Evidence map›Paper›PMID 38949638›Full record

ArticleThe Journal of experimental medicine2024

High burden of viruses and bacterial pathobionts drives heightened nasal innate immunity in children.

Timothy A Watkins, Alex B Green, Julien A R Amat, Nagarjuna R Cheemarla, Katrin Hänsel, Richard Lozano, Sarah N Dudgeon, Gregory Germain, Marie L Landry, Wade L Schulz and 1 more

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Observational
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  7. Review
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  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Timothy A WatkinsDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-1607-1335
Alex B GreenDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0009-0004-0234-0073
Julien A R AmatDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-3154-0803
Nagarjuna R CheemarlaDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-8860-2457
Katrin HänselDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-2407-8884
Richard LozanoDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-9743-9006
Sarah N DudgeonDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0001-9073-1293
Gregory GermainDepartment of Pediatrics, Yale School of Medicine, New Haven, CT, USA.ORCID 0009-0007-8532-2605
Marie L LandryDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0001-5543-8366
Wade L SchulzDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-2048-4028
Ellen F FoxmanDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0001-9767-9942

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
IMMUNOHEMATOLOGY/TRANSFUSION MEDICINE RESEARCH TRAININGT32HL007974 · NHLBI · YALE UNIVERSITY · PI JEANNE E HENDRICKSON, Diane S Krause · 2001 to 2026
$8.1M
Short-Term Reserch Training: Students in Health SchoolsT35HL007649 · NHLBI · YALE UNIVERSITY · PI Sarwat I Chaudhry, Erica L Herzog · 1987 to 2026
$5.7M
Predoctoral Training Program in VirologyT32AI055403 · NIAID · YALE UNIVERSITY · PI KUMAR, PRITI, MOTHES, WALTHER H · 2003 to 2024
$3.6M
Gruber FoundationMercatus Center, George Mason UniversityNCATS NIH HHS UL1 TR001863NHLBI NIH HHS T32 HL007974NHLBI NIH HHS T35 HL007649NIAID NIH HHS T32 AI055403NIH HHS T32AI055403Rita Allen Foundation
6 · The paper itself

Abstract

Studies during the COVID-19 pandemic showed that children had heightened nasal innate immune responses compared with adults. To evaluate the role of nasal viruses and bacteria in driving these responses, we performed cytokine profiling and comprehensive, symptom-agnostic testing for respiratory viruses and bacterial pathobionts in nasopharyngeal samples from children tested for SARS-CoV-2 in 2021-22 (n = 467). Respiratory viruses and/or pathobionts were highly prevalent (82% of symptomatic and 30% asymptomatic children; 90 and 49% for children <5 years). Virus detection and load correlated with the nasal interferon response biomarker CXCL10, and the previously reported discrepancy between SARS-CoV-2 viral load and nasal interferon response was explained by viral coinfections. Bacterial pathobionts correlated with a distinct proinflammatory response with elevated IL-1β and TNF but not CXCL10. Furthermore, paired samples from healthy 1-year-olds collected 1-2 wk apart revealed frequent respiratory virus acquisition or clearance, with mucosal immunophenotype changing in parallel. These findings reveal that frequent, dynamic host-pathogen interactions drive nasal innate immune activation in children.

Indexed as

COVID-19Immunity, InnateSARS-CoV-2AdolescentChildChild, PreschoolCoinfectionCytokinesFemaleHost-Pathogen InteractionsHumansInfantMaleNasal MucosaNasopharynxNoseCytokines

Identifiers

PMID38949638
PMCPMC11215523

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.