Evidence map›Paper›PMID 32514485›Full record

ArticleHeliyon2020

Airway microbial diversity is decreased in young children with cystic fibrosis compared to healthy controls but improved with CFTR modulation.

Andrea Hahn, Aszia Burrell, Emily Ansusinha, Diane Peng, Hollis Chaney, Iman Sami, Geovanny F Perez, Anastassios C Koumbourlis, Robert McCarter, Robert J Freishtat and 2 more

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Upper airway microbiota development in infants with cystic fibrosis diagnosed by newborn screen.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  4. Article
  5. Observational
  6. The Effect of CFTR Modulators on Airway Infection in Cystic Fibrosis.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Airway Inflammation and Host Responses in the Era of CFTR Modulators.International journal of molecular sciences · 2020
    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

12 authors at 4 institutions in 1 country.

Andrea HahnDivision of Infectious Diseases, Children's National Hospital, Washington, DC, USA.
Aszia BurrellCenter for Genetic Medicine Research, Children's National Research Institute, Washington, DC, USA.
Emily AnsusinhaDivision of Infectious Diseases, Children's National Hospital, Washington, DC, USA.
Diane PengGeorge Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Hollis ChaneyDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Iman SamiDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Geovanny F PerezDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Anastassios C KoumbourlisDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Robert McCarterCenter for Translational Research, Children's National Research Institute, Washington, DC, USA.
Robert J FreishtatCenter for Genetic Medicine Research, Children's National Research Institute, Washington, DC, USA.
Keith A CrandallComputational Biology Institute, Department of Biostatistics and Bioinformatics, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Edith T ZemanickDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Children's National · USGeorge Washington University · USMilken Institute · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
K12 Career Development Program: Omics of Pediatric Lung Diseases in DCK12HL119994 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI FREISHTAT, ROBERT J · 2013 to 2017
$1.3M
Increasing Access to Clinical Microbiome Specimens via a Living µbiome BankR21TR002513 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ALEKSEYENKO, ALEXANDER V · 2018 to 2019
$439k
NCATS NIH HHS R21 TR002513
6 · The paper itself

Abstract

backgroundCulture-independent next generation sequencing has identified diverse microbial communities within the cystic fibrosis (CF) airway. The study objective was to test for differences in the upper airway microbiome of children with CF and healthy controls and age-related differences in children with CF.

methodsOropharyngeal swabs and clinical data were obtained from 25 children with CF and 50 healthy controls aged ≤6 years. Bacterial DNA was amplified and sequenced for the V4 region of 16S rRNA marker-gene. Alpha diversity was measured using operational taxonomic units (OTUs), Shannon diversity, and the inverse Simpson's index. Beta diversity was measured using Morisita-Horn and Bray-Curtis and Jaccard distances. General linear models were used for comparison of alpha diversity measures between groups to account for differences in demographics and exposures. Mixed effects general linear models were used for longitudinal comparisons 1) between children with CF of different ages and 2) between children with CF receiving CF transmembrane conductance regulator (CFTR) modulators, children with CF not receiving CFTR modulators, and healthy controls to adjust for repeated measures per subject.

resultsChildren with CF were more likely to have received antibiotics in the prior year than healthy controls (92% vs 24%, p < 0.001). Controlling age, race, ethnicity, length of breastfeeding, and having siblings, children with CF had a lower richness than healthy controls: OTUs 62.1 vs 83, p = 0.022; and trended toward lower diversity: Shannon 2.09 vs 2.35, p = 0.057; inverse Simpson 5.7 vs 6.92, p = 0.118.

conclusionsChildren with CF have lower bacterial diversity and different composition of organisms compared with healthy controls. This appears to start in early childhood, is possibly related to the use of antibiotics, and may be partially corrected with the use of CFTR modulators.

Indexed as

Cystic fibrosisEpidemiologyHealth sciencesHuman microbiomeInfectious diseaseMicrobiologyPediatricsPulmonary medicineRespiratory system

Identifiers

PMID32514485
PMCPMC7267737
OpenAlexW3031248599

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.