Evidence map›Paper›PMID 33654282›Full record

ArticlePediatric research2021

Inflammation in children with cystic fibrosis: contribution of bacterial production of long-chain fatty acids.

Erin Felton, Aszia Burrell, Hollis Chaney, Iman Sami, Anastassios C Koumbourlis, Robert J Freishtat, Keith A Crandall, Andrea Hahn

Open access · hybridAbstract read
In one paragraph

Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Importance of beta-lactam pharmacokinetics and pharmacodynamics on the recovery of microbial diversity in the airway of persons with cystic fibrosis.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 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

8 authors at 3 institutions in 1 country.

Erin FeltonSchool of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
Aszia BurrellCenter for Genetic Medicine Research, Children's National Research Institute, 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.
Anastassios C KoumbourlisDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Robert J FreishtatCenter for Genetic Medicine Research, Children's National Research Institute, Washington, DC, USA.
Keith A CrandallDepartment of Biostatistics and Bioinformatics, Computational Biology Institute, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Andrea HahnCenter for Genetic Medicine Research, Children's National Research Institute, Washington, DC, USA. alhahn@childrensnational.org.ORCID http://orcid.org/0000-0002-5117-0080
Children's National · USGeorge Washington University · USMilken Institute · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
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 TR002513NCATS NIH HHS UL1 TR001876
6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) affects >70,000 people worldwide, yet the microbiologic trigger for pulmonary exacerbations (PExs) remains unknown. The objective of this study was to identify changes in bacterial metabolic pathways associated with clinical status.

methodsRespiratory samples were collected at hospital admission for PEx, end of intravenous (IV) antibiotic treatment, and follow-up from 27 hospitalized children with CF. Bacterial DNA was extracted and shotgun DNA sequencing was performed. MetaPhlAn2 and HUMAnN2 were used to evaluate bacterial taxonomic and pathway relative abundance, while DESeq2 was used to evaluate differential abundance based on clinical status.

resultsThe mean age of study participants was 10 years; 85% received combination IV antibiotic therapy (beta-lactam plus a second agent). Long-chain fatty acid (LCFA) biosynthesis pathways were upregulated in follow-up samples compared to end of treatment: gondoate (p = 0.012), oleate (p = 0.048), palmitoleate (p = 0.043), and pathways of fatty acid elongation (p = 0.012). Achromobacter xylosoxidans and Escherichia sp. were also more prevalent in follow-up compared to PEx (p < 0.001).

conclusionsLCFAs may be associated with persistent infection of opportunistic pathogens. Future studies should more closely investigate the role of LCFA production by lung bacteria in the transition from baseline wellness to PEx in persons with CF. IMPACT: Increased levels of LCFAs are found after IV antibiotic treatment in persons with CF. LCFAs have previously been associated with increased lung inflammation in asthma. This is the first report of LCFAs in the airway of persons with CF. This research provides support that bacterial production of LCFAs may be a contributor to inflammation in persons with CF. Future studies should evaluate LCFAs as predictors of future PExs.

Indexed as

Achromobacter denitrificansAdolescentChildChild, PreschoolCystic FibrosisDrug Resistance, BacterialEscherichia coliFemaleHumansInfantInflammationMaleProspective Studies

Identifiers

PMID33654282
PMCPMC8370878
OpenAlexW3134900194

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.