Evidence map›Paper›PMID 40640369›Full record

SynthesisPediatric research2026

Bronchopulmonary dysplasia in preterm neonates: Th2-Eosinophilic inflammation and asthma-like features.

Alvaro Moreira, Manissa Coleman, Khyzer Aziz, Vanessa Triviño, Lois Randolph, Noah C Bierwirth, Charles T Valadie, Shreyas Arya, Justin A Meunier, Bryan McOmber and 8 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Pediatric research, 2026. 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. Article
  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

18 authors.

Alvaro MoreiraDepartment of Pediatrics, Neonatology Regenerative and Precision Medicine Laboratory, University of Texas Health Science Center at San Antonio, San Antonio, Texas; Veterans Administration Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA. MoreiraA@uthscsa.edu.
Manissa ColemanDepartment of Pediatrics, Neonatology Regenerative and Precision Medicine Laboratory, University of Texas Health Science Center at San Antonio, San Antonio, Texas; Veterans Administration Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.
Khyzer AzizDepartment of Pediatrics, Johns Hopkins University, Baltimore, MD, USA.
Vanessa TriviñoDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Lois RandolphDepartment of Pediatrics, Neonatology Regenerative and Precision Medicine Laboratory, University of Texas Health Science Center at San Antonio, San Antonio, Texas; Veterans Administration Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.
Noah C BierwirthDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Charles T ValadieDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Shreyas AryaDepartment of Pediatrics, Dayton Children's Hospital, Dayton, OH, USA.
Justin A MeunierVeterans Administration Research Center for AIDS and HIV-1 Infection and Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.
Bryan McOmberDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Caitlyn WinterDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Grace C LeeVeterans Administration Research Center for AIDS and HIV-1 Infection and Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.
Isabelle DeckerDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Alisha M SmithVeterans Administration Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.
Matthew PetershackDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Cynthia L BlancoDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Przemko KwintaDepartment of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.
Sunil K AhujaVeterans Administration Research Center for AIDS and HIV-1 Infection and Center for Personalized Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUM1TR004538 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ROBERT A CLARK, Kenneth M Hargreaves · 2023 to 2026
$22.3M
Genomic determinants of bronchopulmonary dysplasia development in humans and an animal modelK23HD101701 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MOREIRA, ALVARO G · 2021 to 2024
$652k
NCATS NIH HHS UM1 TR004538NICHD NIH HHS K23 HD101701
6 · The paper itself

Abstract

backgroundAsthma is the most prevalent pediatric lung disease, characterized by T-helper 2 (Th2) cell activation and associated eosinophilic inflammation. Mounting evidence suggests a similar Th2 skewing in premature neonates who develop bronchopulmonary dysplasia (BPD), a chronic lung disease with overlapping features of asthma. Given that a substantial proportion of neonates with BPD later develop asthma, our study aimed to investigate the association between an asthma-related transcriptomic signature and BPD.

methodsUsing a previously established 10-gene asthma transcriptomic signature, we analyzed data from 111 very-low-birth-weight (VLBW) neonates over the first month of life. Meta-analysis across seven independent datasets confirmed the association of the asthma gene signature with BPD during the first week of life.

resultsThe transcriptomic signature predicted BPD severity as early as day of life 5 and stratified disease progression. Validation in an extremely preterm baboon model of BPD revealed elevated plasma concentrations of interleukin (IL)-5 and IL-6, along with increased expression of Th2-driven inflammatory cytokines in lung tissue.

conclusionOur findings provide evidence of a shared genetic and immunologic framework between asthma and BPD, offering potential biomarkers for early diagnosis and avenues for targeted therapy. IMPACT: The asthma-related transcriptomic signature predicts the severity of bronchopulmonary dysplasia (BPD) as early as day five of life, providing a potential early biomarker Elevated Th2-eosinophil inflammatory markers suggest a shared pathophysiology between BPD and asthma. This study highlights the potential for early diagnosis and targeted interventions to improve long-term respiratory outcomes in preterm infants.

Indexed as

AsthmaBronchopulmonary DysplasiaEosinophilsInflammationTh2 CellsAnimalsBiomarkersDisease Models, AnimalFemaleGene Expression ProfilingHumansInfant, NewbornInfant, PrematureInterleukin-5Interleukin-6LungBiomarkersInterleukin-5Interleukin-6

Identifiers

PMID40640369
PMCPMC13021504

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.