Evidence map›Paper›PMID 41361201›Full record

ArticleScientific reports2025

People with cystic fibrosis with high sputum neutrophil elastase on elexacaftor-tezacaftor-ivacaftor exhibit worse pulmonary function and pro-inflammatory airway milieu.

Alexandre Cammarata-Mouchtouris, Diego Moncada Giraldo, Genoah L Collins, Maria M Parrilla, Susan O Kim, Sarah Mansour, Vincent D Giacalone, Kirsten A Cottrill, Rabindra Tirouvanziam, Joshua D Chandler

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

10 authors.

Alexandre Cammarata-Mouchtouris *Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Diego Moncada Giraldo *Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Genoah L CollinsDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Maria M ParrillaDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Susan O KimDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Sarah MansourDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Vincent D GiacaloneDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Kirsten A CottrillDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Rabindra Tirouvanziam *Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Joshua D Chandler *Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA. joshua.chandler@emory.edu.

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
Extracellular vesicle-driven neutrophilic inflammation in cystic fibrosis lungsR01HL159058 · NHLBI · EMORY UNIVERSITY · PI TIROUVANZIAM, RABINDRA MARIE-JEAN · 2022 to 2025
$3.0M
Neutrophil hyperexocytosis and hypochlorous acid exposure in early cystic fibrosis lung diseaseR01HL150658 · NHLBI · EMORY UNIVERSITY · PI Joshua D Chandler · 2023 to 2026
$1.5M
NCATS NIH HHS UL1 TR002378NHLBI NIH HHS R01 HL150658NHLBI NIH HHS R01 HL159058
6 · The paper itself

Abstract

Cystic fibrosis (CF) is a genetic condition affecting over 100,000 individuals worldwide. Lung disease is the main cause of mortality in CF, with chronic neutrophilic inflammation as a hallmark. Elexacaftor/tezacaftor/ivacaftor (ETI) is a combination of highly effective CF transmembrane conductance regulator (CFTR) modulators, conferring significant pulmonary gains to treated patients. However, the extent to which ETI controls inflammation is uncertain. To investigate this, we quantified effector proteins, cytokines, and metabolites in sputum fluid supernatant from ETI-treated (n = 32) and treatment-naïve (n = 9) people with CF (pwCF). ETI-treated pwCF showed detectible ivacaftor and tezacaftor in sputum, and overall lower sputum neutrophil elastase (NE) activity than ETI-naïve pwCF, although they displayed a clear bimodal distribution [NE

Indexed as

AminophenolsBenzodioxolesCystic FibrosisIndolesLeukocyte ElastaseLungPyrazolesPyridinesQuinolonesSputumAdolescentAdultCystic Fibrosis Transmembrane Conductance RegulatorCytokinesDrug CombinationsFemaleAminophenolsBenzodioxolesCystic Fibrosis Transmembrane Conductance RegulatorCytokinesDrug CombinationsELANE protein, humanelexacaftorelexacaftor, ivacaftor, tezacaftor drug combinationIndolesivacaftorLeukocyte ElastasePyrazolesPyridinesPyrrolidinesQuinolinesQuinolonesCFTR modulatorsCystic fibrosisLung functionLung inflammationNeutrophil elastaseSputum

Identifiers

PMID41361201
PMCPMC12690130

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.