Evidence map›Paper›PMID 30320550›Full record

ArticleeLife2018

Trajectories of childhood immune development and respiratory health relevant to asthma and allergy.

Howard Hf Tang, Shu Mei Teo, Danielle Cm Belgrave, Michael D Evans, Daniel J Jackson, Marta Brozynska, Merci Mh Kusel, Sebastian L Johnston, James E Gern, Robert F Lemanske and 6 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Machine learning-derived asthma and allergy trajectories in children: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
  3. Allergic sensitization and respiratory infection in infancy-Too early for two-hits on lung function?Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  4. [The function of circular RNA-microRNA-messenger RNA immune regulatory network in childhood allergic asthma].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  5. Article
  6. Microbiome-Immune Interactions in Allergy and Asthma.The journal of allergy and clinical immunology. In practice · 2022
    Review
  7. Review
  8. One march, many paths: Insights into allergic march trajectories.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
  9. Article
  10. Preventing the development of asthma: stopping the allergic march.Current opinion in allergy and clinical immunology · 2019
    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

16 authors at 8 institutions in 3 countries.

Howard Hf TangCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Victoria, Australia.ORCID http://orcid.org/0000-0001-6422-0270
Shu Mei TeoCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Victoria, Australia.
Danielle Cm BelgraveDepartment of Paediatrics, Imperial College London, London, United Kingdom.
Michael D EvansCambridge Baker Systems Genomics Initiative, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.ORCID http://orcid.org/0000-0001-7449-3993
Daniel J JacksonUniversity of Wisconsin School of Medicine and Public Health, Madison, United States.
Marta BrozynskaCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Victoria, Australia.
Merci Mh KuselTelethon Kids Institute, University of Western Australia, Perth, Australia.
Sebastian L JohnstonAirway Disease Infection Section, MRC & Asthma UK Centre in Allergic Mechanisms of Asthma, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
James E GernUniversity of Wisconsin School of Medicine and Public Health, Madison, United States.
Robert F LemanskeUniversity of Wisconsin School of Medicine and Public Health, Madison, United States.
Angela SimpsonDivision of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, United Kingdom.
Adnan CustovicDepartment of Paediatrics, Imperial College London, London, United Kingdom.ORCID http://orcid.org/0000-0001-5218-7071
Peter D SlyTelethon Kids Institute, University of Western Australia, Perth, Australia.
Patrick G HoltTelethon Kids Institute, University of Western Australia, Perth, Australia.
Kathryn E HoltBio21 Molecular Science and Biotechnology Institute, The University of Melbourne, Victoria, Australia.
Michael InouyeCambridge Baker Systems Genomics Initiative, Baker Heart and Diabetes Institute, Victoria, Australia.ORCID http://orcid.org/0000-0001-9413-6520
Baker Heart and Diabetes Institute · AUUniversity of Wisconsin–Madison · USImperial College London · GBThe University of Queensland · AUAsthma UK · GBThe Kids Research Institute Australia · AUUniversity of London · GBUniversity of Manchester · GB

Funding

Virus-Bacterial Interactions and Exacerba of AsthmaP01HL070831 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI GERN, JAMES E. · 2002 to 2017
$31.3M
British Heart Foundation RG/13/13/30194Medical Research Council G0601361Medical Research Council MR/K002449/1Medical Research Council MR/L003120/1Medical Research Council MR/M015181/1National Health and Medical Research Council 1049539National Health and Medical Research Council PhD ScholarshipNHLBI NIH HHS P01 HL070831
6 · The paper itself

Abstract

Events in early life contribute to subsequent risk of asthma; however, the causes and trajectories of childhood wheeze are heterogeneous and do not always result in asthma. Similarly, not all atopic individuals develop wheeze, and vice versa. The reasons for these differences are unclear. Using unsupervised model-based cluster analysis, we identified latent clusters within a prospective birth cohort with deep immunological and respiratory phenotyping. We characterised each cluster in terms of immunological profile and disease risk, and replicated our results in external cohorts from the UK and USA. We discovered three distinct trajectories, one of which is a high-risk 'atopic' cluster with increased propensity for allergic diseases throughout childhood. Atopy contributes varyingly to later wheeze depending on cluster membership. Our findings demonstrate the utility of unsupervised analysis in elucidating heterogeneity in asthma pathogenesis and provide a foundation for improving management and prevention of childhood asthma.

Indexed as

AsthmaAustraliaChildChild, PreschoolFemaleHumansHypersensitivityImmune SystemInfantMaleRespiratory SystemRisk Factorsallergybioinformaticscomputational biologyhumanimmune developmentrespiratory diseasesystems biology

Identifiers

PMID30320550
PMCPMC6221547
OpenAlexW2896182890

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.