Evidence map›Paper›PMID 31483807›Full record

ArticlePloS one2019

Innate immunity ascertained from blood and tracheal aspirates of preterm newborn provides new clues for assessing bronchopulmonary dysplasia.

Patrizia Zaramella, Fabio Munari, Matteo Stocchero, Barbara Molon, Daniel Nardo, Elena Priante, Francesca Tosato, Luca Bonadies, Antonella Viola, Eugenio Baraldi

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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 2 institutions in 1 country.

Patrizia ZaramellaNeonatal Intensive Care Unit, Department of Women's and Children's Health, Padova University Hospital, Via Giustiniani, Padova, Italy.ORCID 0000-0002-7471-8379
Fabio MunariDepartment of Biomedical Sciences, University of Padova, Padova, Italy.
Matteo StoccheroPediatric Research Institute (IRP), Città della Speranza Foundation, Padova, Italy.
Barbara MolonDepartment of Biomedical Sciences, University of Padova, Padova, Italy.
Daniel NardoNeonatal Intensive Care Unit, Department of Women's and Children's Health, Padova University Hospital, Via Giustiniani, Padova, Italy.
Elena PrianteNeonatal Intensive Care Unit, Department of Women's and Children's Health, Padova University Hospital, Via Giustiniani, Padova, Italy.
Francesca TosatoDepartment of Laboratory Medicine, Padova University Hospital, Padova, Italy.
Luca BonadiesNeonatal Intensive Care Unit, Department of Women's and Children's Health, Padova University Hospital, Via Giustiniani, Padova, Italy.ORCID 0000-0001-7700-3056
Antonella ViolaDepartment of Biomedical Sciences, University of Padova, Padova, Italy.
Eugenio BaraldiNeonatal Intensive Care Unit, Department of Women's and Children's Health, Padova University Hospital, Via Giustiniani, Padova, Italy.
University of Padua · ITCittà della Speranza Foundation · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe study aimed to establish how granulocytes, monocytes and macrophages contribute to the development of bronchopulmonary dysplasia (BPD). MATERIALS AND

methodsStudy A: samples of blood and tracheal aspirates (TAs) collected from preterm newborn infants during the first 3 days of life were investigated by flow cytometry, and testing for white blood cells (WBCs), neutrophils and neutrophil extracellular traps (NETs). Maternal blood samples were also collected. Study B: data from previously-tested samples of TAs collected from preterm newborn infants were re-analyzed in the light of the findings in the new cohort.

resultsStudy A: 39 preterm newborn infants were studied. A moderate correlation emerged between maternal WBCs and neutrophils and those of their newborn in the first 3 days of life. WBCs and neutrophils correlated in the newborn during the first 8 days of life. Decision rules based on birth weight (BW) and gestational age (GA) can be used to predict bronchopulmonary dysplasia (BPD). Neutrophil levels were lower in the TAs from the newborn with the lowest GAs and BWs. Study B: after removing the effect of GA on BPD development, previously-tested newborn were matched by GA. Monocyte phenotype 1 (Mon1) levels were lower in the blood of newborn with BPD, associated with a higher ratio of Monocyte phenotype 3 (Mon3) to Mon1. Newborn infants from mothers with histological chorioamnionitis (HCA) had lower levels of classically-activated macrophages (M1) and higher levels of alternatively-activated macrophages (M2) in their TAs than newborn infants from healthy mothers.

conclusionImmune cell behavior in preterm newborn infants was examined in detail. Surprisingly, neutrophil levels were lower in TAs from the newborn with the lowest GA and BW, and no correlation emerged between the neutrophil and NET levels in TAs and the other variables measured. Interestingly, monocyte phenotype seemed to influence the onset of BPD. The rise in the ratio of Mon 3 to Mon 1 could contribute to endothelial dysfunction in BPD.

Indexed as

Immunity, InnateAdultBirth WeightBronchopulmonary DysplasiaDiscriminant AnalysisExtracellular TrapsFemaleGestational AgeHumansInfant, NewbornInfant, PrematureLeukocytesNeutrophilsPrincipal Component AnalysisTracheaYoung Adult

Identifiers

PMID31483807
PMCPMC6726193
OpenAlexW2971763104

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Registered trials

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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.