Evidence map›Paper›PMID 31046764›Full record

Trial reportRespiratory research2019

Inflammatory responses relate to distinct bronchoalveolar lavage lipidome in community-acquired pneumonia patients: a pilot study.

Yali Zheng, Pu Ning, Qiongzhen Luo, Yukun He, Xu Yu, Xiaohui Liu, Yusheng Chen, Xiaorong Wang, Yu Kang, Zhancheng Gao

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03093220 (Molecular Typing of Adult Community-acquired Pneumonia in China), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT03093220 unknown statusnot on this map

Molecular Typing of Adult Community-acquired Pneumonia in China

TypeobservationalSponsorPeking University People's HospitalRan2017 to 2018Enrolled500ConditionsRespiratory Infections, Genetic Disorder, Community-Acquired Infections, Host-Pathogen Interactions
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Inflammasomes in respiratory diseases: from disease pathogenesis to drug development and use of multi-omics.European respiratory review : an official journal of the European Respiratory Society · 2026
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  17. Identification of Immune-Related Genes in Sepsis due to Community-Acquired Pneumonia.Computational and mathematical methods in medicine · 2021
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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

10 authors at 5 institutions in 1 country.

Yali ZhengDepartment of Pulmonary and Critical Care, Peking University People's Hospital, Beijing, China.
Pu NingDepartment of Pulmonary and Critical Care, Peking University People's Hospital, Beijing, China.
Qiongzhen LuoDepartment of Pulmonary and Critical Care, Peking University People's Hospital, Beijing, China.
Yukun HeDepartment of Pulmonary and Critical Care, Peking University People's Hospital, Beijing, China.
Xu YuDepartment of Pulmonary and Critical Care, Peking University People's Hospital, Beijing, China.
Xiaohui LiuNational Protein Science Technology Center, Tsinghua University, Beijing, China.
Yusheng ChenDepartment of Pulmonary and Critical Care, Fujian Provincial Hospital, Fuzhou, China.
Xiaorong WangDepartment of Pulmonary and Critical Care, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yu KangCAS Key Laboratory of Genome Sciences and Information, Beijing Institute of Genomics, Chinese Academy of Sciences, Beijing, China. kangy@big.ac.cn.
Zhancheng GaoDepartment of Pulmonary and Critical Care, Peking University People's Hospital, Beijing, China. zcgao@bjmu.edu.cn.ORCID http://orcid.org/0000-0002-8495-9221
Peking University · CNChinese Academy of Sciences · CNFujian Provincial Hospital · CNTsinghua University · CNUnion Hospital · CN

Funding

Ministry of Science and Technology 2016YFC0903800Ministry of Science and Technology 2017ZX10103004-006National Natural Science Foundation of China (CN) 81500005
6 · The paper itself

Abstract

backgroundCommunity-acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. Antibiotics are losing their effectiveness due to the emerging infectious diseases, the scarcity of novel antibiotics, and the contributions of antibiotic misuse and overuse to resistance. Characterization of the lipidomic response to pneumonia and exploring the "lipidomic phenotype" can provide new insight into the underlying mechanisms of pathogenesis and potential avenues for diagnostic and therapeutic treatments.

methodsLipid profiles of bronchoalveolar lavage fluid (BALF) samples were generated through untargeted lipidomic profiling analysis using high-performance liquid chromatography with mass spectrometry (HPLC-MS). Principal component analysis (PCA) was applied to identify possible sources of variations among samples. Partitioning clustering analysis (k-means) was employed to evaluate the existence of distinct lipidomic clusters.

resultsPCA showed that BALF lipidomes differed significantly between CAP (n = 52) and controls (n = 68, including 35 healthy volunteers and 33 patients with non-infectious lung diseases); while no clear separation was found between severe CAP and non-severe CAP cases. Lactosylceramides were the most prominently elevated lipid constituent in CAP. Clustering analysis revealed three separate lipid profiles; subjects in each cluster exhibited significant differences in disease severity, incidence of hypoxemia, percentages of phagocytes in BALF, and serum concentrations of albumin and total cholesterol (all p < 0.05). In addition, SM (d34:1) was negatively related to macrophage (adjusted r = - 0.462, p < 0.0001) and PE (18:1p/20:4) was positively correlated with polymorphonuclear neutrophil (PMN) percentages of BALF (adjusted r = 0.541, p < 0.0001). The 30-day mortality did not differ amongst three clusters (p < 0.05).

conclusionsOur data suggest that specific lower airway lipid composition is related to different intensities of host inflammatory responses, and may contribute to functionally relevant shifts in disease pathogenesis in CAP individuals. These findings argue for the need to tailor therapy based on specific lipid profiles and related inflammatory status.

trial registrationClinicalTrials.gov (NCT03093220). Registered on 28 March 2017 (retrospectively registered).

Indexed as

Bronchoalveolar Lavage FluidAdolescentAdultAgedAged, 80 and overBronchoalveolar LavageCommunity-Acquired InfectionsFemaleHumansInflammation MediatorsLipidomicsMaleMiddle AgedPilot ProjectsPneumonia, BacterialYoung AdultInflammation MediatorsBioactive lipidBronchoalveolar lavageCommunity-acquired pneumoniaInflammatory responseLipidomic profilePhagocyte

Identifiers

PMID31046764
PMCPMC6498485
OpenAlexW2947357555

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.