Evidence map›Paper›PMID 33330902›Full record

ArticleThe Journal of infectious diseases2021

Microbiome Data Enhances Predictive Models of Lung Function in People With Cystic Fibrosis.

Conan Y Zhao, Yiqi Hao, Yifei Wang, John J Varga, Arlene A Stecenko, Joanna B Goldberg, Sam P Brown

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Journal of bacteriology · 2026
    Article
  4. Article
  5. Single nucleotide variants inMicrobial genomics · 2023
    Article
  6. Article
  7. Exploring the Cystic Fibrosis Lung Microbiome: Making the Most of a Sticky Situation.Journal of the Pediatric Infectious Diseases Society · 2022
    Review
  8. Review
  9. The European respiratory journal · 2022
    Article
  10. 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

7 authors at 2 institutions in 1 country.

Conan Y ZhaoInterdisciplinary Graduate Program in Quantitative Biosciences, Georgia Institute of Technology, Atlanta, Georgia, USA.ORCID 0000-0001-5714-2286
Yiqi HaoSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, Georgia, USA.
Yifei WangSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, Georgia, USA.
John J VargaSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, Georgia, USA.
Arlene A StecenkoDivision of Pulmonary, Allergy/Immunology, Cystic Fibrosis, and Sleep, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Joanna B GoldbergDivision of Pulmonary, Allergy/Immunology, Cystic Fibrosis, and Sleep, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Sam P BrownSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, Georgia, USA.
Georgia Institute of Technology · USEmory University · US

Funding

Phages as drivers of pathogenicity: selective impacts and molecular targets of clinical Pseudomonas aeruginosa phagesR21AI143296 · NIAID · GEORGIA INSTITUTE OF TECHNOLOGY · PI BROWN, SAMUEL PAUL, WHITELEY, MARVIN · 2019 to 2020
$434k
NIAID NIH HHS R21 AI143296
6 · The paper itself

Abstract

backgroundMicrobiome sequencing has brought increasing attention to the polymicrobial context of chronic infections. However, clinical microbiology continues to focus on canonical human pathogens, which may overlook informative, but nonpathogenic, biomarkers. We address this disconnect in lung infections in people with cystic fibrosis (CF).

methodsWe collected health information (lung function, age, and body mass index [BMI]) and sputum samples from a cohort of 77 children and adults with CF. Samples were collected during a period of clinical stability and 16S rDNA sequenced for airway microbiome compositions. We use ElasticNet regularization to train linear models predicting lung function and extract the most informative features.

resultsModels trained on whole-microbiome quantitation outperformed models trained on pathogen quantitation alone, with or without the inclusion of patient metadata. Our most accurate models retained key pathogens as negative predictors (Pseudomonas, Achromobacter) along with established correlates of CF disease state (age, BMI, CF-related diabetes). In addition, our models selected nonpathogen taxa (Fusobacterium, Rothia) as positive predictors of lung health.

conclusionsThese results support a reconsideration of clinical microbiology pipelines to ensure the provision of informative data to guide clinical practice.

Indexed as

MicrobiotaAdolescentAdultBacteriaCystic FibrosisHumansLungMaleMiddle AgedModels, BiologicalPredictive Value of TestsRNA, Ribosomal, 16SSputumYoung AdultRNA, Ribosomal, 16Scystic fibrosismachine learningmicrobiome

Identifiers

PMID33330902
PMCPMC8355460
OpenAlexW3113980976

What OpenQuestion holds

Textmetadata
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.