Evidence map›Paper›PMID 31844063›Full record

Trial reportNature communications2019

The upper-airway microbiota and loss of asthma control among asthmatic children.

Yanjiao Zhou, Daniel Jackson, Leonard B Bacharier, David Mauger, Homer Boushey, Mario Castro, Juliana Durack, Yvonne Huang, Robert F Lemanske, Gregory A Storch and 7 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 1 pooled it
10.3field-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

90 citing papers in PubMed, 1 synthesis or guideline pooled it, 153 citations in OpenAlex.

  1. The Human Respiratory Microbiome: Current Understandings and Future Directions.American journal of respiratory cell and molecular biology · 2023
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Review
  14. Article
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  16. Oral microbiota related to allergy in Norwegian adults.The journal of allergy and clinical immunology. Global · 2025
    Article
  17. Review
  18. Review
  19. Computational and in vitro evaluation of probiotic treatments for nasalProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  20. Microbial influencers: the airway microbiome's role in asthma.The Journal of clinical investigation · 2025
    Review

30 more citing papers are in PubMed but not listed here.

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

17 authors at 11 institutions in 2 countries.

Yanjiao ZhouDepartment of Medicine, University of Connecticut, Farmington, CT, USA.
Daniel JacksonDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53726, USA.
Leonard B BacharierDepartment of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St Louis, MO, 63110, USA.
David MaugerDepartment of Public Health Sciences, Penn State University, Hershey, PA, USA.
Homer BousheyDepartment of Medicine, University of California, San Francisco, CA, 94143, USA.
Mario CastroDepartment of Medicine, St. Louis Children's Hospital, Washington University School of Medicine, St Louis, MO, 63110, USA.
Juliana DurackDepartment of Medicine, University of California, San Francisco, CA, 94143, USA.
Yvonne HuangDepartment of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA.
Robert F LemanskeDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53726, USA.
Gregory A StorchDepartment of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St Louis, MO, 63110, USA.
George M WeinstockThe Jackson Laboratory for Genomic Medicine, Farmington, CT, 06032, USA.ORCID http://orcid.org/0000-0002-2997-4592
Kristine WylieDepartment of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St Louis, MO, 63110, USA.
Ronina CovarNational Jewish Health, Denver, CO, 80206, USA.
Anne M FitzpatrickDepartment of Pediatrics, Emory University, Atlanta, GA, 30322, USA.
Wanda PhipatanakulAsthma, Allergy and Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA.
Rachel G RobisonAnn and Robert H Lurie Children's Hospital of Chicago, Chicago, IL, 60611, USA.
Avraham BeigelmanDepartment of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St Louis, MO, 63110, USA. beigelmana@wustl.edu.
St. Louis Children's Hospital · USUniversity of California, San Francisco · USUniversity of Wisconsin–Madison · USBoston Children's Hospital · USEmory University · USJackson Laboratory · USLurie Children's Hospital · USNational Jewish Health · USPennsylvania State University · USUniversity of Connecticut · USUniversity of Michigan · US

Funding

Sputum Microbial Markers of Type 2-Low AsthmaR01AI129958 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUANG, YVONNE JEAN · 2017 to 2021
$3.6M
Corticosteroid effects on bacterial behaviors in the respiratory tractR03HL138310 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUANG, YVONNE JEAN · 2017 to 2018
$155k
NHLBI NIH HHS R03 HL138310NIAID NIH HHS R01 AI129958
6 · The paper itself

Abstract

The airway microbiome has an important role in asthma pathophysiology. However, little is known on the relationships between the airway microbiome of asthmatic children, loss of asthma control, and severe exacerbations. Here we report that the microbiota's dynamic patterns and compositions are related to asthma exacerbations. We collected nasal blow samples (n = 319) longitudinally during a clinical trial at 2 time-points within one year: randomization when asthma is under control, and at time of early loss of asthma control (yellow zone (YZ)). We report that participants whose microbiota was dominated by the commensal Corynebacterium + Dolosigranulum cluster at RD experience the lowest rates of YZs (p = 0.005) and have longer time to develop at least 2 episodes of YZ (p = 0.03). The airway microbiota have changed from randomization to YZ. A switch from the Corynebacterium + Dolosigranulum cluster at randomization to the Moraxella- cluster at YZ poses the highest risk of severe asthma exacerbation (p = 0.04). Corynebacterium's relative abundance at YZ is inversely associated with severe exacerbation (p = 0.002).

Indexed as

Administration, InhalationAsthmaCarnobacteriaceaeChildChild, PreschoolFemaleFluticasoneHost Microbial InteractionsHumansMaleMicrobiotaMoraxellaNasal MucosaProspective StudiesSeverity of Illness IndexStaphylococcusFluticasone

Identifiers

PMID31844063
PMCPMC6915697
OpenAlexW2995154691

What OpenQuestion holds

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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.