Evidence map›Paper›PMID 38158284›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2024

Longitudinal changes in the cystic fibrosis airway microbiota with time and treatment.

Gisli G Einarsson, Laura J Sherrard, Joseph E Hatch, Bryan Zorn, Elinor Johnston, Clodagh McGettigan, Katherine O'Neill, Deirdre F Gilpin, Damian G Downey, Michelle Murray and 8 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Changing profile of bacterial infection and microbiome in cystic fibrosis: when to use antibiotics in the era of CFTR-modulator therapy.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  4. Review
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

18 authors at 4 institutions in 3 countries.

Gisli G EinarssonQueen's University Belfast, Belfast, United Kingdom. Electronic address: g.einarsson@qub.ac.uk.
Laura J SherrardQueen's University Belfast, Belfast, United Kingdom.
Joseph E HatchUniversity of North Carolina, Chapel Hill, NC, United States.
Bryan ZornUniversity of North Carolina, Chapel Hill, NC, United States.
Elinor JohnstonQueen's University Belfast, Belfast, United Kingdom.
Clodagh McGettiganQueen's University Belfast, Belfast, United Kingdom.
Katherine O'NeillQueen's University Belfast, Belfast, United Kingdom.
Deirdre F GilpinQueen's University Belfast, Belfast, United Kingdom.
Damian G DowneyQueen's University Belfast, Belfast, United Kingdom.
Michelle MurrayRoyal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland.
Gillian LavelleRoyal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland.
Gerry McElvaneyRoyal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland.
Matthew C WolfgangUniversity of North Carolina, Chapel Hill, NC, United States.
Richard BoucherUniversity of North Carolina, Chapel Hill, NC, United States.
Marianne S MuhlebachUniversity of North Carolina, Chapel Hill, NC, United States.
Ian BradburyFrontier Science (Scotland) Ltd., Kincraig, United Kingdom.
J Stuart ElbornQueen's University Belfast, Belfast, United Kingdom.
Michael M TunneyQueen's University Belfast, Belfast, United Kingdom.
Queen's University Belfast · GBUniversity of North Carolina at Chapel Hill · USRoyal College of Surgeons in Ireland · IEFrontier Agriculture (United Kingdom) · GB

Funding

The Mucus Transport Apparatus: Why Two Layers?P50HL084934 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOUCHER, RICHARD CHARLES · 2006 to 2010
$15.6M
The Role of Anaerobic Bacterial Infection in Cystic FibrosisR01HL092964 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOUCHER, RICHARD CHARLES · 2010 to 2013
$2.9M
NHLBI NIH HHS P50 HL084934NHLBI NIH HHS R01 HL092964
6 · The paper itself

Abstract

backgroundWhether there is any benefit in integrating culture-independent molecular analysis of the lower airway microbiota of people with cystic fibrosis into clinical care is unclear. This study determined the longitudinal trajectory of the microbiota and if there were microbiota characteristics that corresponded with response to treatment or predicted a future pulmonary exacerbation.

methodsAt least one sputum sample was collected from 149 participants enrolled in this prospective longitudinal multi-centre study and total bacterial density and microbiota community measurements were determined and compared with clinical parameters.

resultsIn 114 participants with paired samples when clinically stable, ∼8 months apart, the microbiota remained conserved between timepoints, regardless of whether participants received acute intravenous antibiotic treatment or not. In 62 participants, who presented with an acute exacerbation, a decrease in community richness correlated best with patient response to antibiotic treatment. Analysis of baseline samples from 30 participants who exacerbated within 4 months of their stable sample being collected and 72 participants who remained stable throughout the study showed that community characteristics such as lower richness at baseline may be predictive of an exacerbation in addition to several clinical parameters. However, lasso regression analysis indicated that only lung function (p = 0.014) was associated with a future exacerbation.

conclusionsThe airway microbiota remains stable over periods <1 year with modest shifts related to treatment apparent which might provide some additional insights to patient-level measurements.

Indexed as

Anti-Bacterial AgentsCystic FibrosisMicrobiotaSputumAdolescentAdultDisease ProgressionFemaleHumansLongitudinal StudiesMaleProspective StudiesRespiratory Function TestsAnti-Bacterial AgentsExacerbationsMicrobiotaPseudomonas aeruginosaRespiratory infections

Identifiers

PMID38158284
PMCPMC12829167
OpenAlexW4390350680

What OpenQuestion holds

Textmetadata
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.