Evidence map›Paper›PMID 30283438›Full record

ArticleFrontiers in immunology2018

Inflammatory Endotypes and Microbial Associations in Chronic Rhinosinusitis.

Michael Hoggard, Sharon Waldvogel-Thurlow, Melissa Zoing, Kevin Chang, Fiona J Radcliff, Brett Wagner Mackenzie, Kristi Biswas, Richard G Douglas, Michael W Taylor

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. A Review on the Nasal Microbiome and Various Disease Conditions for Newer Approaches to Treatments.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Microbiome of Unilateral Chronic Rhinosinusitis: A Controlled Paired Analysis.International journal of environmental research and public health · 2021
    Article
  18. Review
  19. [Advances in the study of chronic sinusitis microbiology using 16SrRNA gene sequencing technology].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Review
  20. 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 at 3 institutions in 1 country.

Michael HoggardSchool of Biological Sciences, The University of Auckland, Auckland, New Zealand.
Sharon Waldvogel-ThurlowSchool of Medicine, The University of Auckland, Auckland, New Zealand.
Melissa ZoingSchool of Medicine, The University of Auckland, Auckland, New Zealand.
Kevin ChangDepartment of Statistics, Statistical Consulting Centre, The University of Auckland, Auckland, New Zealand.
Fiona J RadcliffSchool of Medical Sciences, The University of Auckland, Auckland, New Zealand.
Brett Wagner MackenzieSchool of Medicine, The University of Auckland, Auckland, New Zealand.
Kristi BiswasSchool of Medicine, The University of Auckland, Auckland, New Zealand.
Richard G DouglasSchool of Medicine, The University of Auckland, Auckland, New Zealand.
Michael W TaylorSchool of Biological Sciences, The University of Auckland, Auckland, New Zealand.
University of Auckland · NZMaurice Wilkins Centre · NZStatistics New Zealand · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A complex mix of inflammatory and microbial associations underscores the chronic inflammatory condition chronic rhinosinusitis (CRS), and the etiology remains poorly understood. Recent work has begun to delineate between variants (endotypes) of CRS on the basis of inflammatory biomarkers. This study aimed to assess inflammatory patterns in CRS phenotypes, identify putative endotypes of CRS, and to assess inflammatory associations with the sinonasal microbiota. Ten cytokines and six inflammatory cell types were assessed in mucosal biopsies from 93 CRS subjects and 17 controls via cytometric bead array and immunohistochemical techniques. Putative endotypes were identified via cluster analysis of subjects on the basis of inflammatory markers and comorbidities including polyposis, asthma, and aspirin sensitivity. Finally, previously published bacterial data for this cohort were reanalyzed to evaluate associations with inflammatory markers and CRS subtypes. Inflammatory patterns were highly variable within standard CRS phenotypes. Cluster analysis identified eight subject clusters, with strong delineation on the basis of polyposis and asthma, but also subtle distinctions in inflammatory markers. An association was also identified between depletion of several "health-associated" bacterial taxa, reduced bacterial diversity and increased overall bacterial load, with markers of inflammation and clinical severity. This study contributes to ongoing efforts to define distinct endotypes of CRS on the basis of underlying inflammatory processes, and also offers compelling evidence of a link between bacterial community dysbiosis and inflammation in CRS. Further resolving the heterogeneity of CRS is vital to inform clinical management and personalized treatment approaches.

Indexed as

AdultAgedAged, 80 and overBacteriaChronic DiseaseCytokinesFemaleGenetic VariationHumansInflammationMaleMicrobiotaMiddle AgedNasal PolypsPhenotypeRhinitisCytokineschronic rhinosinusitiscluster analysisdysbiosisendotypesinflammationmicrobiotaphenotypes

Identifiers

PMID30283438
PMCPMC6157407
OpenAlexW2892092899

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.