Evidence map›Paper›PMID 39365167›Full record

ArticleCritical care explorations2024

RNA Sequencing Analysis of Monocytes Exposed to Airway Fluid From Children With Pediatric Acute Respiratory Distress Syndrome.

Jocelyn R Grunwell, Min Huang, Susan T Stephenson, Mallory Tidwell, Michael J Ripple, Anne M Fitzpatrick, Rishikesan Kamaleswaran

Abstract read
In one paragraph

Article in Critical care explorations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Jocelyn R GrunwellDepartment of Pediatrics/Division of Critical Care Medicine, Egleston Hospital, Children's Healthcare of Atlanta, Atlanta, GA.
Min HuangDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA.
Susan T StephensonDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA.
Mallory TidwellDepartment of Pediatrics/Division of Critical Care Medicine, Egleston Hospital, Children's Healthcare of Atlanta, Atlanta, GA.
Michael J RippleDepartment of Pediatrics/Division of Critical Care Medicine, Egleston Hospital, Children's Healthcare of Atlanta, Atlanta, GA.
Anne M FitzpatrickDepartment of Pediatrics/Division of Critical Care Medicine, Egleston Hospital, Children's Healthcare of Atlanta, Atlanta, GA.
Rishikesan KamaleswaranDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA.

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
Longitudinal Analysis of Blood and Airway Immune Response: Precision Medicine forR01HL171627 · NHLBI · EMORY UNIVERSITY · PI Jocelyn Rebecca Grunwell · 2024 to 2026
$1.6M
Airway Immune Response in Critically Ill Children-Precision Medicine in Children At Risk for Acute Respiratory Distress SyndromeK23HL151897 · NHLBI · EMORY UNIVERSITY · PI GRUNWELL, JOCELYN REBECCA · 2020 to 2024
$888k
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 K23 HL151897NHLBI NIH HHS R01 HL171627NINR NIH HHS K24 NR018866
6 · The paper itself

Abstract

objectivesMonocytes are plastic cells that assume different polarization states that can either promote inflammation or tissue repair and inflammation resolution. Polarized monocytes are partially defined by their transcriptional profiles that are influenced by environmental stimuli. The airway monocyte response in pediatric acute respiratory distress syndrome (PARDS) is undefined. To identify differentially expressed genes and networks using a novel transcriptomic reporter assay with donor monocytes exposed to the airway fluid of intubated children with and at-risk for PARDS. To determine differences in gene expression at two time points using the donor monocyte assay exposed to airway fluid from intubated children with PARDS obtained 48-96 hours following initial tracheal aspirate sampling.

designIn vitro pilot study carried out using airway fluid supernatant.

settingAcademic 40-bed PICU.

participantsFifty-seven children: 44 children with PARDS and 13 children at-risk for PARDS.

interventionsNone. MEASUREMENTS AND MAIN

resultsWe performed bulk RNA sequencing using a transcriptomic reporter assay of monocytes exposed to airway fluid from intubated children to discover gene networks differentiating PARDS from at-risk for PARDS and those differentiating mild/moderate from severe PARDS. We also report differences in gene expression in children with PARDS 48-96 hours following initial tracheal aspirate sampling. We found that interleukin (IL)-10, IL-4, and IL-13, cytokine/chemokine signaling, and the senescence-associated secretory phenotype are upregulated in monocytes exposed to airway fluid from intubated children with PARDS compared with those at-risk for PARDS. Signaling by NOTCH, histone deacetylation/acetylation, DNA methylation, chromatin modifications (B-WICH complex), and RNA polymerase I transcription and its associated regulatory apparatus were upregulated in children with PARDS 48-96 hours following initial tracheal aspirate sampling.

conclusionsWe identified gene networks important to the PARDS airway immune response using bulk RNA sequencing from a monocyte reporter assay that exposed monocytes to airway fluid from intubated children with and at-risk for PARDS. Mechanistic investigations are needed to validate our findings.

Indexed as

MonocytesRespiratory Distress SyndromeSequence Analysis, RNAChildChild, PreschoolFemaleHumansInfantMalePilot Projects

Identifiers

PMID39365167
PMCPMC11458172

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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.