{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:56:12Z","timestamp":1791446172190,"version":"4.3.3"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["RTG2668"],"award-info":[{"award-number":["RTG2668"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["SFB 1021"],"award-info":[{"award-number":["SFB 1021"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["KFO 309"],"award-info":[{"award-number":["KFO 309"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["SK 317\/1\u20101"],"award-info":[{"award-number":["SK 317\/1\u20101"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100031239","name":"Universities of Giessen and Marburg Lung Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031239","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008662","name":"Joachim Herz Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008662","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Allergy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preschool wheeze is heterogeneous and only a subset of children progresses to persistent asthma. We hypothesized that early\u2010life wheeze reflects divergent airway epithelial maturation trajectories associated with distinct mucosal immune programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nasal epithelial transcriptomes from 265 children and young adults (79 healthy, 81 wheezers, 105 asthmatics; median age 10.4 [1.1\u201320.3] years) from the All Age Asthma Cohort (ALLIANCE) cohort were analyzed using a hypothesis\u2010driven candidate approach based on predefined cytokine axes. Transcriptional signatures were mapped to epithelial cells by scRNA\u2010sequencing. Asthma\u2010outcome associations were assessed in age\u2010 and sensitization\u2010adjusted multivariate models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The candidate approach identified three antagonistic epithelial immune programs: an interferon\u2010associated (E1; IDO1, CSF3, CCL20), a type\u20102\u2010associated (E2; POSTN, CCL26, CST1), and a type\u201017\u2010associated program (E3; IL36G, KLK7, KRTDAP). These programs were detected across basal, ciliated, and secretory epithelial cells. In early childhood (1\u20133\u2009years), wheezers predominantly exhibited E1\/E3\u2010dominant epithelial profiles (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200936). Age\u2010group\u2010specific comparisons showed higher E2 and lower E1\/E3 expression in wheezers aged 4\u20136\u2009years (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200938) than in those aged 1\u20133\u2009years (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200936). E2 dominance correlated with IgE, FeNO, and eosinophilia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). In multivariate models assessing asthma outcome at age 6, E1 expression was inversely associated with asthma persistence (OR\u2009=\u20090.15,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), whereas E3 expression was associated with disease progression (OR\u2009=\u20094.93,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The combined epithelial signature discriminated asthma outcomes with high accuracy (AUC\u2009=\u20090.90), independent of allergic sensitization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early\u2010life wheeze reflects distinct airway epithelial immune programs characterized by age\u2010associated patterns in epithelial immune activity. Nasal epithelial transcriptional signatures capture molecular trajectories associated with asthma persistence and may enable early risk stratification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      All\u2010Age\u2010Asthma (ALLIANCE) cohort:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link>\n                      : NCT02496468; adult arm: NCT02419274\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/all.70477","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T06:38:03Z","timestamp":1788763083000},"page":"3533-3553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nasal Epithelial Immune Signatures Are Associated With Age\u2010Dependent Asthma Trajectories in Early Life"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2902-0393","authenticated-orcid":false,"given":"Constanze A.","family":"Jakwerth","sequence":"first","affiliation":[{"name":"School of Medicine and Health, Center of Allergy and Environment (ZAUM) Technical University of Munich  Munich Germany"},{"name":"Helmholtz Munich  Munich Germany"},{"name":"Member of the German Center for Lung Research (DZL)  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabina","family":"Illi","sequence":"additional","affiliation":[{"name":"Member of the German Center for Lung Research (DZL)  Germany"},{"name":"Institute for Asthma and Allergy Prevention (IAP), Helmholtz Munich, German Research Center for Environmental Health (GmbH)  Munich Germany"},{"name":"Comprehensive Pneumology Center \u2013 Munich (CPC\u2010M)  Munich 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Albrechts University  Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Folke","family":"Brinkmann","sequence":"additional","affiliation":[{"name":"Member of the German Center for Lung Research (DZL)  Germany"},{"name":"Division of Epigenetics in Chronic Lung Disease, Priority Area Chronic Lung Diseases Research Center Borstel\u2010Leibniz Lung Center  Borstel Germany"},{"name":"Division of Pediatric Pneumology and Allergology, University Children's Hospital L\u00fcbeck University Hospital Schleswig\u2010Holstein  L\u00fcbeck Germany"},{"name":"Airway Research Center North (ARCN)  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias Volkmar","family":"Kopp","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pneumology and Allergology, University Children's Hospital L\u00fcbeck University Hospital Schleswig\u2010Holstein  L\u00fcbeck Germany"},{"name":"Airway Research Center North (ARCN)  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