Evidence map›Paper›PMID 32578219›Full record

ArticleAllergy2020

Impaired airway epithelial cell wound-healing capacity is associated with airway remodelling following RSV infection in severe preschool wheeze.

Cecilia K Andersson, Jua Iwasaki, James Cook, Polly Robinson, Prasad Nagakumar, Sofia Mogren, Louise Fleming, Andrew Bush, Sejal Saglani, Clare M Lloyd

Open access · hybridAbstract read
In one paragraph

Article in Allergy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life Course.American journal of respiratory and critical care medicine · 2024
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  16. Atopic Neutrophils Prevent Postviral Airway Disease.Journal of immunology (Baltimore, Md. : 1950) · 2021
    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

10 authors at 3 institutions in 3 countries.

Cecilia K AnderssonInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.ORCID 0000-0001-6450-7300
Jua IwasakiInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.
James CookInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.
Polly RobinsonInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.
Prasad NagakumarInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.
Sofia MogrenRespiratory Cell Biology, Lund University, Lund, Sweden.
Louise FlemingRespiratory Paediatrics, the Royal Brompton and Harefield NHS Trust, London, UK.
Andrew BushRespiratory Paediatrics, the Royal Brompton and Harefield NHS Trust, London, UK.ORCID 0000-0001-6756-9822
Sejal SaglaniInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.ORCID 0000-0001-5192-6418
Clare M LloydInflammation, Repair and Development Section, National Heart and Lung Institute, Imperial College, London.
Royal Brompton & Harefield NHS Foundation Trust · GBLund University · SELung Institute · US

Funding

Wellcome Trust 107059Wellcome Trust 107059/15/Z
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) causes exacerbations of asthma and preschool wheeze (PSW). However, the anti-viral and repair responses of the bronchial epithelium in children with severe therapy-resistant asthma (STRA) and PSW are poorly understood.

methodsChildren with STRA (age 12 [6-16] years), PSW (age 2 [1-5] years) and non-asthmatic controls (age 7 [2-14] years) underwent bronchoscopy with endobronchial brushings and biopsies. Anti-viral, wound injury responses were quantified in biopsies and primary bronchial epithelial cells (PBECs) in response to RSV, poly(I:C), house dust mite (HDM) or IL-33 using RT-qPCR, Luminex and live cell imaging. Collagen deposition and tissue expression of epithelial growth factor receptor (EGFR), IL-33 and receptor ST2 were investigated in bronchial biopsies.

resultsPBECs from STRA and PSW had increased TLR3 gene expression and increased secretion of anti-viral and pro-inflammatory cytokines (IFN-γ, IL-6 and IL-13) in response to RSV compared to controls. Exposure of PBECs to concomitant TLR3 agonist poly(I:C) and HDM resulted in a significant reduction in epithelial cell proliferation in PSW compared to controls. Wound-healing was also impaired in PSW compared to controls at baseline and following IL-33 stimulation. In addition, tissue EGFR expression was significantly reduced in PSW and correlated with collagen deposition in endobronchial biopsies.

conclusionsDespite increased anti-viral responses, preschool children with severe wheeze had impaired airway epithelial proliferative responses following damage. This might be connected to the low expression of EGFR in PSW which may affect epithelial function and contribute to asthma pathogenesis.

Indexed as

AsthmaRespiratory Syncytial Virus InfectionsAdolescentAirway RemodelingAnimalsChildChild, PreschoolEpithelial CellsHumansInfantRespiratory Soundsepitheliumpaediatric asthmaRSVsevere therapy-resistant asthmawheeze

Identifiers

PMID32578219
PMCPMC7613656
OpenAlexW3038042967

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.