Evidence map›Paper›PMID 33033192›Full record

ArticleScience (New York, N.Y.)2020

Neutrophilic inflammation in the respiratory mucosa predisposes to RSV infection.

Maximillian S Habibi, Ryan S Thwaites, Meiping Chang, Agnieszka Jozwik, Allan Paras, Freja Kirsebom, Augusto Varese, Amber Owen, Leah Cuthbertson, Phillip James and 7 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01349543 (The Development of a Human Model of Respiratory Syncytial Virus Infection), which is not on this map. Cited by 107 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 2 pooled it
14.8field-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.

NCT01349543 nacompletednot on this map

The Development of a Human Model of Respiratory Syncytial Virus Infection

TypeinterventionalSponsorImperial College LondonRan2011 to 2014Enrolled58ConditionsRespiratory Syncytial Virus Infections, Respiratory Viral InfectionsArmsRSV A Memphis 37
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 2 syntheses or guidelines pooled it, 181 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  2. Frontiers in immunology · 2021
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Injectable natural hydrogel-loaded TaCommunications chemistry · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Nasopharyngeal Microbiota in South African Infants With Lower Respiratory Tract Infection: A Nested Case-Control Study of the Drakenstein Child Health Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Sex Differences in Asthma Pathogenesis.Immunological reviews · 2026
    Review
  18. Article
  19. Article
  20. The role of virus in nasal inflammation.European journal of medical research · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 2 institutions in 2 countries.

Maximillian S Habibi *National Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-9883-2603
Ryan S Thwaites *National Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0003-3052-2793
Meiping ChangMerck & Co., Inc., Kenilworth, NJ, USA.
Agnieszka JozwikNational Heart and Lung Institute, Imperial College London, London, UK.
Allan ParasNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-7427-2138
Freja KirsebomNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0003-4585-319X
Augusto VareseNational Heart and Lung Institute, Imperial College London, London, UK.
Amber OwenNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-5656-1814
Leah CuthbertsonNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-9604-2269
Phillip JamesNational Heart and Lung Institute, Imperial College London, London, UK.
Tanushree TunstallNational Heart and Lung Institute, Imperial College London, London, UK.
David NickleGenetics & Pharmacogenomics, Department of Translational Medicine, Merck & Co., Inc., Boston, MA, USA.
Trevor T HanselNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0003-3786-8105
Miriam F MoffattNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-7623-5840
Cecilia JohanssonNational Heart and Lung Institute, Imperial College London, London, UK. p.openshaw@imperial.ac.uk c.chiu@imperial.ac.uk c.johansson@imperial.ac.uk.ORCID 0000-0002-6607-5000
Christopher Chiu *Department of Infectious Disease, Imperial College London, London, UK. p.openshaw@imperial.ac.uk c.chiu@imperial.ac.uk c.johansson@imperial.ac.uk.ORCID 0000-0003-0914-920X
Peter J M Openshaw *National Heart and Lung Institute, Imperial College London, London, UK. p.openshaw@imperial.ac.uk c.chiu@imperial.ac.uk c.johansson@imperial.ac.uk.ORCID 0000-0002-7220-2555
Imperial College London · GBMerck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

Medical Research Council G0902266Medical Research Council MR/R005982/1Medical Research Council MR/R502121/1Medical Research Council MR/T50256X/1Wellcome Trust 087805Wellcome Trust 090382Wellcome Trust 109058
6 · The paper itself

Abstract

The variable outcome of viral exposure is only partially explained by known factors. We administered respiratory syncytial virus (RSV) to 58 volunteers, of whom 57% became infected. Mucosal neutrophil activation before exposure was highly predictive of symptomatic RSV disease. This was associated with a rapid, presymptomatic decline in mucosal interleukin-17A (IL-17A) and other mediators. Conversely, those who resisted infection showed presymptomatic activation of IL-17- and tumor necrosis factor-related pathways. Vulnerability to infection was not associated with baseline microbiome but was reproduced in mice by preinfection chemokine-driven airway recruitment of neutrophils, which caused enhanced disease mediated by pulmonary CD8

Indexed as

Neutrophil ActivationRespiratory Syncytial VirusesAdolescentAdultAnimalsCD4 Lymphocyte CountCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChemokine CXCL1HumansInflammationInterleukin-17MiceMice, Inbred C57BLMiddle AgedNasal MucosaChemokine CXCL1Interleukin-17Tumor Necrosis Factor-alpha

Identifiers

PMID33033192
PMCPMC7613218
OpenAlexW3092564396

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.