Evidence map›Paper›PMID 34266437›Full record

ArticleRespiratory research2021

Neutralization of IL-33 modifies the type 2 and type 3 inflammatory signature of viral induced asthma exacerbation.

Kristi J Warren, Jill A Poole, Jenea M Sweeter, Jane M DeVasure, John D Dickinson, R Stokes Peebles, Todd A Wyatt

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  7. Serum 17Frontiers in immunology · 2025
    Article
  8. Review
  9. Progesterone amplifies allergic inflammation and airway pathology in association with higher lung ILC2 responses.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Viral infections and chronic rhinosinusitis.The Journal of allergy and clinical immunology · 2023
    Review
  14. Article
  15. ILC3: a case of conflicted identity.Frontiers in immunology · 2023
    Review
  16. Article
  17. Review
  18. Interleukin (IL)-33 immunobiology in asthma and airway inflammatory diseases.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  19. Heterogeneity of type 2 innate lymphoid cells.Nature reviews. Immunology · 2022
    Review
  20. Review
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 4 institutions in 1 country.

Kristi J WarrenDivision of Pulmonary Medicine, Department of Internal Medicine, University of Utah Health, 26 N 1900 E, Salt Lake City, UT, 84132, USA. kristi.warren@hsc.utah.edu.ORCID http://orcid.org/0000-0003-0680-4037
Jill A PooleCritical Care and Sleep Division, Department of Internal Medicine, Pulmonary, University of Nebraska Medical Center, Omaha, USA.
Jenea M SweeterCritical Care and Sleep Division, Department of Internal Medicine, Pulmonary, University of Nebraska Medical Center, Omaha, USA.
Jane M DeVasureCritical Care and Sleep Division, Department of Internal Medicine, Pulmonary, University of Nebraska Medical Center, Omaha, USA.
John D DickinsonCritical Care and Sleep Division, Department of Internal Medicine, Pulmonary, University of Nebraska Medical Center, Omaha, USA.
R Stokes PeeblesDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University, Nashville, USA.
Todd A WyattCritical Care and Sleep Division, Department of Internal Medicine, Pulmonary, University of Nebraska Medical Center, Omaha, USA.
University of Nebraska Medical Center · USNebraska Medical Center · USUniversity of Utah · USVanderbilt University · US

Funding

Viral and Host Determinants of Infant and Childhood Allergy and AsthmaU19AI095227 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Tina V Hartert · 2011 to 2026
$34.9M
Surveillance of Agricultural Injuries in the Central States RegionsU54OH010162 · OH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI RAUTIAINEN, RISTO HEIKKI · 2011 to 2025
$23.6M
Autophagy regulates airway epithelial cell mucin secretionK08HL131992 · NHLBI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DICKINSON, JOHN DAVID · 2016 to 2020
$799k
Alcohol consumption and RSV infection in airway injuryI01BX000728 · VA · OMAHA VA MEDICAL CENTER · PI WYATT, TODD A · 2012 to 2015
–
BLR&D Research Career Scientist AwardIK6BX003781 · VA · OMAHA VA MEDICAL CENTER · PI WYATT, TODD A · 2017 to 2021
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Malondialdehyde-acetaldehyde adducts and lung injuryI01BX003635 · VA · OMAHA VA MEDICAL CENTER · PI TED RICHARD MIKULS · 2017 to 2026
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Migration and signaling in ILC2 in asthma: Male and female differencesIK2BX004219 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI WARREN, KRISTI J · 2020 to 2025
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BLRD VA I01 BX000728BLRD VA I01 BX003635BLRD VA IK2 BX004219BLRD VA IK6 BX003781NHLBI NIH HHS K08 HL131992NIAID NIH HHS U19 AI095227NIEHS NIH HHS R01 ES000728NIOSH CDC HHS U54 OH010162U.S. Department of Veterans Affairs IK2 BX4004219
6 · The paper itself

Abstract

backgroundRespiratory viral infections are one of the leading causes of need for emergency care and hospitalizations in asthmatic individuals, and airway-secreted cytokines are released within hours of viral infection to initiate these exacerbations. IL-33, specifically, contributes to these allergic exacerbations by amplifying type 2 inflammation. We hypothesized that blocking IL-33 in RSV-induced exacerbation would significantly reduce allergic inflammation.

methodsSensitized BALB/c mice were challenged with aerosolized ovalbumin (OVA) to establish allergic inflammation, followed by RSV-A2 infection to yield four treatment groups: saline only (Saline), RSV-infected alone (RSV), OVA alone (OVA), and OVA-treated with RSV infection (OVA-RSV). Lung outcomes included lung mRNA and protein markers of allergic inflammation, histology for mucus cell metaplasia and lung immune cell influx by cytospin and flow cytometry.

resultsWhile thymic stromal lymphopoietin (TSLP) and IL-33 were detected 6 h after RSV infection in the OVA-RSV mice, IL-23 protein was uniquely upregulated in RSV-infected mice alone. OVA-RSV animals varied from RSV- or OVA-treated mice as they had increased lung eosinophils, neutrophils, group 2 innate lymphoid cells (ILC2) and group 3 innate lymphoid cells (ILC3) detectable as early as 6 h after RSV infection. Neutralized IL-33 significantly reduced ILC2 and eosinophils, and the prototypical allergic proteins, IL-5, IL-13, CCL17 and CCL22 in OVA-RSV mice. Numbers of neutrophils and ILC3 were also reduced with anti-IL-33 treatment in both RSV and OVA-RSV treated animals as well.

conclusionsTaken together, our findings indicate a broad reduction in allergic-proinflammatory events mediated by IL-33 neutralization in RSV-induced asthma exacerbation.

Indexed as

Respiratory Syncytial VirusesAnimalsAsthmaFemaleInterleukin-33LymphocytesMiceMice, Inbred BALB COvalbuminRespiratory Syncytial Virus InfectionsIl33 protein, mouseInterleukin-33OvalbuminGroup 2 innate lymphoid cells (ILC2)Group 3 innate lymphoid cells (ILC3)Interleukin-23 (IL-23)Interleukin-33 (IL-33)Respiratory syncytial virus-A2 (RSV-A2)Thymic stromal lymphopoietin (TSLP)

Identifiers

PMID34266437
PMCPMC8281667
OpenAlexW3135353541

What OpenQuestion holds

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LicenceCC BY
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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.