Evidence map›Paper›PMID 12654779›Full record

ArticleInfection and immunity2003

Surfactant protein D-mediated aggregation of Pneumocystis carinii impairs phagocytosis by alveolar macrophages.

Suk-Joong Yong, Zvezdana Vuk-Pavlovic, Joseph E Standing, Erika C Crouch, Andrew H Limper

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
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

25 citing papers in PubMed, 53 citations in OpenAlex.

  1. Immune Responses toJournal of inflammation research · 2026
    Review
  2. The Emerging Role of METTL3 in Lung Diseases.International journal of molecular sciences · 2025
    Review
  3. Review
  4. Collectins: Innate Immune Pattern Recognition Molecules.Advances in experimental medicine and biology · 2020
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. The Interaction ofJournal of immunology (Baltimore, Md. : 1950) · 2017
    Article
  10. Review
  11. Review
  12. Host cell invasion by medically important fungi.Cold Spring Harbor perspectives in medicine · 2014
    Review
  13. Eosinophil-associated lung diseases. A cry for surfactant proteins A and D help?American journal of respiratory cell and molecular biology · 2014
    Review
  14. Article
  15. Article
  16. SP-D and regulation of the pulmonary innate immune system in allergic airway changes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2010
    Review
  17. Article
  18. Therapeutic use of surfactant components in allergic asthma.Naunyn-Schmiedeberg's archives of pharmacology · 2009
    Review
  19. Review
  20. 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

5 authors at 3 institutions in 2 countries.

Suk-Joong YongThoracic Diseases Research Unit, Division of Pulmonary, Critical Care, and Internal Medicine, 8-24 Stabile Building, Mayo Clinic, Rochester, MN 55905, USA.
Zvezdana Vuk-Pavlovic
Joseph E Standing
Erika C Crouch
Andrew H Limper
Mayo Clinic in Florida · USWashington University in St. Louis · USYonsei University · KR

Funding

VASCULAR CELL DIVERSITY IN PULMONARY HYPERTENSIONP01HL029594 · NHLBI · WASHINGTON UNIVERSITY · PI SENIOR, ROBERT M · 1985 to 2012
$23.8M
Pneumocystis: Macrophage & Epithelial ActivationR01HL062150 · NHLBI · MAYO CLINIC ROCHESTER · PI ANDREW H LIMPER · 1998 to 2026
$9.2M
Control of the Pneumocystis carinii Life CycleR01HL055934 · NHLBI · MAYO CLINIC ROCHESTER · PI LIMPER, ANDREW H · 1995 to 2008
$3.0M
STRUCTURE/FUNCTION OF SURFACTANT PROTEIN DR01HL044015 · NHLBI · WASHINGTON UNIVERSITY · PI CROUCH, ERIKA C · 1990 to 2006
$2.4M
SURFACTANT PROTEIN D IN PNEUMOCYSTIS/HOST INTERACTIONR01HL057125 · NHLBI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI LIMPER, ANDREW H · 1997 to 1999
–
NHLBI NIH HHS P01 HL 029594NHLBI NIH HHS P01 HL029594NHLBI NIH HHS R01 HL 044015NHLBI NIH HHS R01 HL044015NHLBI NIH HHS R01 HL055934NHLBI NIH HHS R01 HL062150NHLBI NIH HHS R01 HL 55934NHLBI NIH HHS R01 HL 57125NHLBI NIH HHS R01 HL 62150
6 · The paper itself

Abstract

Pneumocystis carinii remains an important and potentially fatal cause of opportunistic pneumonia. Animal studies reveal that substantial quantities of surfactant protein D (SP-D) accumulate in the airspaces during P. carinii pneumonia and are particularly abundant in aggregates of organisms. Due to the multimeric structure of SP-D, we hypothesized that SP-D mediates aggregation of the organism. From previous clinical studies it is known that aggregated organisms are conspicuous in sections of lung tissue and bronchoalveolar lavage (BAL) fluids of humans with active P. carinii pneumonia. Herein, we observe that SP-D levels increased at least fourfold in BAL fluids of patients with P. carinii pneumonia. Next, a spectrophotometric sedimentation assay was developed to assess the aggregation of P. carinii in vitro by SP-D. P. carinii organisms were first stripped with glutathione to remove bound SP-D and subsequently incubated in the presence of SP-D and 2 mM calcium. P. carinii incubated with natural SP-D (10 micro g/ml) containing dodecamers and higher-order forms exhibited aggregation and enhanced sedimentation compared to that of glutathione-stripped P. carinii. Aggregation was also enhanced by the concentrated supernatant of rat BAL fluid, and this effect was abolished by the selective removal of SP-D from the lavage fluid. P. carinii aggregation was reduced by maltose, mannose, and EDTA, consistent with the role of the SP-D C-type lectin domain (CRD) in the aggregation event. Comparisons of different molecular forms of SP-D showed that dodecamers-but not trimeric subunits-mediate optimal aggregation of P. carinii. Aggregation of P. carinii by SP-D was shown to be responsible for the impaired phagocytosis of the organisms by alveolar macrophages. Thus, SP-D-mediated aggregation of P. carinii may represent one means by which the organism avoids elimination by the host.

Indexed as

PhagocytosisAnimalsBronchoalveolar Lavage FluidCell AdhesionHumansMacrophages, AlveolarPneumocystisPneumonia, PneumocystisPulmonary Surfactant-Associated Protein DRatsPulmonary Surfactant-Associated Protein D

Identifiers

PMID12654779
PMCPMC152070
OpenAlexW2141449157

What OpenQuestion holds

Textmetadata
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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 OpenQuestion graph.