Evidence map›Paper›PMID 37391405›Full record

ArticleNature communications2023

Single cell transcriptomics identifies distinct profiles in pediatric acute respiratory distress syndrome.

Tim Flerlage, Jeremy Chase Crawford, E Kaitlynn Allen, Danielle Severns, Shaoyuan Tan, Sherri Surman, Granger Ridout, Tanya Novak, Adrienne Randolph, Alina N West and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. 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
3.0field-weighted citation impact, top 9% 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, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Distinct Blood and Lung Proteins Drive Pulmonary Capillary Leak in Children With Severe Hypoxemic Respiratory Failure.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026
    Observational
  10. Unique nasal cell states induced by common pediatric respiratory viruses.bioRxiv : the preprint server for biology · 2026
    Article
  11. Article
  12. Lipoxin A4 AttenuatesJournal of inflammation research · 2026
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

11 authors at 3 institutions in 1 country.

Tim FlerlageDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.
Jeremy Chase CrawfordDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0003-4096-6048
E Kaitlynn AllenDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0002-3067-751X
Danielle SevernsDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.
Shaoyuan TanDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0002-9880-8213
Sherri SurmanDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.
Granger RidoutHartwell Center for Biotechnology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Tanya NovakDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-7115-7545
Adrienne RandolphDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-3084-3071
Alina N WestDivision of Pediatric Critical Care Medicine, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.ORCID 0000-0003-1925-437X
Paul G ThomasDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA. paul.thomas@stjude.org.ORCID 0000-0001-7955-0256
St. Jude Children's Research Hospital · USBoston Children's Hospital · USUniversity of Tennessee Health Science Center · US

Funding

Household Respiratory Virus SARS-CoV-2 Transmission and Immunity Sub-Study (HRTS)U01AI144616 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI GORDON, AUBREE L, THOMAS, PAUL G. · 2019 to 2025
$43.7M
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
A protective role for gamma delta T cells in respiratory infectionR01AI121832 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI THOMAS, PAUL G. · 2016 to 2020
$2.2M
Genetic Epidemiology of Life-Threatening Influenza Infection in ChildrenR56AI084011 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI RANDOLPH, ADRIENNE G · 2009 to 2009
$712k
NIAID NIH HHS R01 AI084011NIAID NIH HHS R01 AI121832NIAID NIH HHS R01 AI154470NIAID NIH HHS R56 AI084011NIAID NIH HHS U01 AI144616
6 · The paper itself

Abstract

Acute respiratory distress syndrome (ARDS), termed pediatric ARDS (pARDS) in children, is a severe form of acute respiratory failure (ARF). Pathologic immune responses are implicated in pARDS pathogenesis. Here, we present a description of microbial sequencing and single cell gene expression in tracheal aspirates (TAs) obtained longitudinally from infants with ARF. We show reduced interferon stimulated gene (ISG) expression, altered mononuclear phagocyte (MNP) transcriptional programs, and progressive airway neutrophilia associated with unique transcriptional profiles in patients with moderate to severe pARDS compared to those with no or mild pARDS. We additionally show that an innate immune cell product, Folate Receptor 3 (FOLR3), is enriched in moderate or severe pARDS. Our findings demonstrate distinct inflammatory responses in pARDS that are dependent upon etiology and severity and specifically implicate reduced ISG expression, altered macrophage repair-associated transcriptional programs, and accumulation of aged neutrophils in the pathogenesis of moderate to severe pARDS caused by RSV.

Indexed as

Respiratory Distress SyndromeTranscriptomeAgedChildGene Expression ProfilingHumansInfantInterferonsLeukocytosisInterferons

Identifiers

PMID37391405
PMCPMC10313703
OpenAlexW4382681216

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.