Evidence map›Paper›PMID 41159221›Full record

Observational studyPediatric pulmonology2025

Phenotype Overlap and Lung Function in Childhood Asthma: The Interaction Between T2 and Non-T2 Responses.

Lívea Gianfrancesco, Ana Paula Gaban Malheiro, Taís Nitsch Mazzola, Icléia Siqueira Barreto, André Moreno Morcillo, Milena Baptistella Grotta, José Dirceu Ribeiro, Adyléia Aparecida Dalbo Contrera Toro

Abstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Lívea GianfrancescoChild and Adolescent Health Postgraduate Program, State University of Campinas, Campinas, São Paulo, Brazil.ORCID 0000-0003-2963-8860
Ana Paula Gaban MalheiroChild and Adolescent Health Postgraduate Program, State University of Campinas, Campinas, São Paulo, Brazil.ORCID 0000-0002-7556-4893
Taís Nitsch MazzolaSchool of Medical Sciences, Center for Investigation in Pediatrics, State University of Campinas, São Paulo, Brazil.ORCID 0000-0003-4701-7734
Icléia Siqueira BarretoDepartment of Pathology, School of Medical Sciences, State University of Campinas, São Paulo, Brazil.ORCID 0000-0002-3988-6035
André Moreno MorcilloDepartment of Pediatrics, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil.ORCID 0000-0002-2088-972X
Milena Baptistella GrottaSchool of Medical Sciences, Center for Investigation in Pediatrics, State University of Campinas, São Paulo, Brazil.ORCID 0000-0002-1483-049X
José Dirceu RibeiroSchool of Medical Sciences, Center for Investigation in Pediatrics, State University of Campinas, São Paulo, Brazil.ORCID 0000-0002-3387-5642
Adyléia Aparecida Dalbo Contrera ToroSchool of Medical Sciences, Center for Investigation in Pediatrics, State University of Campinas, São Paulo, Brazil.ORCID 0000-0001-5777-1146

Funding

This study received funding from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) [Finance Code 174296] and Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) - Brasil [Process n° 2016/22102-8].
6 · The paper itself

Abstract

purposeThis study aimed to investigate the association between asthma severity, lung function and serum levels of cytokines associated with T-helper type 2 (T2) and non-T2 responses in children and adolescents.

methodsWe conducted a cross-sectional study and recruited children and adolescents (7-17 years old) with asthma. Asthma severity was classified by daily corticosteroid dosage and pulmonary function, while asthma control was assessed using the Asthma Control Test and the Child Asthma Control Test. Spirometry, blood collection for cytokine analysis (IL-4, IL-5, IL-10, IL-13, IL-17, IFNγ, TNF-α), and induced sputum collection for cellularity evaluation were performed.

resultsA total of 80 participants were included, with a mean age of 11.9 years, and 60% were male. Severe asthma was observed in 17.5%, and 15% had uncontrolled asthma. No differences in sputum cellularity were found (p = 0.509). Cytokine levels of TNF-α (p = 0.043) and IL-5 (p = 0.010) differed by asthma severity. Negative correlations were observed between cytokines (IL-4, IL-5, IL-10, IL-17) and spirometric parameters. IL-17 (p = 0.001) and IL-5 (p = 0.045) levels varied with airway obstruction, and IL-17 levels differed with bronchodilator response in FEV1 (p = 0.041).

conclusionsOur findings highlight the heterogeneity of immune responses in childhood asthma. Cytokines from both T2 and non-T2 pathways were associated with lung function impairment, underscoring the interplay of diverse immune responses in the complexity of asthma pathophysiology.

Indexed as

AsthmaAsthma-Chronic Obstructive Pulmonary Disease Overlap SyndromeCytokinesLungTh2 CellsAdministration, InhalationAdolescentBronchodilator AgentsChildCross-Sectional StudiesFemaleForced Expiratory VolumeGlucocorticoidsHumansMaleSeverity of Illness IndexBronchodilator AgentsCytokinesGlucocorticoidsasthmachildrencytokinesphenotypespirometrysputum

Identifiers

PMID41159221
PMCPMC12569744

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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.