Evidence map›Paper›PMID 37609569›Full record

ArticleThe journal of allergy and clinical immunology. Global2023

Metabolomics identifies disturbances in arginine, phenylalanine, and glycine metabolism as differentiating features of exacerbating atopic asthma in children.

Kirsten A Cottrill, Joshua D Chandler, Seibi Kobara, Susan T Stephenson, Ahmad F Mohammad, Mallory Tidwell, Carrie Mason, Morgan Van Dresser, James Patrignani, Rishikesan Kamaleswaran and 2 more

Open access · goldAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  10. Metabolomic and immunological signatures of asthma severity in children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  11. Article
  12. L-serine metabolic regulation and host respiratory homeostasis.Frontiers in cellular and infection microbiology · 2025
    Review
  13. Article
  14. Clinical and inflammatory features of traffic-related diesel exposure in children with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  15. Metabolomic differences between exanthematous drug eruption and infectious mononucleosis.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  16. 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

12 authors at 2 institutions in 1 country.

Kirsten A CottrillDepartment of Pediatrics, Emory University, Atlanta.
Joshua D ChandlerDepartment of Pediatrics, Emory University, Atlanta.
Seibi KobaraDepartment of Biomedical Informatics, Emory University, Atlanta.
Susan T StephensonDepartment of Pediatrics, Emory University, Atlanta.
Ahmad F MohammadDepartment of Pediatrics, Emory University, Atlanta.
Mallory TidwellChildren's Healthcare of Atlanta.
Carrie MasonChildren's Healthcare of Atlanta.
Morgan Van DresserChildren's Healthcare of Atlanta.
James PatrignaniDepartment of Pediatrics, Emory University, Atlanta.
Rishikesan KamaleswaranDepartment of Pediatrics, Emory University, Atlanta.
Anne M FitzpatrickDepartment of Pediatrics, Emory University, Atlanta.
Jocelyn R GrunwellDepartment of Pediatrics, Emory University, Atlanta.
Emory University · USChildren's Healthcare of Atlanta · 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
The Emory Training Program in Lung HealthT32HL116271 · NHLBI · EMORY UNIVERSITY · PI BROWN, LOU ANN S, GUIDOT, DAVID MARSHALL · 2013 to 2022
$4.2M
Symptom clusters in children with exacerbation-prone asthmaR01NR018666 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2019 to 2023
$3.1M
Mentored patient-oriented research in preschool wheezing disordersK24NR018866 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2020 to 2024
$625k
NCATS NIH HHS UL1 TR002378NHLBI NIH HHS T32 HL116271NINR NIH HHS K24 NR018866NINR NIH HHS R01 NR018666
6 · The paper itself

Abstract

Background: Asthma exacerbations are highly prevalent in children, but only a few studies have examined the biologic mechanisms underlying exacerbations in this population. Objective: High-resolution metabolomics analyses were performed to understand the differences in metabolites in children with exacerbating asthma who were hospitalized in a pediatric intensive care unit for status asthmaticus. We hypothesized that compared with a similar population of stable outpatients with asthma, children with exacerbating asthma would have differing metabolite abundance patterns with distinct clustering profiles. Methods: A total of 98 children aged 6 through 17 years with exacerbating asthma (n = 69) and stable asthma (n = 29) underwent clinical characterization procedures and submitted plasma samples for metabolomic analyses. High-confidence metabolites were retained and utilized for pathway enrichment analyses to identify the most relevant metabolic pathways that discriminated between groups. Results: In all, 118 and 131 high-confidence metabolites were identified in positive and negative ionization mode, respectively. A total of 103 unique metabolites differed significantly between children with exacerbating asthma and children with stable asthma. In all, 8 significantly enriched pathways that were largely associated with alterations in arginine, phenylalanine, and glycine metabolism were identified. However, other metabolites and pathways of interest were also identified. Conclusion: Metabolomic analyses identified multiple perturbed metabolites and pathways that discriminated children with exacerbating asthma who were hospitalized for status asthmaticus. These results highlight the complex biology of inflammation in children with exacerbating asthma and argue for additional studies of the metabolic determinants of asthma exacerbations in children because many of the identified metabolites of interest may be amenable to targeted interventions.

Indexed as

Arginineasthma controlasthma exacerbationasthma in childrenglycineinflammationmetabolomicsphenylalaninestatus asthmaticus

Identifiers

PMID37609569
PMCPMC10443927
OpenAlexW4372218583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.