Evidence map›Paper›PMID 40431714›Full record

ArticleViruses2025

Respiratory Syncytial Virus Elicits Glycolytic Metabolism in Pediatric Upper and Lower Airways.

Armando S Flores-Torres, Svetlana Rezinciuc, Lavanya Bezavada, Barry L Shulkin, Stephania A Cormier, Heather S Smallwood

Abstract read
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

6 authors.

Armando S Flores-TorresDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38103, USA.ORCID 0009-0004-6429-5706
Svetlana RezinciucDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38103, USA.
Lavanya BezavadaDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38103, USA.
Barry L ShulkinDepartment of Biological Sciences, Louisiana State University, Pennington Biomedical Research Center, Baton Rouge, LA 70803, USA.
Stephania A CormierDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.ORCID 0000-0002-6050-6172
Heather S SmallwoodDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38103, USA.

Funding

The Role of IL4R Alpha in Neonatal RSV ImmunopathologyR01AI090059 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI CORMIER, STEPHANIA A · 2011 to 2025
$6.7M
National Institute of Allergy and Infectious Diseases AI090059NIAID NIH HHS R01 AI090059
6 · The paper itself

Abstract

Respiratory syncytial virus (RSV) is the leading cause of lower respiratory tract viral infection in infants and causes around 60,000 in-hospital deaths annually. Emerging evidence suggests that RSV induces metabolic changes in host cells to support viral replication, presenting a potential target for therapeutic intervention. To investigate RSV-driven metabolic changes in situ, we combined positron emission tomography (PET), live-cell bioenergetics, and metabolomic profiling in the upper and lower airways of children. PET imaging revealed persistent, hyper-glycolytic regions in the lungs of RSV-infected children. Bioenergetic analysis of freshly collected nasopharyngeal aspirates from infants showed live upper respiratory cells (URCs) infected with RSV in situ exhibited significantly higher levels of glycolysis, glycolytic capacity, glycolytic reserves, and mitochondrial respiration than uninfected controls. Metabolomic analysis of nasopharyngeal fluids from these patients revealed distinct metabolic signatures, including increased citrate and malate, and decreases in taurine. In vitro infection of pediatric nasopharynx tissue-derived multicellular epithelial cultures (TEpiCs) and bronchial epithelial cells further confirmed RSV-induced increases in glycolysis. Together, these findings demonstrate that RSV infection induces hypermetabolism in both upper and lower primary airways in situ, supporting the potential of host-targeted metabolic interventions as a therapeutic strategy-particularly in vulnerable populations such as infants for whom vaccines are not currently available.

Indexed as

GlycolysisRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsChildChild, PreschoolEpithelial CellsFemaleHumansInfantLungMaleMetabolomicsNasopharynxPositron-Emission TomographyVirus Replicationairway epithelial cellsbioenergeticsglycolysisinfantmetabolismoxidative phosphorylationpediatricrespiratory syncytial virusRSVviral infection

Identifiers

PMID40431714
PMCPMC12115633

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.