Evidence map›Paper›PMID 21593379›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2011

Abnormal trafficking and degradation of TLR4 underlie the elevated inflammatory response in cystic fibrosis.

Emanuela M Bruscia, Ping-Xia Zhang, Ayano Satoh, Christina Caputo, Ruslan Medzhitov, Ambika Shenoy, Marie E Egan, Diane S Krause

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed
8.0field-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

93 citing papers in PubMed, 132 citations in OpenAlex.

  1. Review
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  5. Molecular Study from the Signaling Pathways of Four PotentialInternational journal of molecular sciences · 2025
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  6. Neutrophil elastase activates macrophage calpain as a mechanism for phagocytic failure.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  7. American journal of respiratory cell and molecular biology · 2024
    Article
  8. Article
  9. CFTR is required for zinc-mediated antibacterial defense in human macrophages.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Alternatives to Antibiotics againstAntibiotics (Basel, Switzerland) · 2022
    Review
  18. Emerging Concepts in Defective Macrophage Phagocytosis in Cystic Fibrosis.International journal of molecular sciences · 2022
    Review
  19. Article
  20. Article

33 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

8 authors at 2 institutions in 2 countries.

Emanuela M BrusciaDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT 06509, USA. emanuela.bruscia@yale.edu
Ping-Xia Zhang
Ayano Satoh
Christina Caputo
Ruslan Medzhitov
Ambika Shenoy
Marie E Egan
Diane S Krause
Yale University · USOkayama University of Science · JP

Funding

Yale Center of Excellence in Molecular HematologyP30DK072442 · NIDDK · YALE UNIVERSITY · PI KRAUSE, DIANE S · 2005 to 2010
$5.2M
Type II pneumocyte engraftment of bone marrow stem cellsR01HL073742 · NHLBI · YALE UNIVERSITY · PI KRAUSE, DIANE S · 2003 to 2012
$3.5M
Epithelial engraftment of bone marrow derived stem cellsR01DK061846 · NIDDK · YALE UNIVERSITY · PI KRAUSE, DIANE S · 2001 to 2008
$2.5M
CFTR and the Immune ResponseR01HL093004 · NHLBI · YALE UNIVERSITY · PI BRUSCIA, EMANUELA MARINA, EGAN, MARIE E · 2010 to 2014
$2.0M
NHLBI NIH HHS HL073742NHLBI NIH HHS R01 HL073742NHLBI NIH HHS R01 HL093004NIDDK NIH HHS P30 DK072442NIDDK NIH HHS R01 DK061846NIDDK NIH HHS R01 DK61846
6 · The paper itself

Abstract

Morbidity and mortality in cystic fibrosis (CF) are due not only to abnormal epithelial cell function, but also to an abnormal immune response. We have shown previously that macrophages lacking CF transmembrane conductance regulator (CFTR), the gene mutated in CF, contribute significantly to the hyperinflammatory response observed in CF. In this study, we show that lack of functional CFTR in murine macrophages causes abnormal TLR4 subcellular localization. Upon LPS stimulation, CFTR macrophages have prolonged TLR4 retention in the early endosome and reduced translocation into the lysosomal compartment. This abnormal TLR4 trafficking leads to increased LPS-induced activation of the NF-κB, MAPK, and IFN regulatory factor-3 pathways and decreased TLR4 degradation, which affects downregulation of the proinflammatory state. In addition to primary murine cells, mononuclear cells isolated from CF patients demonstrate similar defects in response to LPS. Moreover, specific inhibition of CFTR function induces abnormal TLR4 trafficking and enhances the inflammatory response of wild-type murine cells to LPS. Thus, functional CFTR in macrophages influences TLR4 spatial and temporal localization and perturbs LPS-mediated signaling in both murine CF models and patients with CF.

Indexed as

AnimalsCystic FibrosisHumansInflammationMiceProtein TransportToll-Like Receptor 4Tlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID21593379
PMCPMC3111054
OpenAlexW2124890594

What OpenQuestion holds

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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.