Evidence map›Paper›PMID 40976366›Full record

ArticleThe Journal of allergy and clinical immunology2026

The role of CC16 in the associations of preterm birth with lung function and asthma in adult life.

Nipasiri Voraphani, Susanna Klevebro, Fredrik Larsson, Gang Wang, Simon Kebede Merid, Sophia Björkander, Petra Um-Bergström, Anna Bergström, Inger Kull, Anne-Sophie Merritt and 7 more

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 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. Observational
  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

17 authors.

Nipasiri VoraphaniAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz. Electronic address: nipasirivt@arizona.edu.
Susanna KlevebroDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Sachs' Children and Youth Hospital, Stockholm, Sweden.
Fredrik LarssonDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Sachs' Children and Youth Hospital, Stockholm, Sweden.
Gang WangDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Division of Internal Medicine, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Sichuan, China.
Simon Kebede MeridDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sophia BjörkanderDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Petra Um-BergströmDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Sachs' Children and Youth Hospital, Stockholm, Sweden.
Anna BergströmInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.
Inger KullDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Sachs' Children and Youth Hospital, Stockholm, Sweden.
Anne-Sophie MerrittInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.
Amber L SpangenbergAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Tara F CarrAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Debra A SternAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Julie G LedfordAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Brian R HallmarkAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Erik MelénDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Sachs' Children and Youth Hospital, Stockholm, Sweden.
Stefano GuerraAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.

Funding

CC16 in Childhood and Resilience to Persistent Asthma into Adult Life (Supplement)R01AI135108 · NIAID · UNIVERSITY OF ARIZONA · PI Stefano Guerra · 2017 to 2026
$5.4M
Defining mechanisms of CC16 on epithelial-driven host responses to pathogensR01HL142769 · NHLBI · UNIVERSITY OF ARIZONA · PI Julie Gunnells Ledford · 2019 to 2026
$4.2M
NHLBI NIH HHS R01 HL142769NIAID NIH HHS R01 AI135108
6 · The paper itself

Abstract

backgroundClub cell secretory protein (CC16) is a pneumoprotein that has anti-inflammatory and antimicrobial properties and whose levels are reduced in preterm infants.

objectiveWe sought to investigate the role of circulating CC16 in the association of preterm birth (<37 weeks) with lung function and asthma from childhood into young adult life in longitudinal and mediation analyses.

methodsUsing the BAMSE (Swedish abbreviation for Barn/Children, Allergy, Milieu, Stockholm, Epidemiology) birth cohort (2,557 participants and 10,631 longitudinal observations), we assessed plasma CC16 (ages 8 and 24 years), spirometry (ages 8, 16, 24, and 26 years), and asthma (ages 8, 12, 16, 24, and 26 years). Longitudinal associations between preterm birth, CC16, percent predicted values of FEV

resultsPreterm birth was associated with reduced plasma CC16 (-1.15 ng/mL; 95% CI, -1.22 to -1.08; P < .0001), lower ppFEV

conclusionsLow CC16 is a potential mediator of the effects of prematurity on lung function deficits and asthma in young adulthood. Future studies should address whether CC16 can be used as a predictive biomarker and, possibly, a therapeutic target in individuals born preterm.

Indexed as

AsthmaLungPremature BirthUteroglobinAdolescentAdultChildFemaleHumansInfant, NewbornLongitudinal StudiesMaleRespiratory Function TestsSwedenYoung AdultSCGB1A1 protein, humanUteroglobinasthmabirth cohortCC10CC16Club cell secretory proteinlung functionprematuritypreterm

Identifiers

PMID40976366
PMCPMC12826101

What Socratic holds

Textmetadata
LicenceTDM
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.