Evidence map›Paper›PMID 35570583›Full record

ArticleAllergy2022

Nontypeable Haemophilus influenzae infection of pulmonary macrophages drives neutrophilic inflammation in severe asthma.

Jodie Ackland, Clair Barber, Ashley Heinson, Adnan Azim, David W Cleary, Myron Christodoulides, Ramesh J Kurukulaaratchy, Peter Howarth, Tom M A Wilkinson, Karl J Staples and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Bridging Rare to Common Diseases: Precision Medicine and the Transforming Landscape of Pediatric Allergy and Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. In Asthma, Change Is the Only Constant.American journal of respiratory and critical care medicine · 2025
    Article
  11. Article
  12. Sputum microbiota and inflammatory subtypes in asthma, COPD, and its overlap.The journal of allergy and clinical immunology. Global · 2024
    Article
  13. Article
  14. Review
  15. Microbiology spectrum · 2023
    Article
  16. Article
  17. Review
  18. Aerosolization inhalation of non-typeableFrontiers in microbiology · 2023
    Article
  19. 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

11 authors at 4 institutions in 2 countries.

Jodie AcklandClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.ORCID 0000-0003-3120-3620
Clair BarberClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.ORCID 0000-0001-5335-5129
Ashley HeinsonClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Adnan AzimClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.ORCID 0000-0001-5960-1159
David W ClearyClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Myron ChristodoulidesClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Ramesh J KurukulaaratchyClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Peter HowarthClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Tom M A WilkinsonClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Karl J StaplesClinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.ORCID 0000-0003-3844-6457
WATCH study investigators
University Hospital Southampton NHS Foundation Trust · GBUniversity of Southampton · GBSouthampton General Hospital · GBWorld Water Watch · US

Funding

Department of Health
6 · The paper itself

Abstract

backgroundNontypeable Haemophilus influenzae (NTHi) is a respiratory tract pathobiont that chronically colonizes the airways of asthma patients and is associated with severe, neutrophilic disease phenotypes. The mechanism of NTHi airway persistence is not well understood, but accumulating evidence suggests NTHi can persist within host airway immune cells such as macrophages. We hypothesized that NTHi infection of pulmonary macrophages drives neutrophilic inflammation in severe asthma.

methodsBronchoalveolar lavage (BAL) samples from 25 severe asthma patients were assessed by fluorescence in situ hybridisation to quantify NTHi presence. Weighted gene correlation network analysis (WGCNA) was performed on RNASeq data from NTHi-infected monocyte-derived macrophages to identify transcriptomic networks associated with NTHi infection.

resultsNTHi was detected in 56% of BAL samples (NTHi+) and was associated with longer asthma duration (34 vs 22.5 years, p = .0436) and higher sputum neutrophil proportion (67% vs 25%, p = .0462). WGCNA identified a transcriptomic network of immune-related macrophage genes significantly associated with NTHi infection, including upregulation of T17 inflammatory mediators and neutrophil chemoattractants IL1B, IL8, IL23 and CCL20 (all p < .05). Macrophage network genes SGPP2 (p = .0221), IL1B (p = .0014) and GBP1 (p = .0477) were more highly expressed in NTHi+ BAL and moderately correlated with asthma duration (IL1B; rho = 0.41, p = .041) and lower prebronchodilator FEV1/FVC% (GBP1; rho = -0.43, p = .046 and IL1B; rho = -0.42, p = .055).

conclusionsNTHi persistence with pulmonary macrophages may contribute to chronic airway inflammation and T17 responses in severe asthma, which can lead to decreased lung function and reduced steroid responsiveness. Identifying therapeutic strategies to reduce the burden of NTHi in asthma could improve patient outcomes.

Indexed as

AsthmaHaemophilus InfectionsHaemophilus influenzaeHumansInflammationInterleukin-8Macrophages, AlveolarInterleukin-8asthmainflammationmacrophageneutrophilNTHiT17 responses

Identifiers

PMID35570583
PMCPMC9796932
OpenAlexW4280636457

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.