Evidence map›Paper›PMID 30814584›Full record

Observational studyScientific reports2019

Neutrophil Dysfunction in the Airways of Children with Acute Respiratory Failure Due to Lower Respiratory Tract Viral and Bacterial Coinfections.

Jocelyn R Grunwell, Vincent D Giacalone, Susan Stephenson, Camilla Margaroli, Brian S Dobosh, Milton R Brown, Anne M Fitzpatrick, Rabindra Tirouvanziam

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

35 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Diverging patterns in innate immunity against respiratory viruses during a lifetime: lessons from the young and the old.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  5. Article
  6. Article
  7. RNA Sequencing Analysis of CD4Critical care explorations · 2023
    Article
  8. Review
  9. Pathobiology, Severity, and Risk Stratification of Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2023
    Review
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

8 authors at 1 institution in 1 country.

Jocelyn R GrunwellEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA. jgrunwe@emory.edu.
Vincent D GiacaloneEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.
Susan StephensonEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.
Camilla MargaroliEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.
Brian S DoboshEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.ORCID 0000-0003-1537-7188
Milton R BrownEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.
Anne M FitzpatrickEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.
Rabindra TirouvanziamEmory University School of Medicine, Department of Pediatrics, Atlanta, GA, USA.ORCID 0000-0003-3526-9985
Emory University · US

Funding

Atlanta Pediatric Scholars ProgramK12HD072245 · NICHD · EMORY UNIVERSITY · PI Shari Barkin · 2012 to 2026
$5.5M
NICHD NIH HHS K12 HD072245
6 · The paper itself

Abstract

Neutrophils are recruited to the airways of patients with acute respiratory distress syndrome (ARDS) where they acquire an activated pro-survival phenotype with an enhanced respiratory burst thought to contribute to ARDS pathophysiology. Our in vitro model enables blood neutrophil transepithelial migration into cell-free tracheal aspirate fluid from patients to recapitulate the primary airway neutrophil phenotype observed in vivo. Neutrophils transmigrated through our model toward airway fluid from children with lower respiratory viral infections coinfected with bacteria had elevated levels of neutrophil activation markers but paradoxically exhibited an inability to kill bacteria and a defective respiratory burst compared with children without bacterial coinfection. The airway fluid from children with bacterial coinfections had higher levels of neutrophil elastase activity, as well as myeloperoxidase levels compared to children without bacterial coinfection. Neutrophils transmigrated into the aspirate fluid from children with bacterial coinfection showed decreased respiratory burst and killing activity against H. influenzae and S. aureus compared to those transmigrated into the aspirate fluid from children without bacterial coinfection. Use of a novel transmigration model recapitulates this pathological phenotype in vitro that would otherwise be impossible in a patient, opening avenues for future mechanistic and therapeutic research.

Indexed as

Bacterial InfectionsCoinfectionNeutrophilsRespiratory BurstRespiratory Distress SyndromeVirus DiseasesAdolescentChildChild, PreschoolFemaleHaemophilus influenzaeHumansInfantInfant, NewbornMaleRespiratory Tract Infections

Identifiers

PMID30814584
PMCPMC6393569
OpenAlexW2918903674

What OpenQuestion holds

Textmetadata
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.