Evidence map›Paper›PMID 41385345›Full record

ArticleBioscience reports2025

Integrative blood profiling uncovers inflammatory network signatures in high-altitude pulmonary edema.

Kanika Singh, Krishna Kumar G, Manzoor Ali, Raushni Choudhary, Mohit Khadia, Stanzen Rabyang, Tashi Thinlas, Rahul Kumar, Aastha Mishra

Abstract read
In one paragraph

Article in Bioscience reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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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

9 authors.

Kanika Singh *Genomics and Genome Biology Unit, CSIR-Institute of Genomics and Integrative Biology, Delhi, 110025, India.
Krishna Kumar G *Genomics and Genome Biology Unit, CSIR-Institute of Genomics and Integrative Biology, Delhi, 110025, India.
Manzoor AliGenomics and Genome Biology Unit, CSIR-Institute of Genomics and Integrative Biology, Delhi, 110025, India.
Raushni ChoudharyGenomics and Genome Biology Unit, CSIR-Institute of Genomics and Integrative Biology, Delhi, 110025, India.
Mohit KhadiaGenomics and Genome Biology Unit, CSIR-Institute of Genomics and Integrative Biology, Delhi, 110025, India.
Stanzen RabyangDepartment of Medicine, Sonam Norboo Memorial Hospital, Leh, 194101, India.
Tashi ThinlasDepartment of Medicine, Sonam Norboo Memorial Hospital, Leh, 194101, India.
Rahul KumarDepartment of Medicine, University of California San Francisco, San Francisco, California, 94143, U.S.A.
Aastha MishraGenomics and Genome Biology Unit, CSIR-Institute of Genomics and Integrative Biology, Delhi, 110025, India.ORCID 0000-0003-0403-0293

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the well-known role of hypoxia-driven inflammatory mediators in the pathogenesis of hypoxic pulmonary hypertension, their involvement in high-altitude (HA) illnesses, particularly high-altitude pulmonary edema (HAPE), remains unclear. The present study uses an integrated clinical, transcriptomic, proteomic, and long noncoding RNA (lncRNA) profiling of 83 individuals, including HAPE patients segregated into mild, moderate, and severe categories, HAPE-free sojourners, and long-term HA residents, to highlight the molecular and immunological changes associated with HAPE and its severity. Clinical assessments revealed significantly reduced peripheral oxygen saturation and elevated respiratory parameters in HAPE patients. Differential gene expression and functional enrichment analyses identified 515 significantly differentially expressed genes, with marked enrichment of inflammatory and hypoxia-associated pathways. Protein-protein interaction network analysis revealed eighteen hub genes, including toll-like receptor (TLR) 2 and Forkhead box O3 (FOXO3), with strong diagnostic potential. Immune cell deconvolution analysis and hematological profiling indicated a prominent increase in neutrophil proportion. Interestingly, oncostatin M (OSM), a hypoxia-regulated predominant cytokine produced by neutrophils, was revealed in the cytokine and transcriptomic profiling, highlighting its role in inflammation and extracellular matrix degradation. Co-expression network analysis notably revealed significant alterations that formed a gene module exhibiting a strong correlation with immune response, leukocyte adhesion, and ncRNA processing pathways. Interestingly, these co-expressed partners, LINC01093 and immune-regulatory genes like interleukin-18 receptor 1 and TLR5, appear to regulate the NF-κB signaling pathway, one of the positively enriched pathways in our analysis. Overall, this multiomics approach highlighted a strong inflammatory signature and lncRNA-mRNA interactions associated with HAPE.

Indexed as

Altitude SicknessHypertension, PulmonaryInflammationInflammation MediatorsTranscriptomeAdultAltitudeFemaleForkhead Box Protein O3Gene Expression ProfilingGene Regulatory NetworksHumansMaleMiddle AgedOncostatin MProtein Interaction MapsForkhead Box Protein O3FOXO3 protein, humanInflammation MediatorsOncostatin MRNA, Long NoncodingTLR2 protein, humanToll-Like Receptor 2high-altitude pulmonary edemahypobaric hypoxiainflammatory signaturelncRNA profilingmultiomics approachtranscriptomics

Identifiers

PMID41385345
PMCPMC12780694

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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.