Evidence map›Paper›PMID 40000680›Full record

ArticleScientific reports2025

Single cell analysis identifies distinct CD4 + T cells associated with the pathobiology of pediatric obesity related asthma.

David A Thompson, Yvonne B Wabara, Sarai Duran, Anna Reichenbach, Laura Chen, Kayla Collado, Changsuek Yon, John M Greally DMed, Deepa Rastogi

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Comparative response to pharmacological management of asthma in overweight/obese childrenEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. T cell dysregulation and remodeling in pediatric obesity and weight loss.bioRxiv : the preprint server for biology · 2026
    Article
  3. Review
  4. Lung NR3C1Communications biology · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

David A ThompsonDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA.
Yvonne B WabaraChildren's National Hospital, George Washington University, Washington, DC, USA.
Sarai DuranDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA.
Anna ReichenbachDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA.
Laura ChenDepartment of Pediatrics, Yale University, New Haven, CT, USA.
Kayla ColladoMontefiore Health System, Albert Einstein College of Medicine, Bronx, NY, USA.
Changsuek YonDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA.
John M Greally DMedDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA.
Deepa RastogiDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA. deepa.rastogi@einsteinmed.edu.

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
Investigating the CDC42 pathway as a novel pathway for pediatric non-atopic obesity-related asthmaR01HL141849 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI RASTOGI, DEEPA · 2019 to 2023
$2.4M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL141849NIH HHS HL141849
6 · The paper itself

Abstract

Pediatric obesity-related asthma is characterized by non-atopic T helper 1 (Th1) inflammation and steroid resistance. CDC42 upregulation in CD4 + T cells underlies Th1 inflammation but the CD4 + T cell subtype(s) with CDC42 upregulation and their contribution to steroid resistance are not known. Compared to healthy-weight asthma, obesity-alone and healthy-weight controls, single-cell transcriptomics of obese asthma CD4 + T cells revealed CDC42 upregulation in 3 clusters comprised of naïve and central memory T cells, which differed from the cluster enriched for Th1 responses that was comprised of effector T cells. NR3C1, coding for the glucocorticoid receptor, was downregulated, while genes coding for NLRP3 inflammasome were upregulated, in clusters with CDC42 upregulation and Th1 responses. Conserved genes in these clusters correlated with pulmonary function deficits in obese asthma. These findings suggest that several distinct CD4 + T cell subtypes are programmed in obese asthma for CDC42 upregulation, Th1 inflammation, and steroid resistance, and together contribute to the obese asthma phenotype.

Indexed as

AsthmaCD4-Positive T-LymphocytesPediatric ObesitySingle-Cell AnalysisAdolescentcdc42 GTP-Binding ProteinChildFemaleHumansInflammationMaleNLR Family, Pyrin Domain-Containing 3 ProteinReceptors, GlucocorticoidTh1 Cellscdc42 GTP-Binding ProteinCDC42 protein, humanNLR Family, Pyrin Domain-Containing 3 ProteinNR3C1 protein, humanReceptors, GlucocorticoidAsthmaCD4 + T cellsChildrenObesity

Identifiers

PMID40000680
PMCPMC11861978

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.