Evidence map›Paper›PMID 30675371›Full record

ArticleNPJ biofilms and microbiomes

Microbiome networks and change-point analysis reveal key community changes associated with cystic fibrosis pulmonary exacerbations.

Mehdi Layeghifard, Hannah Li, Pauline W Wang, Sylva L Donaldson, Bryan Coburn, Shawn T Clark, Julio Diaz Caballero, Yu Zhang, D Elizabeth Tullis, Yvonne C W Yau and 3 more

Open access · goldAbstract read
In one paragraph

Article in NPJ biofilms and microbiomes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. HS-AssociatedMicroorganisms · 2025
    Article
  4. Article
  5. Article
  6. Infection and the microbiome in bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  7. Observational
  8. Article
  9. Longitudinal changes in the cystic fibrosis airway microbiota with time and treatment.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Article
  10. The presence of cystic fibrosis-related diabetes modifies the sputum microbiome in cystic fibrosis disease.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  11. Article
  12. Lung microbiome: new insights into bronchiectasis' outcome.Frontiers in cellular and infection microbiology · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Microbial Dysregulation of the Gut-Lung Axis in Bronchiectasis.American journal of respiratory and critical care medicine · 2023
    Article
  18. Article
  19. Article
  20. Exploring the Cystic Fibrosis Lung Microbiome: Making the Most of a Sticky Situation.Journal of the Pediatric Infectious Diseases Society · 2022
    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

13 authors at 3 institutions in 1 country.

Mehdi Layeghifard1Department of Cell and Systems Biology, University of Toronto, Toronto, ON Canada.
Hannah Li2Department of Biochemistry, University of Toronto, Toronto, ON Canada.
Pauline W Wang1Department of Cell and Systems Biology, University of Toronto, Toronto, ON Canada.
Sylva L Donaldson3Centre for the Analysis of Genome Evolution and Function, University of Toronto, Toronto, ON Canada.
Bryan Coburn4Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON Canada.
Shawn T Clark5Latner Thoracic Surgery Laboratories, University Health Network, University of Toronto, Toronto, ON Canada.
Julio Diaz Caballero1Department of Cell and Systems Biology, University of Toronto, Toronto, ON Canada.
Yu Zhang5Latner Thoracic Surgery Laboratories, University Health Network, University of Toronto, Toronto, ON Canada.
D Elizabeth Tullis6Adult Cystic Fibrosis Clinic, St. Michael's Hospital, Toronto, ON Canada.
Yvonne C W Yau7Department of Pediatric Laboratory Medicine, Microbiology, The Hospital for Sick Children, Toronto, ON Canada.
Valerie Waters9Division of Infectious Diseases, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON Canada.
David M Hwang4Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON Canada.
David S Guttman1Department of Cell and Systems Biology, University of Toronto, Toronto, ON Canada.ORCID 0000-0001-8479-3869
University of Toronto · CAUniversity Health Network · CASt. Michael's Hospital · CA

Funding

CIHR
6 · The paper itself

Abstract

Over 90% of cystic fibrosis (CF) patients die due to chronic lung infections leading to respiratory failure. The decline in CF lung function is greatly accelerated by intermittent and progressively severe acute pulmonary exacerbations (PEs). Despite their clinical impact, surprisingly few microbiological signals associated with PEs have been identified. Here we introduce an unsupervised, systems-oriented approach to identify key members of the microbiota. We used two CF sputum microbiome data sets that were longitudinally collected through periods spanning baseline health and PEs. Key taxa were defined based on three strategies: overall relative abundance, prevalence, and co-occurrence network interconnectedness. We measured the association between changes in the abundance of the key taxa and changes in patient clinical status over time via change-point detection, and found that taxa with the highest level of network interconnectedness tracked changes in patient health significantly better than taxa with the highest abundance or prevalence. We also cross-sectionally stratified all samples into the clinical states and identified key taxa associated with each state. We found that network interconnectedness most strongly delineated the taxa among clinical states, and that anaerobic bacteria were over-represented during PEs. Many of these anaerobes are oropharyngeal bacteria that have been previously isolated from the respiratory tract, and/or have been studied for their role in CF. The observed shift in community structure, and the association of anaerobic taxa and PEs lends further support to the growing consensus that anoxic conditions and the subsequent growth of anaerobic microbes are important predictors of PEs.

Indexed as

MicrobiotaBacteriaCanadaChildCystic FibrosisHumansLongitudinal StudiesMetagenomicsPneumoniaSputum

Identifiers

PMID30675371
PMCPMC6341074
OpenAlexW2909684888

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.