Evidence map›Paper›PMID 39074656›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2024

Clinical and inflammatory features of traffic-related diesel exposure in children with asthma.

Anne M Fitzpatrick, Ahmad F Mohammad, Kaley Desher, Abby D Mutic, Susan T Stephenson, Gail A Dallalio, Jocelyn R Grunwell

Abstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2024. 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. Review
  2. Article
  3. Climate Change and the Future of Allergies and Asthma.Current allergy and asthma reports · 2025
    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

7 authors.

Anne M FitzpatrickDepartment of Pediatrics, Emory University, Atlanta, Georgia; Division of Pulmonary Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia. Electronic address: anne.fitzpatrick@emory.edu.
Ahmad F MohammadDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Kaley DesherDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Abby D MuticNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Susan T StephensonDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Gail A DallalioDepartment of Pediatrics, Emory University, Atlanta, Georgia.
Jocelyn R GrunwellDepartment of Pediatrics, Emory University, Atlanta, Georgia; Division of Critical Care Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia.

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
Symptom clusters in children with exacerbation-prone asthmaR01NR018666 · NINR · EMORY UNIVERSITY · PI FITZPATRICK, ANNE MENTRO · 2019 to 2023
$3.1M
NCATS NIH HHS UL1 TR002378NHLBI NIH HHS L40 HL159855NINR NIH HHS R01 NR018666
6 · The paper itself

Abstract

backgroundEpidemiologic studies have revealed associations between traffic-related pollutants such as diesel particulate matter (PM) and asthma outcomes in children, but the inflammatory features associated with diesel PM exposure in children with asthma are not understood.

objectiveTo evaluate symptoms, exacerbations, and lung function measures in children with uncontrolled asthma and their associations with residential proximity to major roadways and to determine associations between diesel PM exposure and systemic inflammatory cytokines, circulating markers of T-cell activation and exhaustion, and metabolomic features using biomarker studies.

methodsChildren 5 to 17 years of age with physician-diagnosed, uncontrolled asthma despite treatment with an asthma controller medication completed a research visit involving questionnaires, lung function testing, and venipuncture for biomarker studies. Geocoding was performed to quantify residential proximity to major roadways and pollutant exposure.

resultsA total of 447 children with uncontrolled asthma were enrolled. Children living closer to highly trafficked roadways were more disadvantaged and had more exposure to diesel PM, more exacerbations prompting an emergency department visit, and lower lung function measures. Children with the highest diesel PM exposure, compared with children with the lowest diesel PM exposure, also had blunted cytokine secretion and evidence of T-cell exhaustion, including disturbances in several metabolites associated with glutathione formation and oxidative stress.

conclusionTraffic-related diesel PM exposure in children with poorly controlled asthma is associated with poorer clinical outcomes and unique patterns of inflammation and oxidative stress. These findings argue for continued mitigation efforts to improve traffic-related air quality and health equity in children with asthma.

Indexed as

AsthmaEnvironmental ExposureParticulate MatterVehicle EmissionsAdolescentAir PollutantsBiomarkersChildChild, PreschoolCytokinesFemaleHumansInflammationMaleRespiratory Function TestsTraffic-Related PollutionAir PollutantsBiomarkersCytokinesParticulate MatterVehicle Emissions

Identifiers

PMID39074656
PMCPMC11410514

What Socratic holds

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Registered trials

None linked

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 Socratic graph.