Evidence map›Paper›PMID 21257925›Full record

ArticleAmerican journal of respiratory cell and molecular biology2011

Cytoprotective-selective activated protein C attenuates Pseudomonas aeruginosa-induced lung injury in mice.

Nastasha Bir, Mathieu Lafargue, Marybeth Howard, Arnaud Goolaerts, Jeremie Roux, Michel Carles, Mitchell J Cohen, Karen E Iles, José A Fernández, John H Griffin and 1 more

Abstract read
In one paragraph

Article in American journal of respiratory cell and molecular biology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Activated Protein C in Cutaneous Wound Healing: From Bench to Bedside.International journal of molecular sciences · 2019
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Hyaluronan mediates airway hyperresponsiveness in oxidative lung injury.American journal of physiology. Lung cellular and molecular physiology · 2015
    Article
  12. Article
  13. Article
  14. Review
  15. Postexposure aerosolized heparin reduces lung injury in chlorine-exposed mice.American journal of physiology. Lung cellular and molecular physiology · 2014
    Article
  16. Mechanisms of phagocytosis and host clearance of Pseudomonas aeruginosa.American journal of physiology. Lung cellular and molecular physiology · 2014
    Review
  17. Article
  18. Review
  19. Article
  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

11 authors at 4 institutions in 2 countries.

Nastasha BirCardiovascular Research Institute and Institute of Molecular Medicine, Department of Anesthesia, University of California at San Francisco, San Francisco, California, USA.
Mathieu Lafargue
Marybeth Howard
Arnaud Goolaerts
Jeremie Roux
Michel Carles
Mitchell J Cohen
Karen E Iles
José A Fernández
John H Griffin
Jean-Francois Pittet
University of California, San Francisco · USScripps Research Institute · USUniversité Côte d'Azur · FRUniversity of Alabama at Birmingham · US

Funding

THROMBUS FORMATION IN BABOONSP01HL031950 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H · 1985 to 2015
$29.4M
Structure and Function of Protein CR01HL052246 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H · 2005 to 2017
$9.6M
Comprehensive Anesthesia Research TrainingT32GM008440 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Judith Hellman · 1996 to 2026
$5.5M
STRUCTURE/FUNCTION OF PROTEIN CR37HL052246 · NHLBI · SCRIPPS RESEARCH INSTITUTE · PI GRIFFIN, JOHN H · 1995 to 2004
$2.9M
STRESS PRECONDITIONING AND ALVEOLAR EPITHELIAL INJURYR01GM062188 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PITTET, JEAN-FRANCOIS · 2001 to 2010
$2.6M
Coagulation Abnormalities and Post-Traumatic Ventilator-Associated PneumoniaR01GM086416 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PITTET, JEAN-FRANCOIS · 2010 to 2013
$1.2M
NHLBI NIH HHS HL031950NHLBI NIH HHS HL052246NHLBI NIH HHS P01 HL031950NHLBI NIH HHS R01 HL052246NHLBI NIH HHS R37 HL052246NIGMS NIH HHS R01 GM062188NIGMS NIH HHS R01 GM086416NIGMS NIH HHS R01 GM- GM086416NIGMS NIH HHS T32 GM008440
6 · The paper itself

Abstract

Inhibition of the small GTPase RhoA attenuates the development of pulmonary edema and restores positive alveolar fluid clearance in a murine model of Pseudomonas aeruginosa pneumonia. Activated protein C (aPC) blocks the development of an unfavorably low ratio of small GTPase Rac1/RhoA activity in lung endothelium through endothelial protein C receptor (EPCR)/protease-activated receptor-1 (PAR-1)-dependent signaling mechanisms that include transactivating the sphingosine-1-phosphate (S1P) pathway. However, whether aPC's cytoprotective effects can attenuate the development of pulmonary edema and death associated with P. aeruginosa pneumonia in mice remains unknown. Thus, we determined whether the normalization of a depressed ratio of activated Rac1/RhoA by aPC would attenuate the P. aeruginosa-mediated increase in protein permeability across lung endothelial and alveolar epithelial barriers. Pretreatment with aPC significantly reduced P. aeruginosa-induced increases in paracellular permeability across pulmonary endothelial cell and alveolar epithelial monolayers via an inhibition of RhoA activation and a promotion of Rac1 activation that required the EPCR-PAR-1 and S1P pathways. Furthermore, pretreatment with aPC attenuated the development of pulmonary edema in a murine model of P. aeruginosa pneumonia. Finally, a cytoprotective-selective aPC mutant, aPC-5A, which lacks most of aPC's anticoagulant activity, reproduced the protective effect of wild-type aPC by attenuating the development of pulmonary edema and decreasing mortality in a murine model of P. aeruginosa pneumonia. Taken together, these results demonstrate a critical role for the cytoprotective activities of aPC in attenuating P. aeruginosa-induced lung vascular permeability and mortality, suggesting that cytoprotective-selective aPC-5A with diminished bleeding risks could attenuate the lung damage caused by P. aeruginosa in critically ill patients.

Indexed as

AnimalsCattleCell LineDisease Models, AnimalEpithelial CellsHumansLungLung InjuryMiceProtein CPseudomonas aeruginosaPseudomonas InfectionsPulmonary Edemarac1 GTP-Binding ProteinRatsrhoA GTP-Binding ProteinProtein Crac1 GTP-Binding ProteinRAC1 protein, humanrhoA GTP-Binding ProteinRHOA protein, humanRhoA protein, mouserho GTP-Binding Proteins

Identifiers

PMID21257925
PMCPMC3175583
OpenAlexW2115401649

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.