Evidence map›Paper›PMID 32526308›Full record

ArticleThe Journal of allergy and clinical immunology2021

Bronchoalveolar lavage cytokine patterns in children with severe neutrophilic and paucigranulocytic asthma.

John W Steinke, Monica G Lawrence, W Gerald Teague, Thomas J Braciale, James T Patrie, Larry Borish

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Bronchiectasis in children: a systematic review of cytokine profile, immune cell phenotypes and microbiota in bronchoalveolar lavage fluid.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Article
  3. Article
  4. Immunotherapy for asthma.Cellular & molecular immunology · 2025
    Review
  5. Article
  6. The immunology of asthma.Nature immunology · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Protein-Protein interactive networks identified in bronchoalveolar lavage of severe compared to nonsevere asthma.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2024
    Article
  13. Review
  14. Low CD46 expression on activated CD4Frontiers in allergy · 2024
    Article
  15. Review
  16. T helper 2 cells in asthma.The Journal of experimental medicine · 2023
    Review
  17. Article
  18. Review
  19. Review
  20. Leukotriene BBiomedicines · 2022
    Article
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

6 authors at 2 institutions in 1 country.

John W SteinkeDivision of Allergy and Immunology, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Va; Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, Va.
Monica G LawrenceDivision of Allergy and Immunology, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Va.
W Gerald TeagueChild Health Research Center, Division of Respiratory Medicine, Allergy, and Immunology, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Va.
Thomas J BracialeCarter Immunology Center, University of Virginia School of Medicine, Charlottesville, Va.
James T PatrieDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Va.
Larry BorishDivision of Allergy and Immunology, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Va; Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, Va; Department of Microbiology, University of Virginia School of Medicine, Charlottesville, Va. Electronic address: lb4m@virginia.edu.
University of Virginia · USCarter Center · US

Funding

Airway redox biochemistry as a deteriminant of asthma phenotype during adolescen*U10HL109250 · NHLBI · UNIVERSITY OF VIRGINIA · PI ERZURUM, SERPIL C., GASTON, BENJAMIN · 2011 to 2016
$4.2M
Clinical response to rhinovirus challenge in human asthmaticsU01AI123337 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C · 2016 to 2020
$3.6M
Lung rhinovirus (RV) infection identifies pre-school children with type 2 inflammation at risk for the development of asthmaR21AI151496 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C, TEAGUE, WILLIAM GERALD · 2020 to 2021
$444k
Protracted clinical and inflammatory response to rhinovirus challenge in human asthmaticsR56AI158519 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C · 2022 to 2022
$323k
NHLBI NIH HHS U10 HL109250NIAID NIH HHS R21 AI151496NIAID NIH HHS R56 AI158519NIAID NIH HHS U01 AI123337
6 · The paper itself

Abstract

backgroundAsthma is a complex heterogeneous disease occurring in adults and children that is characterized by distinct inflammatory patterns. While numerous studies have been performed in adults, little is known regarding the heterogeneity of severe asthma in children, particularly inflammatory signatures involving the air spaces.

objectiveWe sought to determine the relationship of bronchoalveolar lavage (BAL) cytokine/chemokine expression patterns in children with severe therapy-resistant asthma stratified according to neutrophilic versus nonneutrophilic BAL inflammatory cell patterns.

methodsChildren with severe asthma with inadequate symptom control despite therapy underwent diagnostic bronchoscopy and BAL. Inflammatory cytokine/chemokine concentrations were determined using a multiplex protein bead assay.

resultsAnalysis of BAL constituents with an unbiased clustering approach revealed distinct cytokine/chemokine patterns, and these aligned with pathways associated with type 2 innate lymphoid cells, monocytes, neutrophil trafficking, and T effector cells. All cytokines examined (n = 27) with 1 exception (vascular endothelial growth factor) were overexpressed with BAL neutrophilia compared with nonneutrophilic asthma, and this was confirmed in a cross-validation analysis. Cytokines specifically responsible for T

conclusionsThe results demonstrate that children with refractory asthma and neutrophilic inflammation had a BAL cytokine pattern consistent with a mixed T

Indexed as

AdolescentAsthmaBronchoalveolar Lavage FluidChildChild, PreschoolCytokinesFemaleGranulocytesHumansMaleNeutrophilsCytokinesasthma heterogeneityasthma phenotypesBAL granulocyteschemokinecytokineeosinophilic asthmaneutrophilic asthmarhinovirusSevere asthma

Identifiers

PMID32526308
PMCPMC9350826
OpenAlexW3035440422

What OpenQuestion holds

Textmetadata
LicenceTDM
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.