC6463278
OpenAlexW2884768618

What OpenQuestion holds

Textmetadata
LicenceTDM
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.