Evidence map›Paper›PMID 35899844›Full record

ArticleThe Journal of infectious diseases2022

Host Respiratory Transcriptome Signature Associated with Poor Outcome in Children with Influenza-Staphylococcus aureus Pneumonia.

Carl Britto, Irina Mohorianu, Tracy Yeung, Elaine Cheung, Tanya Novak, Mark W Hall, Peter M Mourani, Scott L Weiss, Neal J Thomas, Barry Markovitz and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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

12 authors at 7 institutions in 2 countries.

Carl BrittoDepartment of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Irina MohorianuOxford Vaccine Group, Department of Paediatrics, University of Oxford, United Kingdom.ORCID 0000-0003-4863-761X
Tracy YeungDivision of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, USA.
Elaine CheungDivision of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, USA.
Tanya NovakDepartment of Anesthesia, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Mark W HallDivision of Critical Care Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
Peter M MouraniDepartment of Pediatrics, Section of Critical Care Medicine, University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock, Arkansas, USA.
Scott L WeissDivision of Critical Care, Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Neal J ThomasDepartment of Pediatrics, Penn State Hershey Children's Hospital, Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Barry MarkovitzDepartment of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA.
Adrienne G RandolphDepartment of Anesthesia, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-3084-3071
Kristin L MoffittDivision of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-4581-7199
Boston Children's Hospital · USArkansas Children's Hospital · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USNationwide Children's Hospital · USPenn State Milton S. Hershey Medical Center · USWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Immunobiology of Influenza Virus-related Critical Illness in Young HostsR01AI154470 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI RANDOLPH, ADRIENNE G, THOMAS, PAUL G. · 2020 to 2024
$4.7M
Genetic Epidemiology of Life-Threatening Influenza in ChildrenR01AI084011 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI RANDOLPH, ADRIENNE G · 2010 to 2013
$3.1M
Genes Associated with MODS in Children with Severe Acute Respiratory InfectionsR21HD095228 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI RANDOLPH, ADRIENNE G · 2018 to 2019
$445k
NIAID NIH HHS R01 AI084011NIAID NIH HHS R01 AI154470NICHD NIH HHS R21 HD095228NIH HHS R21 HD 095228
6 · The paper itself

Abstract

Respiratory coinfection of influenza with Staphylococcus aureus often causes severe disease; methicillin-resistant S. aureus (MRSA) coinfection is frequently fatal. Understanding disease pathogenesis may inform therapies. We aimed to identify host and pathogen transcriptomic (messenger RNA) signatures from the respiratory compartment of pediatric patients critically ill with influenza-S. aureus coinfection (ISAC), signatures that predict worse outcomes. Messenger RNA extracted from endotracheal aspirate samples was evaluated for S. aureus and host transcriptomic biosignatures. Influenza-MRSA outcomes were worse, but of 190 S. aureus virulence-associated genes, 6 were differentially expressed between MRSA-coinfected versus methicillin-susceptible S. aureus-coinfected patients, and none discriminated outcome. Host gene expression in patients with ISAC was compared with that in patients with influenza infection alone. Patients with poor clinical outcomes (death or prolonged multiorgan dysfunction) had relatively reduced expression of interferons and down-regulation of interferon γ-induced immune cell chemoattractants CXCL10 and CXCL11. In ISAC, airway host but not pathogen gene expression profiles predicted worse clinical outcomes.

Indexed as

CoinfectionInfluenza, HumanMethicillin-Resistant Staphylococcus aureusPneumonia, StaphylococcalStaphylococcal InfectionsChemotactic FactorsChildHumansInterferon-gammaMethicillinRNA, MessengerStaphylococcus aureusTranscriptomeChemotactic FactorsInterferon-gammaMethicillinRNA, MessengerIFN-g induced chemokinesinfluenzamRNA expressionMRSAStaphylococcus aureus

Identifiers

PMID35899844
PMCPMC10233493
OpenAlexW4288084830

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.