Evidence map›Paper›PMID 22759465›Full record

ArticleJournal of innate immunity2012

Alveolar macrophage cathelicidin deficiency in severe sarcoidosis.

Barbara P Barna, Daniel A Culver, Ali Kanchwala, Ravinder J Singh, Isham Huizar, Susamma Abraham, Anagha Malur, Irene Marshall, Mani S Kavuru, Mary Jane Thomassen

Open access · bronzeAbstract read
In one paragraph

Article in Journal of innate immunity, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Application of Proteomics in Sarcoidosis.American journal of respiratory cell and molecular biology · 2020
    Review
  4. Review
  5. Cathelicidin Contributes to the Restriction ofFrontiers in immunology · 2019
    Article
  6. Vitamin D status in sarcoidosis: a cross-sectional study.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2018
    Article
  7. Review
  8. Article
  9. Inflammation and vitamin D: the infection connection.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2014
    Review
  10. The Janus face of macrophages in immunity.Journal of innate immunity · 2014
    Article
  11. Review
  12. Macrophages: past, present and future.Journal of innate immunity · 2013
    Article
  13. 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

10 authors at 3 institutions in 1 country.

Barbara P BarnaDivision of Pulmonary and Critical Care Medicine, East Carolina University, Greenville, NC 27834, USA.
Daniel A Culver
Ali Kanchwala
Ravinder J Singh
Isham Huizar
Susamma Abraham
Anagha Malur
Irene Marshall
Mani S Kavuru
Mary Jane Thomassen
East Carolina University · USCleveland Clinic · USMayo Clinic in Arizona · US

Funding

PPARgamma Dysfunction in SarcoidoisR21HL077652 · NHLBI · EAST CAROLINA UNIVERSITY · PI THOMASSEN, MARY JANE · 2004 to 2005
$405k
NHLBI NIH HHS HL-077652NHLBI NIH HHS R21 HL077652OMH OASH HHS D52MP02105
6 · The paper itself

Abstract

backgroundDysfunctional immune responses characterize sarcoidosis, but the status of cathelicidin, a potent immunoregulatory and antimicrobial molecule, has not been established in clinical disease activity.

methodsAlveolar macrophage cathelicidin expression was determined in biopsy-proven sarcoidosis patients classified clinically as 'severe' (requiring systemic treatment) or 'non-severe' (never requiring treatment). Bronchoalveolar lavage (BAL) cells from sarcoidosis patients and healthy controls were analyzed for mRNA expression of cathelicidin, vitamin D receptor (VDR) and the VDR coactivator steroid receptor coactivator-3 (SRC3) by quantitative PCR. Cathelicidin-derived peptide LL-37 was determined by immunocytochemistry. Serum calcidiol (25-hydroxyvitamin D2; vitD2) and calcitriol (1,25-dihydroxyvitamin D3; vitD3) were quantified.

resultsThe results indicated reduced BAL cell expression of cathelicidin and SRC3 in severe but not non-severe sarcoidosis compared to controls. Serum levels of biologically active vitD3 in both severe and non-severe patients were within the control range even though vitD2 levels in both groups were below the recommended level (30 ng/ml). Sarcoidosis and control alveolar macrophages were studied in vitro to determine cathelicidin responses to vitD3 and tumor necrosis factor-α (TNFα), a vitD3 antagonist elevated in active sarcoidosis. Alveolar macrophage cathelicidin was stimulated by vitD3 but repressed by TNFα, which also repressed SRC3.

conclusionsThese findings suggest that TNFα-mediated repression of SRC3 contributes to alveolar macrophage cathelicidin deficiency in severe sarcoidosis despite healthy vitD3 levels. Deficiency of cathelicidin, a multifunctional regulator of immune cells and proinflammatory cytokines, may impede resolution of inflammation in the lungs of patients with severe sarcoidosis.

Indexed as

AdultAntimicrobial Cationic PeptidesBronchoalveolar Lavage FluidCathelicidinsFemaleHumansMacrophages, AlveolarMaleMiddle AgedNuclear Receptor Coactivator 3Sarcoidosis, PulmonarySeverity of Illness IndexTumor Necrosis Factor-alphaVitamin DYoung AdultAntimicrobial Cationic PeptidesCathelicidinsdihydroxy-vitamin D3NCOA3 protein, humanNuclear Receptor Coactivator 3Tumor Necrosis Factor-alphaVitamin D

Identifiers

PMID22759465
PMCPMC3472801
OpenAlexW2172081112

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.