Evidence map›Paper›PMID 21784974›Full record

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

Chronic fetal exposure to Ureaplasma parvum suppresses innate immune responses in sheep.

Suhas G Kallapur, Boris W Kramer, Christine L Knox, Clare A Berry, Jennifer J P Collins, Matthew W Kemp, Ilias Nitsos, Graeme R Polglase, James Robinson, Noah H Hillman and 3 more

Open access · greenAbstract 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 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 95% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. International journal of molecular sciences · 2026
    Review
  3. Observational
  4. Observational
  5. Observational
  6. Unveiling the stealthy tactics: mycoplasma's immune evasion strategies.Frontiers in cellular and infection microbiology · 2023
    Review
  7. Effects of multiple pro-inflammatory stimuliFrontiers in immunology · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Immunobiology of Acute Chorioamnionitis.Frontiers in immunology · 2020
    Review
  19. Chronic Intra-UterineFrontiers in immunology · 2020
    Article
  20. Bronchopulmonary dysplasia.Nature reviews. Disease primers · 2019
    Review
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

13 authors at 4 institutions in 3 countries.

Suhas G KallapurCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH 45229, USA. suhas.kallapur@cchmc.org
Boris W Kramer
Christine L Knox
Clare A Berry
Jennifer J P Collins
Matthew W Kemp
Ilias Nitsos
Graeme R Polglase
James Robinson
Noah H Hillman
John P Newnham
Claire Chougnet
Alan H Jobe
Cincinnati Children's Hospital Medical Center · USMaastricht University · NLQueensland University of Technology · AUUniversity of Cincinnati · US

Funding

Late Preterm Birth, Ureaplasma Species and Childhood Lung DiseaseR01HL097064 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI JOBE, ALAN H, KALLAPUR, SUHAS · 2009 to 2012
$2.0M
Mechanisms of Fetal Inflammatory Response Syndrome Induced by ChorioamnionitisR01HD057869 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI KALLAPUR, SUHAS · 2009 to 2013
$1.6M
NHLBI NIH HHS HL97064NHLBI NIH HHS R01 HL097064NICHD NIH HHS HD57869NICHD NIH HHS R01 HD057869
6 · The paper itself

Abstract

The chorioamnionitis associated with preterm delivery is often polymicrobial with ureaplasma being the most common isolate. To evaluate interactions between the different proinflammatory mediators, we hypothesized that ureaplasma exposure would increase fetal responsiveness to LPS. Fetal sheep were given intra-amniotic (IA) injections of media (control) or Ureaplasma parvum serovar 3 either 7 or 70 d before preterm delivery. Another group received an IA injection of Escherichia coli LPS 2 d prior to delivery. To test for interactions, IA U. parvum-exposed animals were challenged with IA LPS and delivered 2 d later. All animals were delivered at 124 ± 1-d gestation (term = 150 d). Compared with the 2-d LPS exposure group, the U. parvum 70 d + LPS group had 1) decreased lung pro- and anti-inflammatory cytokine expression and 2) fewer CD3(+) T lymphocytes, CCL2(+), myeloperoxidase(+), and PU.1(+) cells in the lung. Interestingly, exposure to U. parvum for 7 d did not change responses to a subsequent IA LPS challenge, and exposure to IA U. parvum alone induced mild lung inflammation. Exposure to U. parvum increased pulmonary TGF-β1 expression but did not change mRNA expression of either the receptor TLR4 or some of the downstream mediators in the lung. Monocytes from fetal blood and lung isolated from U. parvum 70 d + LPS but not U. parvum 7 d + LPS animals had decreased in vitro responsiveness to LPS. These results are consistent with the novel finding of downregulation of LPS responses by chronic but not acute fetal exposures to U. parvum. The findings increase our understanding of how chorioamnionitis-exposed preterm infants may respond to lung injury and postnatal nosocomial infections.

Indexed as

Immunity, InnateAnimalsBronchoalveolar Lavage FluidChorioamnionitisCross InfectionCytokinesFemaleFetusLipopolysaccharidesPneumoniaPregnancyPregnancy Complications, InfectiousPrenatal Exposure Delayed EffectsSheep, DomesticUreaplasmaUreaplasma InfectionsCytokinesLipopolysaccharides

Identifiers

PMID21784974
PMCPMC3159703
OpenAlexW1565567668

What OpenQuestion holds

Textmetadata
LicenceTDM
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.