Evidence map›Paper›PMID 19218345›Full record

ArticleThe American journal of pathology2009

Cryptococcal urease promotes the accumulation of immature dendritic cells and a non-protective T2 immune response within the lung.

John J Osterholzer, Rishi Surana, Jami E Milam, Gerald T Montano, Gwo-Hsiao Chen, Joanne Sonstein, Jeffrey L Curtis, Gary B Huffnagle, Galen B Toews, Michal A Olszewski

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

89 citing papers in PubMed, 137 citations in OpenAlex.

  1. Article
  2. Review
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  4. Article
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  6. Article
  7. Magnolol Inhibits the Growth ofThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  8. Review
  9. Mechanisms and Virulence Factors ofJournal of fungi (Basel, Switzerland) · 2024
    Review
  10. Article
  11. Frontiers in cellular and infection microbiology · 2024
    Article
  12. Dendritic Cells: Multifunctional Roles in Host Defenses toJournal of fungi (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Journal of fungi (Basel, Switzerland) · 2022
    Review
  20. Article

29 more citing papers are in PubMed but not listed here.

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

10 authors at 3 institutions in 2 countries.

John J OsterholzerVeterans Affairs Ann Arbor Health System, Ann Arbor, 2215 Fuller Rd., Ann Arbor, MI 48105, USA. olszewsm@umich.edu
Rishi Surana
Jami E Milam
Gerald T Montano
Gwo-Hsiao Chen
Joanne Sonstein
Jeffrey L Curtis
Gary B Huffnagle
Galen B Toews
Michal A Olszewski
VA Ann Arbor Healthcare System · USMichigan Medicine · USUniversity of Michigan · US

Funding

PULMONARY CELLULAR AND MOLECULAR BIOLOGY TRAININGT32HL007749 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Robert Pickett Dickson · 1993 to 2026
$19.9M
PULMONARY LYMPHOCYTE APOPTOSIS AND CELL CYCLE ARRESTR01HL056309 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CURTIS, JEFFREY LOUIS · 1996 to 2010
$2.5M
MACROPHAGE RECRUITMENT/ACTIVATION IN LUNG DEFENSER01HL051082 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TOEWS, GALEN B · 1994 to 2007
$2.5M
Innate and adaptive immunity in COPD exacerbationsR01HL082480 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CURTIS, JEFFREY LOUIS · 2005 to 2009
$2.4M
MODULATION OF TH1/TH2 RESPONSES BY INNATE IMMUNITYR01HL065912 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUFFNAGLE, GARY B. · 2000 to 2004
$1.5M
CHEMOKINE RECEPTORS IN IMMUNITY TO C NEOFORMANSR01HL063670 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUFFNAGLE, GARY B. · 1999 to 2003
$1.1M
NHLBI NIH HHS R01 HL051082NHLBI NIH HHS R01 HL056309NHLBI NIH HHS R01-HL056309NHLBI NIH HHS R01 HL065912NHLBI NIH HHS R01 HL082480NHLBI NIH HHS R01-HL082480NHLBI NIH HHS R01-HL51082NHLBI NIH HHS R01-HL63670NHLBI NIH HHS R01-HL65912NHLBI NIH HHS T32 HL007749NHLBI NIH HHS T32-HL07749
6 · The paper itself

Abstract

Urease, a major virulence factor for Cryptococcus neoformans, promotes lethal meningitis/encephalitis in mice. The effect of urease within the lung, the primary site of most invasive fungal infections, is unknown. An established model of murine infection that utilizes either urease-producing (wt and ure1::URE1) or urease-deficient (ure1) strains (H99) of C. neoformans was used to characterize fungal clearance and the resultant immune response evoked by these strains within the lung. Results indicate that mice infected with urease-producing strains of C. neoformans demonstrate a 100-fold increase in fungal burden beginning 2 weeks post-infection (as compared with mice infected with urease-deficient organisms). Infection with urease-producing C. neoformans was associated with a highly polarized T2 immune response as evidenced by increases in the following: 1) pulmonary eosinophils, 2) serum IgE levels, 3) T2 cytokines (interleukin-4, -13, and -4 to interferon-gamma ratio), and 4) alternatively activated macrophages. Furthermore, the percentage and total numbers of immature dendritic cells within the lung-associated lymph nodes was markedly increased in mice infected with urease-producing C. neoformans. Collectively, these data define cryptococcal urease as a pulmonary virulence factor that promotes immature dendritic cell accumulation and a potent, yet non-protective, T2 immune response. These findings provide new insights into mechanisms by which microbial factors contribute to the immunopathology associated with invasive fungal disease.

Indexed as

AnimalsColony-Forming Units AssayCryptococcosisCryptococcusCryptococcus neoformansDendritic CellsFungal ProteinsHumansImmunocompromised HostLeukocytesLungMiceMice, Inbred C57BLUreaseFungal ProteinsUrease

Identifiers

PMID19218345
PMCPMC2665753
OpenAlexW2040386323

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.