Evidence map›Paper›PMID 39397536›Full record

ArticleThe Journal of infectious diseases2025

Transcriptomic Biomarkers Associated With Microbiological Etiology and Disease Severity in Childhood Pneumonia.

Derek J Williams, Shruti Gautam, C Buddy Creech, Natalia Jimenez, Evan J Anderson, Steven E Bosinger, Tyler Grimes, Sandra R Arnold, Jonathan A McCullers, Johannes Goll and 3 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. 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.

  1. Review
  2. Article
  3. Article
  4. Inclusion of Women, Children, the Elderly, and Individuals With Underlying Medical Conditions: Prioritizing Vulnerable Populations in Clinical Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  5. 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

13 authors.

Derek J WilliamsDepartment of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-0295-1240
Shruti GautamDepartment of Biomedical Data Science and Bioinformatics, The Emmes Company, LLC, Rockville, Maryland.
C Buddy CreechDepartment of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-8276-9053
Natalia JimenezDepartment of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee.
Evan J AndersonDepartments of Pediatrics and Medicine, Emory University School of Medicine.
Steven E BosingerDepartments of Pathology and Laboratory Medicine, Emory University, and Emory National Primate Research Center, Atlanta, Georgia.
Tyler GrimesDepartment of Biomedical Data Science and Bioinformatics, The Emmes Company, LLC, Rockville, Maryland.
Sandra R ArnoldDepartment of Pediatrics, University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital.
Jonathan A McCullersDepartment of Pediatrics, University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital.
Johannes GollDepartment of Biomedical Data Science and Bioinformatics, The Emmes Company, LLC, Rockville, Maryland.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee.
Octavio RamiloDepartment of Infectious Diseases, St Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-0565-5239
16-0036 Study Team

Funding

Risk Stratification and Decision Support to Improve Care and Outcomes in Children with PneumoniaR01AI125642 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2017 to 2021
$3.3M
Division of Microbiology and Infectious Diseases at the National Institute of Allergy and Infectious DiseasesNational Center for Immunization and Respiratory Diseases at the CDCNIAID NIH HHS HHSN272201300015CNIAID NIH HHS HHSN272201300015INIAID NIH HHS HHSN272201300018CNIAID NIH HHS HHSN272201300018INIAID NIH HHS R01 AI125642NIH HHS
6 · The paper itself

Abstract

backgroundChallenges remain in discerning microbiologic etiology and disease severity in childhood pneumonia. Defining host transcriptomic profiles during illness may facilitate improved diagnostic and prognostic approaches.

methodsUsing whole blood RNA sequencing from 222 hospitalized children with radiographic pneumonia and 45 age-matched controls, we identified differentially expressed (DE) genes that best identified children according to detected microbial pathogens (viral only vs bacterial only and typical vs atypical bacterial [with or without [±] viral co-detection]) and an ordinal measure of phenotypic severity (moderate, severe, very severe).

resultsOverall, 135 (61%) children had viral-only detections, 15 (7%) had typical bacterial detections (± viral co-detections), and 26 (12%) had atypical bacterial detections (± viral co-detections). Eleven DE genes distinguished between viral-only and bacterial-only detections. Sixteen DE genes distinguished between atypical and typical bacterial detections (± viral co-detections). Nineteen DE genes distinguished between levels of pneumonia severity, including 4 genes also identified in the viral-only versus bacterial-only model (IGHGP, PI3, CD177, RAP1GAP1) and 4 genes from the typical versus atypical bacterial model (PRSS23, IFI27, OLFM4, ABO).

conclusionsWe identified transcriptomic biomarkers associated with microbial detections and phenotypic severity in children hospitalized with pneumonia. These DE genes are promising candidates for validation and translation into diagnostic and prognostic tools.

Indexed as

PneumoniaPneumonia, BacterialPneumonia, ViralTranscriptomeBiomarkersCase-Control StudiesChildChild, PreschoolFemaleGene Expression ProfilingHumansInfantMaleSeverity of Illness IndexBiomarkersbacterialpneumoniaseverity scorestranscriptomicsviral

Identifiers

PMID39397536
PMCPMC11841634

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.