Evidence map›Paper›PMID 14977986›Full record

ArticleInfection and immunity2004

C3 promotes clearance of Klebsiella pneumoniae by A549 epithelial cells.

Beatriz de Astorza, Guadalupe Cortés, Catalina Crespí, Carles Saus, José María Rojo, Sebastián Albertí

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
0.9field-weighted citation impact, top 31% 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

33 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. TARGETING THE CAPSULE OFbioRxiv : the preprint server for biology · 2026
    Article
  3. Targeting the capsule ofFrontiers in immunology · 2026
    Article
  4. Article
  5. The multiverse of CD46 and oncologic interactions.The Journal of clinical investigation · 2025
    Review
  6. Enhanced invasion and survival of antibiotic- resistantFrontiers in cellular and infection microbiology · 2025
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Frontiers in microbiology · 2023
    Article
  12. The making of hypervirulent Klebsiella pneumoniae.Journal of clinical laboratory analysis · 2022
    Review
  13. Airway Epithelial Cells Differentially Adapt Their Iron Metabolism to Infection WithFrontiers in cellular and infection microbiology · 2022
    Article
  14. Cells · 2021
    Article
  15. The Mutation inInternational journal of molecular sciences · 2021
    Article
  16. Review
  17. Review
  18. Review
  19. Hypervirulent Klebsiella pneumoniae.Clinical microbiology reviews · 2019
    Review
  20. Review
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

6 authors at 4 institutions in 1 country.

Beatriz de AstorzaUnidad de Investigación, Hospital Universitario Son Dureta, Universidad de las Islas Baleares and IMEDEA (CSIC-UIB), Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), Palma de Mallorca, Spain.
Guadalupe Cortés
Catalina Crespí
Carles Saus
José María Rojo
Sebastián Albertí
Universitat de les Illes Balears · ESCentro de Investigaciones Biológicas Margarita Salas · ESHospital Universitario Son Dureta · ESUnidad de Investigación en cuidados y servicios de salud (Investén-isciii) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The airway epithelium represents a primary site for contact between microbes and their hosts. To assess the role of complement in this event, we studied the interaction between the A549 cell line derived from human alveolar epithelial cells and a major nosocomial pathogen, Klebsiella pneumoniae, in the presence of serum. In vitro, we found that C3 opsonization of poorly encapsulated K. pneumoniae clinical isolates and an unencapsulated mutant enhanced dramatically bacterial internalization by A549 epithelial cells compared to highly encapsulated clinical isolates. Local complement components (either present in the human bronchoalveolar lavage or produced by A549 epithelial cells) were sufficient to opsonize K. pneumoniae. CD46 could competitively inhibit the internalization of K. pneumoniae by the epithelial cells, suggesting that CD46 is a receptor for the binding of complement-opsonized K. pneumoniae to these cells. We observed that poorly encapsulated strains appeared into the alveolar epithelial cells in vivo but that (by contrast) they were completely avirulent in a mouse model of pneumonia compared to the highly encapsulated strains. Our results show that bacterial opsonization by complement enhances the internalization of the avirulent microorganisms by nonphagocytic cells such as A549 epithelial cells and allows an efficient innate defense.

Indexed as

AnimalsAntigens, CDCell LineComplement C3Epithelial CellsHumansImmunity, InnateKlebsiella InfectionsKlebsiella pneumoniaeMaleMembrane Cofactor ProteinMembrane GlycoproteinsMiceMice, Inbred ICRMutationOpsonin ProteinsAntigens, CDCD46 protein, humanComplement C3Mcp protein, mouseMembrane Cofactor ProteinMembrane GlycoproteinsOpsonin Proteins

Identifiers

PMID14977986
PMCPMC356012
OpenAlexW2172291382

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.