Evidence map›Paper›PMID 36918038›Full record

ArticleThe Journal of allergy and clinical immunology2023

Airway transcriptome networks identify susceptibility to frequent asthma exacerbations in children.

Kieran J Phelan, Kimberly A Dill-McFarland, Arjun Kothari, R Max Segnitz, Jeff Burkle, Brittany Grashel, Seth Jenkins, Daniel Spagna, Lisa J Martin, David B Haslam and 8 more

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Distinct blood transcriptomic profiling underlying asthma establishment and exacerbation.The journal of allergy and clinical immunology. Global · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Frequent exacerbator-a novel endotype of pediatric asthma.The Journal of allergy and clinical immunology · 2025
    Review
  9. Article
  10. Review
  11. 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

18 authors.

Kieran J PhelanDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Medical Scientist Training Program, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Kimberly A Dill-McFarlandDivision of Allergy and Infectious Diseases, University of Washington, Seattle, Wash.
Arjun KothariDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
R Max SegnitzDivision of Allergy and Infectious Diseases, University of Washington, Seattle, Wash.
Jeff BurkleDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Brittany GrashelDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Seth JenkinsDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Daniel SpagnaDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Lisa J MartinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
David B HaslamDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jocelyn M BiaginiDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Maninder KalraDepartment of Pediatrics, Dayton Children's Hospital, Dayton, Ohio.
Karen S McCoyDivision of Pediatric Pulmonology, Nationwide Children's Hospital, Columbus; Ohio.
Kristie R RossDepartment of Pediatrics-Pulmonary, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Daniel J JacksonDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Tesfaye B MershaDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Matthew C AltmanDivision of Allergy and Infectious Diseases, University of Washington, Seattle, Wash; Systems Immunology Program, Benaroya Research Institute, Seattle, Wash.
Gurjit K Khurana HersheyDivison of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address: Gurjit.Hershey@cchmc.org.

Funding

Medical Scientist Training ProgramT32GM063483 · NIGMS · UNIVERSITY OF CINCINNATI · PI KHURANA HERSHEY, GURJIT K. · 2002 to 2022
$6.7M
Multi-omics of the Frequent Exacerbator AsthmaticU01AI159087 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI Gurjit K. Khurana Hershey · 2021 to 2026
$3.0M
NIAID NIH HHS U01 AI159087NIGMS NIH HHS T32 GM063483
6 · The paper itself

Abstract

backgroundFrequent asthma exacerbators, defined as those experiencing more than 1 hospitalization in a year for an asthma exacerbation, represent an important subgroup of individuals with asthma. However, this group remains poorly defined and understudied in children.

objectiveOur aim was to determine the molecular mechanisms underlying asthma pathogenesis and exacerbation frequency.

methodsWe performed RNA sequencing of upper airway cells from both frequent and nonfrequent exacerbators enrolled in the Ohio Pediatric Asthma Repository.

resultsThrough molecular network analysis, we found that nonfrequent exacerbators display an increase in modules enriched for immune system processes, including type 2 inflammation and response to infection. In contrast, frequent exacerbators showed expression of modules enriched for nervous system processes, such as synaptic formation and axonal outgrowth.

conclusionThese data suggest that the upper airway of frequent exacerbators undergoes peripheral nervous system remodeling, representing a novel mechanism underlying pediatric asthma exacerbation.

Indexed as

AsthmaPulmonary Disease, Chronic ObstructiveChildDisease ProgressionHumansInflammationNoseTranscriptomeAsthmaexacerbationfrequent exacerbatorneuronalpediatrictranscriptomics

Identifiers

PMID36918038
PMCPMC10395049

What OpenQuestion holds

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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.