Evidence map›Paper›PMID 36426949›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2022

Mechanisms of Corticosteroid Resistance in Type 17 Asthma.

Lingzi Hong, Tomasz Herjan, Katarzyna Bulek, Jianxin Xiao, Suzy A A Comhair, Serpil C Erzurum, Xiaoxia Li, Caini Liu

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.0field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. Prostaglandin FThe Journal of veterinary medical science · 2025
    Article
  7. Article
  8. Frequent exacerbator-a novel endotype of pediatric asthma.The Journal of allergy and clinical immunology · 2025
    Review
  9. The Effect of Wildfires on Asthma and Allergies.The journal of allergy and clinical immunology. In practice · 2025
    Review
  10. Article
  11. Calprotectin is regulated by IL-17A and induces steroid hyporesponsiveness in asthma.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Regional variations in allergen-induced airway inflammation correspond to changes in soluble guanylyl cyclase heme and expression of heme oxygenase-1.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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 1 institution in 1 country.

Lingzi HongInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.
Tomasz HerjanInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.
Katarzyna BulekInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.ORCID 0000-0001-8064-7047
Jianxin XiaoInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.
Suzy A A ComhairInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.
Serpil C ErzurumInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.
Xiaoxia LiInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.
Caini LiuInflammation and Immunity, Cleveland Clinic, Cleveland, OH; and.ORCID 0000-0002-9314-7145
Cleveland Clinic · US

Funding

Targeting pathological hyaluronan matricesP01HL103453 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI ERZURUM, SERPIL C. · 2011 to 2020
$26.8M
The role of TRAF4 E3 ligase in IL-25-mediated allergic asthmaR01HL144497 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI LIU, CAINI · 2020 to 2023
$1.6M
NHLBI NIH HHS P01 HL103453NHLBI NIH HHS R01 HL144497
6 · The paper itself

Abstract

IL-17A plays an important role in the pathogenesis of asthma, particularly the neutrophilic corticosteroid (CS)-resistant subtype of asthma. Clinical studies suggest that a subset of asthma patients, i.e., Th17/IL-17A-mediated (type 17) CS-resistant neutrophilic asthma, may improve with Th17/IL-17A pathway blockade. However, little is known about the mechanisms underlying type 17 asthma and CS response. In this article, we show that blood levels of lipocalin-2 (LCN2) and serum amyloid A (SAA) levels are positively correlated with IL-17A levels and are not inhibited by high-dose CS usage in asthma patients. In airway cell culture systems, IL-17A induces these two secreted proteins, and their induction is enhanced by CS. Furthermore, plasma LCN2 and SAA levels are increased in mice on a preclinical type 17 asthma model, correlated to IL-17A levels, and are not reduced by glucocorticoid (GC). In the mechanistic studies, we identify CEBPB as the critical transcription factor responsible for the synergistic induction of LCN2 and SAA by IL-17A and GC. IL-17A and GC collaboratively regulate CEBPB at both transcriptional and posttranscriptional levels. The posttranscriptional regulation of CEBPB is mediated in part by Act1, the adaptor and RNA binding protein in IL-17A signaling, which directly binds CEBPB mRNA and inhibits its degradation. Overall, our findings suggest that blood LCN2 and SAA levels may be associated with a type 17 asthma subtype and provide insight into the molecular mechanism of the IL-17A-Act1/CEBPB axis on these CS-resistant genes.

Indexed as

AsthmaInterleukin-17AnimalsGlucocorticoidsMiceSignal TransductionTh17 CellsGlucocorticoidsInterleukin-17

Identifiers

PMID36426949
PMCPMC9666330
OpenAlexW4298326689

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.