Evidence map›Paper›PMID 37604313›Full record

ArticleThe Journal of allergy and clinical immunology2023

Functional immunophenotyping of blood neutrophils identifies novel endotypes of viral response in preschool children with recurrent wheezing.

Anne M Fitzpatrick, Ahmad F Mohammad, Min Huang, Susan T Stephenson, James Patrignani, Rishikesan Kamaleswaran, Jocelyn R Grunwell

Open access · bronzeAbstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Asthma Phenotypes and Biomarkers.Respiratory care · 2025
    Review
  4. Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life Course.American journal of respiratory and critical care medicine · 2024
    Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Anne M FitzpatrickDepartment of Pediatrics, Emory University, Atlanta, Ga; Division of Pulmonary Medicine, Children's Healthcare of Atlanta, Atlanta, Ga. Electronic address: anne.fitzpatrick@emory.edu.
Ahmad F MohammadDepartment of Pediatrics, Emory University, Atlanta, Ga.
Min HuangDepartment of Biomedical Informatics, Emory University, Atlanta, Ga.
Susan T StephensonDepartment of Pediatrics, Emory University, Atlanta, Ga.
James PatrignaniDepartment of Pediatrics, Emory University, Atlanta, Ga.
Rishikesan KamaleswaranDepartment of Biomedical Informatics, Emory University, Atlanta, Ga.
Jocelyn R GrunwellDepartment of Pediatrics, Emory University, Atlanta, Ga; Division of Critical Care Medicine, Children's Healthcare of Atlanta, Atlanta, Ga.
Emory University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Phenotypes and Endotypes of Preschool WheezeR01NR017939 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2019 to 2023
$2.5M
Mentored patient-oriented research in preschool wheezing disordersK24NR018866 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2020 to 2024
$625k
NCATS NIH HHS UL1 TR002378NINR NIH HHS K24 NR018866NINR NIH HHS R01 NR017939
6 · The paper itself

Abstract

backgroundPreschool children with recurrent wheezing are heterogeneous, with differing responses to respiratory viral infections. Although neutrophils are crucial for host defense, their function has not been studied in this population.

objectiveWe performed functional immunophenotyping on isolated blood neutrophils from 52 preschool children with recurrent wheezing (aeroallergen sensitization, n = 16; no sensitization, n = 36).

methodsBlood neutrophils were purified and cultured overnight with polyinosinic:polycytidylic acid [poly(I:C)] as a viral analog stimulus. Neutrophils underwent next-generation sequencing with Reactome pathway analysis and were analyzed for cytokine secretion, apoptosis, myeloperoxidase, and extracellular DNA release. CD14

resultsA total of 495 genes, related largely to the innate immune system and neutrophil degranulation, were differently expressed in children with versus without aeroallergen sensitization. Functional experiments identified more neutrophil degranulation and extracellular trap formation (ie, more myeloperoxidase and extracellular DNA) and less neutrophil proinflammatory cytokine secretion in children with aeroallergen sensitization. Neutrophils also shifted CD14

conclusionsSystemic neutrophil responses to viral infection differ by allergic phenotype and may be less effective in preschool children without allergic inflammation. Further studies of neutrophil function are needed in this population, which often has less favorable therapeutic responses to inhaled corticosteroids and other therapies directed at type 2-high inflammation.

Indexed as

NeutrophilsRespiratory SoundsAllergensChild, PreschoolCytokinesDNAHumansImmunophenotypingInflammationPeroxidaseAllergensCytokinesDNAPeroxidaseAsthmaendotypeinnate immunityneutrophilneutrophil extracellular trapnext generation sequencingphenotyperespiratory infectionRNA-Seqsensitizationviruswheezing

Identifiers

PMID37604313
PMCPMC10841272
OpenAlexW4386003842

What OpenQuestion holds

Textmetadata
LicenceTDM
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.