Evidence map›Paper›PMID 37968635›Full record

ArticleRespiratory research2023

Leveraging transcriptomics to develop bronchopulmonary dysplasia endotypes: a concept paper.

Alvaro G Moreira, Tanima Arora, Shreyas Arya, Caitlyn Winter, Charles T Valadie, Przemko Kwinta

Abstract read
In one paragraph

Article in Respiratory research, 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
–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

5 citing papers in PubMed.

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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

6 authors.

Alvaro G MoreiraDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA. MoreiraA@uthscsa.edu.
Tanima Arora *Department of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Shreyas AryaDivision of Neonatology, Dayton Children's Hospital, Cincinnati, OH, USA.
Caitlyn WinterDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Charles T ValadieDepartment of Pediatrics, Division of Neonatology, University of Texas Health San Antonio, San Antonio, TX, USA.
Przemko KwintaNeonatal Intensive Care Unit, Department of Pediatrics, Jagiellonian University Medical College, Kraków, Poland.

Funding

Translational Approaches to Health Disparities in Lung, Sleep, and PandemicsR25HL126140 · NHLBI · UNIVERSITY OF ARIZONA · PI FRANCISCO A MORENO, JANKO Z. NIKOLICH · 2014 to 2026
$4.6M
Genomic determinants of bronchopulmonary dysplasia development in humans and an animal modelK23HD101701 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MOREIRA, ALVARO G · 2021 to 2024
$652k
NHLBI NIH HHS R25 HL126140NICHD NIH HHS K23 HD101701
6 · The paper itself

Abstract

impactBronchopulmonary dysplasia has multiple definitions that are currently based on phenotypic characteristics. Using an unsupervised machine learning approach, we created BPD subclasses (e.g., endotypes) by clustering whole microarray data. T helper 17 cell differentiation was the most significant pathway differentiating the BPD endotypes.

introductionBronchopulmonary dysplasia (BPD) is the most common complication of extreme prematurity. Discovery of BPD endotypes in an unbiased format, derived from the peripheral blood transcriptome, may uncover patterns underpinning this complex lung disease.

methodsAn unsupervised agglomerative hierarchical clustering approach applied to genome-wide expression of profiling from 62 children at day of life five was used to identify BPD endotypes. To identify which genes were differentially expressed across the BPD endotypes, we formulated a linear model based on least-squares minimization with empirical Bayes statistics.

resultsFour BPD endotypes (A, B,C,D) were identified using 7,319 differentially expressed genes. Across BPD endotypes, 5,850 genes had a p value < 0.05 after multiple comparison testing. Endotype A consisted of neonates with a higher gestational age and birthweight. Endotypes B-D included neonates between 25 and 26 weeks and a birthweight range of 640 to 940 g. Endotype D appeared to have a protective role against BPD compared to Endotypes B and C (36% vs. 62% vs. 60%, respectively). The most significant pathway focused on T helper 17 cell differentiation.

conclusionBioinformatic analyses can help identify BPD endotypes that associate with clinical definitions of BPD.

Indexed as

Bronchopulmonary DysplasiaBayes TheoremBirth WeightChildHumansInfant, NewbornInfant, PrematureTranscriptome

Identifiers

PMID37968635
PMCPMC10648631

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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.