Evidence map›Paper›PMID 22003204›Full record

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

Local delivery of GM-CSF protects mice from lethal pneumococcal pneumonia.

Kathrin Steinwede, Ole Tempelhof, Kristine Bolte, Regina Maus, Jennifer Bohling, Bianca Ueberberg, Florian Länger, John W Christman, James C Paton, Kjetil Ask and 5 more

Registry-linked trialOpen 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. It is linked to trial NCT02601365 (A Phase I Study of Inhaled GM-CSF in the Treatment of Respiratory Virus-associated Severe Pneumonia), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.7field-weighted citation impact, top 4% 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.

NCT02601365 phase1withdrawnnot on this mapstarted 2019, after this paper: background citation

A Phase I Study of Inhaled GM-CSF in the Treatment of Respiratory Virus-associated Severe Pneumonia

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2019 to 2019Enrolled0ConditionsAcute Respiratory Distress Syndrome, Pneumonia, Respiratory Virus InfectionArmsSargramostim 0.04 mcg/kg/dose, Sargramostim 0.2mcg/kg/dose, Sargramostim 1 mcg/kg/dose
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
  2. Article
  3. The deadly dance of alveolar macrophages and influenza virus.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Role of GM-CSF in lung balance and disease.Frontiers in immunology · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Contribution of Puma to Inflammatory Resolution During Early Pneumococcal Pneumonia.Frontiers in cellular and infection microbiology · 2022
    Article
  12. Immune Memory After Respiratory Infection WithFrontiers in cellular and infection microbiology · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  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

15 authors at 4 institutions in 4 countries.

Kathrin SteinwedeDepartment of Experimental Pneumology, Hannover Medical School, Hannover 30625, Germany.
Ole Tempelhof
Kristine Bolte
Regina Maus
Jennifer Bohling
Bianca Ueberberg
Florian Länger
John W Christman
James C Paton
Kjetil Ask
Shyam Maharaj
Martin Kolb
Jack Gauldie
Tobias Welte
Ulrich A Maus
Medizinische Hochschule Hannover · DEMcMaster University · CAUniversity of Adelaide · AUUniversity of Illinois Chicago · US

Funding

Macrophage Gene Expression in Acute Lung InflammationR01HL075557 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI CHRISTMAN, JOHN W · 2004 to 2016
$4.8M
NADPH OXIDASE REGULATION OF THE MACROPHAGE INFLAMMATORY PHENOTYPE IN SEPSISR01HL103643 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI CHRISTMAN, JOHN W · 2010 to 2013
$1.5M
NHLBI NIH HHS R01 HL075557NHLBI NIH HHS R01 HL103643
6 · The paper itself

Abstract

The growth factor GM-CSF has an important role in pulmonary surfactant metabolism and the regulation of antibacterial activities of lung sentinel cells. However, the potential of intra-alveolar GM-CSF to augment lung protective immunity against inhaled bacterial pathogens has not been defined in preclinical infection models. We hypothesized that transient overexpression of GM-CSF in the lungs of mice by adenoviral gene transfer (Ad-GM-CSF) would protect mice from subsequent lethal pneumococcal pneumonia. Our data show that intra-alveolar delivery of Ad-GM-CSF led to sustained increased pSTAT5 expression and PU.1 protein expression in alveolar macrophages during a 28-d observation period. Pulmonary Ad-GM-CSF delivery 2-4 wk prior to infection of mice with Streptococcus pneumoniae significantly reduced mortality rates relative to control vector-treated mice. This increased survival was accompanied by increased inducible NO synthase expression, antibacterial activity, and a significant reduction in caspase-3-dependent apoptosis and secondary necrosis of lung sentinel cells. Importantly, therapeutic treatment of mice with rGM-CSF improved lung protective immunity and accelerated bacterial clearance after pneumococcal challenge. We conclude that prophylactic delivery of GM-CSF triggers long-lasting immunostimulatory effects in the lung in vivo and rescues mice from lethal pneumococcal pneumonia by improving antibacterial immunity. These data support use of novel antibiotic-independent immunostimulatory therapies to protect patients against bacterial pneumonias.

Indexed as

AdenoviridaeAnimalsBronchoalveolar Lavage FluidGenetic VectorsGene Transfer TechniquesGranulocyte-Macrophage Colony-Stimulating FactorIntubation, IntratrachealLungMiceMice, Inbred C57BLPneumonia, PneumococcalRecombinant ProteinsGranulocyte-Macrophage Colony-Stimulating FactorRecombinant Proteins

Identifiers

PMID22003204
PMCPMC3595102
OpenAlexW2135474516

What OpenQuestion holds

Textmetadata
LicenceTDM
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.