Evidence map›Paper›PMID 19770521›Full record

ArticleThe Journal of clinical investigation2009

CD4+CD25+Foxp3+ Tregs resolve experimental lung injury in mice and are present in humans with acute lung injury.

Franco R D'Alessio, Kenji Tsushima, Neil R Aggarwal, Erin E West, Matthew H Willett, Martin F Britos, Matthew R Pipeling, Roy G Brower, Rubin M Tuder, John F McDyer and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04482621 (Decitabine for COVID-19 Pneumonia-ARDS Treatment), which is not on this map. Cited by 364 papers.

0numbers the graph read from it
0cells of the map it votes in
364citing papers in PubMed
8.2field-weighted citation impact, top 2% 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.

NCT04482621 phase2suspendednot on this mapstarted 2020, after this paper: background citation

Decitabine for COVID-19 Pneumonia-ARDS Treatment: DART Trial

TypeinterventionalSponsorJohns Hopkins UniversityRan2020 to 2026Enrolled33ConditionsCOVID-19ArmsDecitabine, Placebo Saline
3 · Its place in the literature

Who cites it

364 citing papers in PubMed, 539 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Alveolar macrophage-neutrophil crosstalk in acute lung injury: mechanisms, feedback loops, and therapeutic opportunities.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  6. Article
  7. CNS1-dependent regulatory T cells shape recovery from acute lung injury.Journal of immunology (Baltimore, Md. : 1950) · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Host immune dysfunction and Mycoplasma pneumoniae immune evasion: dual drivers of pathogenesis in Mycoplasma pneumoniae pneumonia.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Single-Cell Insights Into Macrophage Subtypes in Pulmonary Infections.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  17. Article
  18. Admission CD4Frontiers in cellular and infection microbiology · 2026
    Observational
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Franco R D'AlessioDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Baltimore, Maryland 21224, USA.
Kenji Tsushima
Neil R Aggarwal
Erin E West
Matthew H Willett
Martin F Britos
Matthew R Pipeling
Roy G Brower
Rubin M Tuder
John F McDyer
Landon S King
Johns Hopkins University · USPulmonary and Critical Care Associates · US

Funding

VENTILATOR ASSOCIATED LUNG INJURY: MOLECULAR APPROACHESP50HL073994 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BROWER, ROY G. · 2003 to 2007
$21.3M
Determinants of Resolution in Acute Lung InjuryR01HL089346 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KING, LANDON S · 2008 to 2012
$2.0M
NHLBI NIH HHS HL089346NHLBI NIH HHS P050 HL 073994-01NHLBI NIH HHS P50 HL073994NHLBI NIH HHS R01 HL089346
6 · The paper itself

Abstract

Acute lung injury (ALI) is characterized by rapid alveolar injury, inflammation, cytokine induction, and neutrophil accumulation. Although early events in the pathogenesis of ALI have been defined, the mechanisms underlying resolution are unknown. As a model of ALI, we administered intratracheal (i.t.) LPS to mice and observed peak lung injury 4 days after the challenge, with resolution by day 10. Numbers of alveolar lymphocytes increased as injury resolved. To examine the role of lymphocytes in this response, lymphocyte-deficient Rag-1-/- and C57BL/6 WT mice were exposed to i.t. LPS. The extent of injury was similar between the groups of mice through day 4, but recovery was markedly impaired in the Rag-1-/- mice. Adoptive transfer studies revealed that infusion of CD4+CD25+Foxp3+ Tregs as late as 24 hours after i.t. LPS normalized resolution in Rag-1-/- mice. Similarly, Treg depletion in WT mice delayed recovery. Treg transfer into i.t. LPS-exposed Rag-1-/- mice also corrected the elevated levels of alveolar proinflammatory cytokines and increased the diminished levels of alveolar TGF-beta and neutrophil apoptosis. Mechanistically, Treg-mediated resolution of lung injury was abrogated by TGF-beta inhibition. Moreover, BAL of patients with ALI revealed dynamic changes in CD3+CD4+CD25hiCD127loFoxp3+ cells. These results indicate that Tregs modify innate immune responses during resolution of lung injury and suggest potential targets for treating ALI, for which there are no specific therapies currently available.

Indexed as

Acute Lung InjuryAnimalsBronchoalveolar Lavage FluidCD4-Positive T-LymphocytesCells, CulturedForkhead Transcription FactorsHomeodomain ProteinsHumansInterleukin-10Interleukin-2 Receptor alpha SubunitLipopolysaccharidesLungMacrophages, PeritonealMaleMiceMice, Inbred C57BLForkhead Transcription FactorsFoxp3 protein, mouseHomeodomain ProteinsInterleukin-10Interleukin-2 Receptor alpha SubunitLipopolysaccharidesRAG-1 protein

Identifiers

PMID19770521
PMCPMC2752062
OpenAlexW2058864165

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.