Evidence map›Paper›PMID 35031416›Full record

Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2022

Lower viral loads in subjects with rhinovirus-challenged allergy despite reduced innate immunity.

Xin Feng, Monica G Lawrence, Spencer C Payne, Jose Mattos, Elaine Etter, Julie A Negri, Deborah Murphy, Joshua L Kennedy, John W Steinke, Larry Borish

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02910401 (Clinical Response to Rhinovirus Challenge in Human Asthmatics), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT02910401 phase2completednot on this map

Clinical Response to Rhinovirus Challenge in Human Asthmatics

TypeinterventionalSponsorUniversity of VirginiaRan2016 to 2022Enrolled38ConditionsAsthma, Allergic RhinitisArmsRhinovirus (GMP RV16 HRV-16)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. The role of virus in nasal inflammation.European journal of medical research · 2025
    Review
  7. Unveiling the prevalence and impact of silent rhinovirus infection in chronic rhinosinusitis with nasal polyps.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. T-cell responses in asthma exacerbations.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Review
  12. T-helper 2 mechanisms involved in human rhinovirus infections and asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Review
  13. Article
  14. 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 2 countries.

Xin FengDepartment of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, Shandong, People's Republic of China.
Monica G LawrenceDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia; Department of Pediatrics, University of Virginia Health System, Charlottesville, Virginia.
Spencer C PayneDepartment of Otolaryngology, University of Virginia Health System, Charlottesville, Virginia.
Jose MattosDepartment of Otolaryngology, University of Virginia Health System, Charlottesville, Virginia.
Elaine EtterDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Julie A NegriDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Deborah MurphyDepartment of Pediatrics, University of Virginia Health System, Charlottesville, Virginia.
Joshua L KennedyDepartment of Pediatrics and Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Hospital Research Institute, Little Rock, Arkansas.
John W SteinkeDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Larry BorishDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia; Department of Microbiology, University of Virginia Health System, Charlottesville, Virginia. Electronic address: lb4m@virginia.edu.
University of Virginia Health System · USArkansas Children's Hospital · USQilu Hospital of Shandong University · CN

Funding

An Evaluation of Treatment with Omalizumab to Improve the Asthmatic Response to aU01AI100799 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYMANN, PETER W, PLATTS-MILLS, THOMAS A. · 2012 to 2015
$5.3M
Clinical response to rhinovirus challenge in human asthmaticsU01AI123337 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C · 2016 to 2020
$3.6M
Lung rhinovirus (RV) infection identifies pre-school children with type 2 inflammation at risk for the development of asthmaR21AI151496 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C, TEAGUE, WILLIAM GERALD · 2020 to 2021
$444k
Clinical immune response to rhinovirus challenge in human asthmaticsR56AI120055 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C · 2015 to 2015
$386k
Protracted clinical and inflammatory response to rhinovirus challenge in human asthmaticsR56AI158519 · NIAID · UNIVERSITY OF VIRGINIA · PI BORISH, LARRY C · 2022 to 2022
$323k
NIAID NIH HHS R21 AI151496NIAID NIH HHS R56 AI120055NIAID NIH HHS R56 AI158519NIAID NIH HHS U01 AI100799NIAID NIH HHS U01 AI123337
6 · The paper itself

Abstract

backgroundViral infections, especially those caused by rhinovirus, are the most common cause of asthma exacerbations. Previous studies have argued that impaired innate antiviral immunity and, as a consequence, more severe infections contribute to these exacerbations.

objectiveThese studies explored the innate immune response in the upper airway of volunteers with allergic rhinitis and asthma in comparison to healthy controls and interrogated how these differences corresponded to severity of infection.

methodsVolunteers with allergic rhinitis, those with asthma, and those who are healthy were inoculated with rhinovirus A16 and monitored for clinical symptoms. Tissue and nasal wash samples were evaluated for antiviral signature and viral load.

resultsBoth subjects with allergic rhinitis and asthma were found to have more severe cold symptoms. Subjects with asthma had worsened asthma control and increased bronchial hyperreactivity in the setting of higher fractional exhaled breath nitric oxide and blood eosinophils. These studies confirmed reduced expression of interferons and virus-specific pattern recognition receptors in both cohorts with atopy. Nevertheless, despite this defect in innate immunity, volunteers with allergic rhinitis/asthma had reduced rhinovirus concentrations in comparison to the controls.

conclusionThese results confirm that the presence of an allergic inflammatory disorder of the airway is associated with reduced innate immune responsive to rhinovirus infection. Despite this, these volunteers with allergy have reduced viral loads, arguing for the presence of a compensatory mechanism to clear the infection.

trial registrationClinicalTrials.gov Identifier: NCT02910401.

Indexed as

AsthmaPicornaviridae InfectionsRhinitis, AllergicHumansImmunity, InnateRhinovirusViral Load

Identifiers

PMID35031416
PMCPMC10666001
OpenAlexW4205163363

What OpenQuestion holds

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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.