Evidence map›Paper›PMID 30281324›Full record

ArticleAmerican journal of respiratory and critical care medicine2019

Elastase Exocytosis by Airway Neutrophils Is Associated with Early Lung Damage in Children with Cystic Fibrosis.

Camilla Margaroli, Luke W Garratt, Hamed Horati, A Susanne Dittrich, Timothy Rosenow, Samuel T Montgomery, Dario L Frey, Milton R Brown, Carsten Schultz, Lokesh Guglani and 7 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05752019 (TAAI Erasmus Research Initiative to Fight CF), which is not on this map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
6.4field-weighted citation impact, top 3% 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.

NCT05752019 completednot on this mapstarted 2022, after this paper: background citation

TAAI Erasmus Research Initiative to Fight CF: Monitoring Inflammation in CF Lung Disease Into a New Era

TypeobservationalSponsorErasmus Medical CenterRan2022 to 2024Enrolled103ConditionsCystic Fibrosis, Lung Inflammation, Lung Infection, Lung Disease
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 83 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Immature CD10Frontiers in immunology · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Lung-kidney axis in cystic fibrosis: Early urinary markers of kidney injury correlate with neutrophil activation and worse lung function.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    Article
  13. Article
  14. Targeting neutrophil serine proteases in bronchiectasis.The European respiratory journal · 2025
    Review
  15. Neutrophil elastase activates macrophage calpain as a mechanism for phagocytic failure.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  16. Article
  17. Article
  18. Neutrophil serine proteases in cystic fibrosis: role in disease pathogenesis and rationale as a therapeutic target.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  19. Review
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 4 countries.

Camilla Margaroli1 Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Luke W Garratt3 Telethon Kids Institute, Perth, Australia.ORCID 0000-0001-9381-326X
Hamed Horati4 Department of Pediatric Pulmonology, Erasmus University Medical Center/Sophia Children's Hospital, Rotterdam, the Netherlands.
A Susanne Dittrich5 Department of Translational Pulmonology, Translational Lung Research Center, German Center for Lung Research, and.
Timothy Rosenow3 Telethon Kids Institute, Perth, Australia.ORCID 0000-0003-3727-5131
Samuel T Montgomery3 Telethon Kids Institute, Perth, Australia.
Dario L Frey5 Department of Translational Pulmonology, Translational Lung Research Center, German Center for Lung Research, and.ORCID 0000-0001-9572-9686
Milton R Brown1 Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Carsten Schultz7 Department of Physiology and Pharmacology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0002-5824-2171
Lokesh Guglani1 Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.ORCID 0000-0001-8145-0430
Anthony Kicic3 Telethon Kids Institute, Perth, Australia.ORCID 0000-0002-0008-9733
Limin Peng10 Department of Biostatistics, Emory University School of Public Health, Atlanta, Georgia.
Bob J Scholte4 Department of Pediatric Pulmonology, Erasmus University Medical Center/Sophia Children's Hospital, Rotterdam, the Netherlands.
Marcus A Mall5 Department of Translational Pulmonology, Translational Lung Research Center, German Center for Lung Research, and.
Hettie M Janssens4 Department of Pediatric Pulmonology, Erasmus University Medical Center/Sophia Children's Hospital, Rotterdam, the Netherlands.
Stephen M Stick3 Telethon Kids Institute, Perth, Australia.ORCID 0000-0002-5386-8482
Rabindra Tirouvanziam1 Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.ORCID 0000-0003-3526-9985
Emory University · USThe Kids Research Institute Australia · AUErasmus MC · NLGerman Center for Lung Research · DEHeidelberg University · DEOregon Health & Science University · US

Funding

Method Development for Survival Dynamic Regression in Chronic Disease ResearchR01HL113548 · NHLBI · EMORY UNIVERSITY · PI PENG, LIMIN · 2012 to 2021
$3.1M
Contribution of neutrophils to early airway disease in cystic fibrosis childrenR01HL126603 · NHLBI · EMORY UNIVERSITY · PI TIROUVANZIAM, RABINDRA MARIE-JEAN · 2015 to 2018
$1.7M
NHLBI NIH HHS R01 HL113548NHLBI NIH HHS R01 HL126603
6 · The paper itself

Abstract

rationaleNeutrophils are recruited to the airways of individuals with cystic fibrosis (CF). In adolescents and adults with CF, airway neutrophils actively exocytose the primary granule protease elastase (NE), whose extracellular activity correlates with lung damage. During childhood, free extracellular NE activity is measurable only in a subset of patients, and the exocytic function of airway neutrophils is unknown.

objectivesTo measure NE exocytosis by airway neutrophils in relation to free extracellular NE activity and lung damage in children with CF.

methodsWe measured lung damage using chest computed tomography coupled with the Perth-Rotterdam Annotated Grid Morphometric Analysis for Cystic Fibrosis scoring system. Concomitantly, we phenotyped blood and BAL fluid leukocytes by flow and image cytometry, and measured free extracellular NE activity using spectrophotometric and Förster resonance energy transfer assays. Children with airway inflammation linked to aerodigestive disorder were enrolled as control subjects. MEASUREMENTS AND MAIN

resultsChildren with CF but not disease control children harbored BAL fluid neutrophils with high exocytosis of primary granules, before the detection of bronchiectasis. This measure of NE exocytosis correlated with lung damage (R = 0.55; P = 0.0008), whereas the molecular measure of free extracellular NE activity did not. This discrepancy may be caused by the inhibition of extracellular NE by BAL fluid antiproteases and its binding to leukocytes.

conclusionsNE exocytosis by airway neutrophils occurs in all children with CF, and its cellular measure correlates with early lung damage. These findings implicate live airway neutrophils in early CF pathogenesis, which should instruct biomarker development and antiinflammatory therapy in children with CF.

Indexed as

Child, PreschoolCystic FibrosisExocytosisFemaleHumansInfantLung InjuryMaleNeutrophilsPancreatic ElastasePancreatic Elastaseair trappingdegranulationmucus pluggingproteolysisscavenging

Identifiers

PMID30281324
PMCPMC6444666
OpenAlexW2895592447

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.