Evidence map›Paper›PMID 30477895›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2019

Urinary metabolomics reveals unique metabolic signatures in infants with cystic fibrosis.

B T Kopp, E Joseloff, D Goetz, B Ingram, S L Heltshe, D H Leung, B W Ramsey, K McCoy, D Borowitz

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01424696 (Baby Observational and Nutritional Study), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

NCT01424696 completednot on this map

Baby Observational and Nutritional Study (BONUS)

TypeobservationalSponsorSeattle Children's HospitalRan2011 to 2015Enrolled231ConditionsCystic Fibrosis, Growth Failure, Exocrine Pancreatic Insufficiency
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. [A two-stage model for predicting postoperative pulmonary infection in esophageal cancer patients].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Article
  2. Article
  3. Review
  4. Urinary tract infections in cystic fibrosis patients.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Article
  5. Article
  6. Metabolomics profiling of tobacco exposure in children with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2020
    Article
  7. Reducing False-Positive Results in Newborn Screening Using Machine Learning.International journal of neonatal screening · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

B T KoppDivision of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, OH, USA; Center for Microbial Pathogenesis, Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: Benjamin.Kopp@NationwideChildrens.org.
E JoseloffCystic Fibrosis Foundation, Bethesda, MD, USA.
D GoetzDepartment of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
B IngramMetabolon Inc., Durham, NC, USA.
S L HeltsheCystic Fibrosis Foundation Therapeutics Development Network Coordinating Center, Seattle Children's Research Institute, Seattle, WA, USA; University of Washington, Department of Pediatrics, Division of Pulmonary and Sleep Medicine, Seattle, WA, USA.
D H LeungDepartment of Pediatrics, Baylor College of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Texas Children's Hospital, Houston, TX, USA.
B W RamseyCystic Fibrosis Foundation Therapeutics Development Network Coordinating Center, Seattle Children's Research Institute, Seattle, WA, USA; University of Washington, Department of Pediatrics, Division of Pulmonary and Sleep Medicine, Seattle, WA, USA.
K McCoyDivision of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
D BorowitzCystic Fibrosis Foundation, Bethesda, MD, USA; Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Cystic Fibrosis Foundation · USNationwide Children's Hospital · USUniversity at Buffalo, State University of New York · USMetabolon (United States) · USTexas Children's Hospital · USUniversity of Washington · US

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
Baby Observational and Nutritional Study of Cystic FibrosisR01DK095738 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI BOROWITZ, DRUCY, RAMSEY, BONNIE W · 2012 to 2015
$1.6M
NIDDK NIH HHS P30 DK089507NIDDK NIH HHS R01 DK095738
6 · The paper itself

Abstract

backgroundBiologic pathways and metabolic mechanisms underpinning early systemic disease in cystic fibrosis (CF) are poorly understood. The Baby Observational and Nutrition Study (BONUS) was a prospective multi-center study of infants with CF with a primary aim to examine the current state of nutrition in the first year of life. Its secondary aim was to prospectively explore concurrent nutritional, metabolic, respiratory, infectious, and inflammatory characteristics associated with early CF anthropometric measurements. We report here metabolomics differences within the urine of these infants as compared to infants without CF.

methodsUrine metabolomics was performed for 85 infants with predefined clinical phenotypes at approximately one year of age enrolled in BONUS via Ultrahigh Performance Liquid Chromatography-Tandem Mass Spectroscopy (UPLC-MS/MS). Samples were stratified by disease status (non-CF controls (n = 22); CF (n = 63, All-CF)) and CF clinical phenotype: respiratory hospitalization (CF Resp, n = 22), low length (CF LL, n = 23), and low weight (CF LW, n = 15).

resultsGlobal urine metabolomics profiles in CF were heterogeneous, however there were distinct metabolic differences between the CF and non-CF groups. Top pathways altered in CF included tRNA charging and methionine degradation. ADCYAP1 and huntingtin were identified as predicted unique regulators of altered metabolic pathways in CF compared to non-CF. Infants with CF displayed alterations in metabolites associated with bile acid homeostasis, pentose sugars, and vitamins.

conclusionsPredicted metabolic pathways and regulators were identified in CF infants compared to non-CF, but metabolic profiles were unable to discriminate between CF phenotypes. Targeted metabolomics provides an opportunity for further understanding of early CF disease.

trial registrationUnited States ClinicalTrials.Gov registry NCT01424696 (clinicaltrials.gov).

Indexed as

MetabolomicsCystic FibrosisFemaleHumansInfantMaleMetabolic Networks and PathwaysNutritional StatusProspective StudiesBiomarkersCFMetabolites

Identifiers

PMID30477895
PMCPMC6533170
OpenAlexW2901965835

What OpenQuestion holds

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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.