Evidence map›Paper›PMID 37029178›Full record

ArticleScientific reports2023

Lung microbiome and cytokine profiles in different disease states of COPD: a cohort study.

Qing Xue, Yu Xie, Yukun He, Yan Yu, Guiju Fang, Wenyi Yu, Jianhui Wu, Jiwei Li, Lili Zhao, Xinyu Deng and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
8.3field-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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  9. Why the COPD Microbiome Matters: How Airway Microbes Shape Disease Severity and Treatment Response.International journal of chronic obstructive pulmonary disease · 2026
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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

14 authors at 4 institutions in 1 country.

Qing Xue *The Third Clinical Medical College, Fujian Medical University, Ningde Municipal Hospital, Ningde, Fujian, China.
Yu Xie *Department of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Yukun He *Department of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Yan Yu *Department of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Guiju FangThe Third Clinical Medical College, Fujian Medical University, Ningde Municipal Hospital, Ningde, Fujian, China.
Wenyi YuDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Jianhui WuThe Third Clinical Medical College, Fujian Medical University, Ningde Municipal Hospital, Ningde, Fujian, China.
Jiwei LiDepartment of Respiratory, Critical Care, and Sleep Medicine, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361101, China.
Lili ZhaoDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Xinyu DengThe Third Clinical Medical College, Fujian Medical University, Ningde Municipal Hospital, Ningde, Fujian, China.
Ran LiDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Fang WangDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China.
Yali ZhengDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China. yali_zheng@126.com.
Zhancheng GaoDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing, 100044, China. zcgao@bjmu.edu.cn.
Peking University People's Hospital · CNFujian Medical University · CNPeking University · CNXiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing evidence indicates that respiratory tract microecological disorders may play a role in the pathogenesis of chronic obstructive pulmonary disease (COPD). Understanding the composition of the respiratory microbiome in COPD and its relevance to respiratory immunity will help develop microbiome-based diagnostic and therapeutic approaches. One hundred longitudinal sputum samples from 35 subjects with acute exacerbation of COPD (AECOPD) were analysed for respiratory bacterial microbiome using 16S ribosomal RNA amplicon sequencing technology, and the sputum supernatant was analysed for 12 cytokines using a Luminex liquid suspension chip. Unsupervised hierarchical clustering was employed to evaluate the existence of distinct microbial clusters. In AECOPD, the respiratory microbial diversity decreased, and the community composition changed significantly. The abundances of Haemophilus, Moraxella, Klebsiella, and Pseudomonas increased significantly. Significant positive correlations between the abundance of Pseudomonas and TNF-α, abundance of Klebsiella and the percentage of eosinophils were observed. Furthermore, COPD can be divided into four clusters based on the respiratory microbiome. AECOPD-related cluster was characterized by the enrichment of Pseudomonas and Haemophilus and a high level of TNF-α. Lactobacillus and Veillonella are enriched in therapy-related phenotypes and may play potential probiotic roles. There are two inflammatory endotypes in the stable state: Gemella is associated with the Th2 inflammatory endotypes, whereas Prevotella is associated with the Th17 inflammatory endotypes. Nevertheless, no differences in clinical manifestations were found between these two endotypes. The sputum microbiome is associated with the disease status of COPD, allowing us to distinguish different inflammatory endotypes. Targeted anti-inflammatory and anti-infective therapies may improve the long-term prognosis of COPD.

Indexed as

MicrobiotaPulmonary Disease, Chronic ObstructiveCohort StudiesDisease ProgressionHaemophilusHumansLungSputumTumor Necrosis Factor-alphaTumor Necrosis Factor-alpha

Identifiers

PMID37029178
PMCPMC10080507
OpenAlexW4362697975

What OpenQuestion holds

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LicenceCC BY
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.