Evidence map›Paper›PMID 40399607›Full record

ArticleNature immunology2025

A single-cell spatial chart of the airway wall reveals proinflammatory cellular ecosystems and their interactions in health and asthma.

Régis Joulia, Sara Patti, William J Traves, Lola Loewenthal, Laura Yates, Simone A Walker, Franz Puttur, May Al-Sahaf, Katherine N Cahill, Juying Lai and 4 more

Abstract read
In one paragraph

Article in Nature immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

  1. Developments in Mast Cell Research.The Journal of allergy and clinical immunology · 2026
    Review
  2. Beyond Type 2 Inflammation: Why Neutrophils Deserve a Central Role in Refractory Airway Disease.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  3. Article
  4. Review
  5. Vascular remodeling in asthma: from mechanisms to precision medicine.Current opinion in allergy and clinical immunology · 2026
    Review
  6. Review
  7. Contemporary Concise Review 2025: Asthma.Respirology (Carlton, Vic.) · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Airway epithelial heterogeneity and mucus plugging in asthmatic bronchioles.American journal of respiratory and critical care medicine · 2026
    Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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

14 authors.

Régis JouliaNational Heart and Lung Institute, Imperial College London, London, UK. r.joulia@imperial.ac.uk.ORCID http://orcid.org/0000-0002-7908-5670
Sara PattiNational Heart and Lung Institute, Imperial College London, London, UK.
William J TravesNational Heart and Lung Institute, Imperial College London, London, UK.
Lola LoewenthalNational Heart and Lung Institute, Imperial College London, London, UK.
Laura YatesNational Heart and Lung Institute, Imperial College London, London, UK.
Simone A WalkerNational Heart and Lung Institute, Imperial College London, London, UK.
Franz PutturNational Heart and Lung Institute, Imperial College London, London, UK.
May Al-SahafNational Heart and Lung Institute, Imperial College London, London, UK.
Katherine N CahillDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-8549-1835
Juying LaiDepartments of Medicine and Pediatrics, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5900-7504
Salman SiddiquiNational Heart and Lung Institute, Imperial College London, London, UK.
Joshua A BoyceDepartments of Medicine and Pediatrics, Harvard Medical School, Boston, MA, USA.
Elliot IsraelDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-2470-856X
Clare M LloydNational Heart and Lung Institute, Imperial College London, London, UK. c.lloyd@imperial.ac.uk.ORCID http://orcid.org/0000-0001-8977-6726

Funding

Therapeutic Control of Aspirin-Exacerbated Respiratory DiseaseU19AI095219 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Tanya Maria Laidlaw · 2011 to 2026
$29.1M
Kit Inhibition in Asthma (KIA)U01HL102225 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BOYCE, JOSHUA A, ISRAEL, ELLIOT · 2010 to 2012
$6.3M
Prostaglandin E2-Dependent Control of a Mast Cell IL-33/ST2 Pathway in AsthmaR01AI175149 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Joshua A Boyce · 2023 to 2026
$3.4M
British Heart Foundation (BHF) RE/18/4/34215Fondation Acteria (Acteria Foundation) Allergology 2023NHLBI NIH HHS U01 HL102225NIAID NIH HHS R01 AI175149NIAID NIH HHS U19 AI095219Wellcome TrustWellcome Trust (Wellcome) 104931/Z/14/ZWellcome Trust (Wellcome) 107059/Z/15/ZWellcome Trust (Wellcome) 220254/Z/20/ZWellcome Trust (Wellcome) 227236/Z/23/Z
6 · The paper itself

Abstract

Determining spatial location of cells within tissues gives vital insight into the interactions between resident and inflammatory cells and is a critical factor for uncoupling the mechanisms driving disease. Here, we apply single-cell spatial transcriptomics to reveal the airway wall landscape in health and during asthma. We identified proinflammatory cellular ecosystems that exist within discrete spatial niches in healthy and asthma samples. These cellular hubs are characterized by a high level of chemokine and alarmin expression, along with unique combinations of stromal cells. Mechanistically, we demonstrated that receptors, such as ACKR1, retain immune mediators locally, while amphiregulin-expressing mast cells are prominent within these proinflammatory hubs. Despite anti-inflammatory treatments, the asthma airway mucosa exhibited a distinct remodeling program within these cellular ecosystems, marked by increased proximity between key cell types. This study provides an unprecedented view of the topography of the airway wall, revealing distinct, specific ecosystems within spatial niches to target for therapeutic intervention.

Indexed as

AsthmaMast CellsRespiratory MucosaAirway RemodelingAmphiregulinCell CommunicationCellular MicroenvironmentFemaleGene Expression ProfilingHumansInflammationMaleSingle-Cell AnalysisStromal CellsTranscriptomeAmphiregulin

Identifiers

PMID40399607
PMCPMC12133579

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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.