Evidence map›Paper›PMID 19893050›Full record

ArticleThe American journal of pathology2009

Robust Th1 and Th17 immunity supports pulmonary clearance but cannot prevent systemic dissemination of highly virulent Cryptococcus neoformans H99.

Yanmei Zhang, Fuyuan Wang, Kristin C Tompkins, Andrew McNamara, Aditya V Jain, Bethany B Moore, Galen B Toews, Gary B Huffnagle, 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 123 papers.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed
7.2field-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.

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

123 citing papers in PubMed, 166 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Insights from Mass Spectrometry-Based Proteomics onJournal of fungi (Basel, Switzerland) · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. A New Overview of Sex Bias in Fungal Infections.Journal of fungi (Basel, Switzerland) · 2024
    Review
  14. Inbred Mouse Models inJournal of fungi (Basel, Switzerland) · 2024
    Review
  15. Article
  16. Article
  17. Frontiers in cellular and infection microbiology · 2024
    Article
  18. Immune evasion byFrontiers in immunology · 2024
    Article
  19. Article
  20. Innate Pulmonary Phagocytes and Their Interactions with PathogenicJournal of fungi (Basel, Switzerland) · 2023
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Yanmei ZhangVA Ann Arbor Health System, Ann Arbor, Michigan 48105, USA.
Fuyuan Wang
Kristin C Tompkins
Andrew McNamara
Aditya V Jain
Bethany B Moore
Galen B Toews
Gary B Huffnagle
Michal A Olszewski
VA Ann Arbor Healthcare System · USMichigan Medicine · USUniversity of Michigan–Ann Arbor · US

Funding

MACROPHAGE RECRUITMENT/ACTIVATION IN LUNG DEFENSER01HL051082 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TOEWS, GALEN B · 1994 to 2007
$2.5M
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 HL065912NHLBI NIH HHS R01-HL51082NHLBI NIH HHS R01-HL63670NHLBI NIH HHS R01-HL65912
6 · The paper itself

Abstract

The present study dissected the role of a Th2 bias in pathogenesis of Cryptococcus neoformans H99 infection by comparing inhalational H99 infections in wild-type BALB/c and IL-4/IL-13 double knockout mice. H99-infected wild-type mice showed all major hallmarks of Th2 but not Th1/Th17 immunity in the lungs and lung-associated lymph nodes. In contrast, the IL-4/13(-/-) mice developed robust hallmarks of Th1 and Th17 but not Th2 polarization. The IL-4/IL-13 deletion prevented pulmonary eosinophilia, goblet cell metaplasia in the airways and resulted in elevated serum IgE, and a switch from alternative to classical activation of macrophages. The development of a robust Th1/Th17 response and classical activation of macrophages resulted in significant containment of H99 in the lungs of IL-4/13(-/-) mice compared with unopposed growth of H99 in the lungs of wild-type mice. However, IL-4/13(-/-) mice showed only 1-week longer survival compared with wild-type mice. The comparison of brain and spleen cryptococcal loads at weeks 2, 3, and 4 postinfection revealed that the systemic dissemination in IL-4/13(-/-) mice occurred with an approximate 1-week delay but subsequently progressed with similar rate as in the wild-type mice. Furthermore, wild-type and IL-4/13(-/-) mice developed equivalently severe meningitis/encephalitis at the time of death. These data indicate that the Th2 immune bias is a crucial mechanism for pulmonary virulence of H99, whereas other mechanisms are largely responsible for its central nervous system tropism and systemic dissemination.

Indexed as

AnimalsChemotaxis, LeukocyteCryptococcosisCryptococcus neoformansDisease ProgressionInterleukin-13Interleukin-17Interleukin-4Macrophage ActivationMiceMice, Inbred BALB CMice, KnockoutReverse Transcriptase Polymerase Chain ReactionTh1 CellsTh2 CellsT-Lymphocyte SubsetsInterleukin-13Interleukin-17Interleukin-4

Identifiers

PMID19893050
PMCPMC2789623
OpenAlexW2018367888

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.