Evidence map›Paper›PMID 23045479›Full record

ArticleInfection and immunity2012

Contribution of adenosine A(2B) receptors in Clostridium difficile intoxication and infection.

Cirle A Warren, Yuesheng Li, Gina M Calabrese, Rosemayre S Freire, Snjezana Zaja-Milatovic, Edward van Opstal, Robert A Figler, Joel Linden, Richard L Guerrant

Open access · bronzeAbstract read
In one paragraph

Article in Infection and immunity, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Fatal Systemic Infection Caused by Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2026
    Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
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  9. Clostridium difficile toxins or infection induce upregulation of adenosine receptors and IL-6 with early pro-inflammatory and late anti-inflammatory pattern.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2020
    Article
  10. Article
  11. Review
  12. Adenosine AJournal of clinical medicine · 2017
    Review
  13. Article
  14. Review
  15. Article
  16. Adenosine and gastrointestinal inflammation.Journal of molecular medicine (Berlin, Germany) · 2013
    Review
  17. 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

9 authors at 4 institutions in 2 countries.

Cirle A WarrenDepartment of Medicine, University of Virginia, Charlottesville, Virginia, USA. ca6t@virginia.edu
Yuesheng Li
Gina M Calabrese
Rosemayre S Freire
Snjezana Zaja-Milatovic
Edward van Opstal
Robert A Figler
Joel Linden
Richard L Guerrant
University of Virginia · USHemoShear (United States) · USLa Jolla Institute for Immunology · USUniversidade Federal do Ceará · BR

Funding

Tailoring Novel Therapeutics for Emerging Drug-Resistant C. Difficile ColitisU01AI075526 · NIAID · UNIVERSITY OF VIRGINIA · PI GUERRANT, RICHARD L · 2007 to 2011
$3.6M
NIAID NIH HHS U01 AI075526
6 · The paper itself

Abstract

Clostridium difficile toxins A (TcdA) and B (TcdB) induce a pronounced systemic and intestinal inflammatory response. A(2B) adenosine receptors (A(2B)ARs) are the predominant adenosine receptors in the intestinal epithelium. We investigated whether A(2B)ARs are upregulated in human intestinal cells by TcdA or TcdB and whether blockade of A(2B)ARs can ameliorate C. difficile TcdA-induced enteritis and alter the outcome of C. difficile infection (CDI). Adenosine receptor subtype (A(1), A(2A), A(2B), and A(3)) mRNAs were assayed in HCT-8 cells. Ileal loops from wild-type rabbits and mice and A(2B)AR(-/-) mice were treated with TcdA, with or without the selective A(2B)AR antagonist ATL692 or PSB1115. A murine model of CDI was used to determine the effect of A(2B)AR deletion or blockade with the orally available agent ATL801, on clinical outcome, histopathology and intestinal interleukin-6 (IL-6) expression from infection. TcdA and TcdB upregulated A(2B)AR gene expression in HCT-8 cells. ATL692 decreased TcdA-induced secretion and epithelial injury in rabbit ileum. Deletion of A(2B)ARs reduced secretion and histopathology in TcdA-challenged mouse ileum. Deletion or blockade of A(2B)ARs reduced histopathology, IL-6 expression, weight loss, diarrhea, and mortality in C. difficile-infected mice. A(2B)ARs mediate C. difficile toxin-induced enteritis and disease. Inhibition of A(2B)AR activation may be a potential strategy to limit morbidity and mortality from CDI.

Indexed as

ColonEnterocolitis, PseudomembranousAnimalsBacterial ProteinsBacterial ToxinsCell Line, TumorClostridioides difficileDisease Models, AnimalEnterotoxinsGene Expression RegulationHumansIleumMiceMice, Inbred C57BLRabbitsReceptor, Adenosine A2BBacterial ProteinsBacterial ToxinsEnterotoxinsReceptor, Adenosine A2BtcdA protein, Clostridium difficiletoxB protein, Clostridium difficile

Identifiers

PMID23045479
PMCPMC3497433
OpenAlexW2121281079

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.