Evidence map›Paper›PMID 41826706›Full record

ArticlePediatric research2026

Pediatric bronchiolitis disease severity is associated with immune checkpoint dysregulation.

Mehmet Akif Dundar, Serife Erdem, Benhur Cetin, Ahmet Eken, Ekrem Unal, Turan Guzel, Yilmaz Secilmis, Meda Kondolot, Seyma Maras, Busra Seniz Demir and 3 more

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Mehmet Akif DundarDepartment of Pediatric Intensive Care, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0000-0003-3042-7999
Serife ErdemErciyes University School of Medicine, Department of Medical Biology, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-2255-1685
Benhur CetinDepartment of Pediatric Infectious Diseases, Faculty of Medicine, Erciyes University, Kayseri, Turkey. benhurcetin@erciyes.edu.tr.ORCID http://orcid.org/0000-0002-8470-4907
Ahmet EkenErciyes University School of Medicine, Department of Medical Biology, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-5816-0686
Ekrem UnalDivision of Pediatric Hematology and Oncology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-2691-4826
Turan GuzelDepartment of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-0702-6313
Yilmaz SecilmisDepartment of Pediatric Emergency, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-2195-3551
Meda KondolotDepartment of Social Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-1168-3228
Seyma MarasDepartment of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0009-0006-2934-7501
Busra Seniz DemirErciyes University, Betul-Ziya Eren Genome and Stem Cell Center, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-2047-2967
Mohammad Ahmad HouranErciyes University, Betul-Ziya Eren Genome and Stem Cell Center, Kayseri, Turkey.ORCID http://orcid.org/0009-0000-8287-7073
Mine AsanErciyes University, Betul-Ziya Eren Genome and Stem Cell Center, Kayseri, Turkey.ORCID http://orcid.org/0009-0005-3532-3277
Basak Nur AkyildizDepartment of Pediatric Intensive Care, Faculty of Medicine, Erciyes University, Kayseri, Turkey.ORCID http://orcid.org/0000-0001-8540-0625

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune dysregulation plays a pivotal role in the pathogenesis of bronchiolitis. This study aimed to investigate the role of immune checkpoint molecules and regulatory cytokines in relation to disease severity.

methodsA prospective cohort of 151 pediatric patients aged 1 month to 2 years was enrolled and classified into control, mild, moderate, and severe bronchiolitis groups. Immune checkpoint molecules (CTLA-4, TIM-3, TIGIT, GARP) and cytokines (IL-2Rα, 4-1BB, TGF-β1, LAG-3, galectin-9) were evaluated in CD4

resultsCD4

conclusionDisease severity in bronchiolitis is associated with immune checkpoint dysregulation and an immunosuppressive environment. The observed alterations in T cell subsets and increased expression of CTLA-4 and TIM-3 highlight the potential of these molecules as biomarkers of disease progression. IMPACT: This study demonstrates that the severity of pediatric bronchiolitis is associated with the dysregulation of immune checkpoint molecules. It adds novel insight into the immunopathogenesis of bronchiolitis by focusing on early immune biomarkers beyond conventional inflammatory parameters. These findings may support risk stratification and contribute to the development of targeted therapies in future pediatric bronchiolitis management.

Identifiers

PMID41826706

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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.