Evidence mapPaperPMID 40806756Full record

ReviewInternational journal of molecular sciences2025

Unmasking Pediatric Asthma: Epigenetic Fingerprints and Markers of Respiratory Infections.

Alessandra Pandolfo, Rosalia Paola Gagliardo, Valentina Lazzara, Andrea Perri, Velia Malizia, Giuliana Ferrante, Amelia Licari, Stefania La Grutta, Giusy Daniela Albano

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 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

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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

9 authors.

Alessandra PandolfoDepartment of Economics, Business and Statistics (dSEAS), University of Palermo (UNIPA), 90128 Palermo, Italy.
Rosalia Paola GagliardoInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.
Valentina LazzaraDepartment of Economics, Business and Statistics (dSEAS), University of Palermo (UNIPA), 90128 Palermo, Italy.ORCID 0000-0002-4056-229X
Andrea PerriInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.ORCID 0009-0006-1026-8117
Velia MaliziaInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.
Giuliana FerranteInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.
Amelia LicariInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.ORCID 0000-0002-1773-6482
Stefania La GruttaInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.ORCID 0000-0001-8026-0715
Giusy Daniela AlbanoInstitute of Translational Pharmacology (IFT), National Research Council (CNR), 90146 Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric asthma is a multifactorial and heterogeneous disease determined by the dynamic interplay of genetic susceptibility, environmental exposures, and immune dysregulation. Recent advances have highlighted the pivotal role of epigenetic mechanisms, in particular, DNA methylation, histone modifications, and non-coding RNAs, in the regulation of inflammatory pathways contributing to asthma phenotypes and endotypes. This review examines the role of respiratory viruses such as respiratory syncytial virus (RSV), rhinovirus (RV), and other bacterial and fungal infections that are mediators of infection-induced epithelial inflammation that drive epithelial homeostatic imbalance and induce persistent epigenetic alterations. These alterations lead to immune dysregulation, remodeling of the airways, and resistance to corticosteroids. A focused analysis of T2-high and T2-low asthma endotypes highlights unique epigenetic landscapes directing cytokines and cellular recruitment and thereby supports phenotype-specific aspects of disease pathogenesis. Additionally, this review also considers the role of miRNAs in the control of post-transcriptional networks that are pivotal in asthma exacerbation and the severity of the disease. We discuss novel and emerging epigenetic therapies, such as DNA methyltransferase inhibitors, histone deacetylase inhibitors, miRNA-based treatments, and immunomodulatory probiotics, that are in preclinical or early clinical development and may support precision medicine in asthma. Collectively, the current findings highlight the translational relevance of including pathogen-related biomarkers and epigenomic data for stratifying pediatric asthma patients and for the personalization of therapeutic regimens. Epigenetic dysregulation has emerged as a novel and potentially transformative approach for mitigating chronic inflammation and long-term morbidity in children with asthma.

Indexed as

AsthmaEpigenesis, GeneticRespiratory Tract InfectionsBiomarkersChildDNA MethylationHumansMicroRNAsBiomarkersMicroRNAsasthma endotypesepigeneticspediatric asthmapersonalized medicinerespiratory infections

Identifiers

PMID40806756
PMCPMC12347957

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.