Evidence map›Paper›PMID 23526215›Full record

ArticleAmerican journal of respiratory cell and molecular biology2013

α₁-Antitrypsin modulates lung endothelial cell inflammatory responses to TNF-α.

Angelia D Lockett, Samuel Kimani, Godfrey Ddungu, Sabine Wrenger, Rubin M Tuder, Sabina M Janciauskiene, Irina Petrache

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of respiratory cell and molecular biology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07125664 (A Two-center, Randomized, Double-blind, Placebo-controlled Study of Intravenous Plasma-purified Alpha-1 Antitrypsin for Hospitalized Patients With COPD Exacerbations), 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
3.1field-weighted citation impact, top 8% 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.

NCT07125664 phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Two-center, Randomized, Double-blind, Placebo-controlled Study of Intravenous Plasma-purified Alpha-1 Antitrypsin for Hospitalized Patients With COPD Exacerbations (AECOPD Study)

TypeinterventionalSponsorFondazione IRCCS Policlinico San Matteo di PaviaRan2025 to 2027Enrolled36ConditionsAcute Exacerbation Chronic Obstructive Pulmonary DiseaseArmsalpha1-proteinase inhibitor, produced from the plasma of human donors (Prolastin 1000 mg, powder and solvent for solution for infusion), Placebo
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Clinical Study Support by Long-Term Stability Studies of AlphaPharmaceuticals (Basel, Switzerland) · 2025
    Article
  9. Review
  10. Article
  11. Human mutation · 2024
    Article
  12. Article
  13. Alpha-1 antitrypsin inhibits fractalkine-mediated monocyte-lung endothelial cell interactions.American journal of physiology. Lung cellular and molecular physiology · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

7 authors at 4 institutions in 1 country.

Angelia D LockettDivision of Pulmonary, Allergy, Critical Care, and Occupational Medicine, Center for Immunobiology, Indiana University, Indianapolis, IN 46202, USA.
Samuel Kimani
Godfrey Ddungu
Sabine Wrenger
Rubin M Tuder
Sabina M Janciauskiene
Irina Petrache
Indiana University – Purdue University Indianapolis · USIndiana University Health · USRichard L. Roudebush VA Medical Center · USUniversity of Colorado Denver · US

Funding

Sleep Related Mechanisms of COPD ProgressionP50HL084945 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2007 to 2011
$15.1M
Immunology and Infectious Diseases Training ProgramT32AI060519 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MARK H KAPLAN · 2004 to 2026
$6.0M
RTP-801 in Cigarette Smoke-EmphysemaR01ES016285 · NIEHS · UNIVERSITY OF COLORADO DENVER · PI TUDER, RUBIN M. · 2011 to 2015
$1.6M
Direct and Bone-Marrow Mediated Effects of Adipose Stem Cells in EmphysemaR01HL105772 · NHLBI · NATIONAL JEWISH HEALTH · PI MARCH, KEITH LEONARD, PETRACHE, IRINA · 2012 to 2015
$1.5M
NHLBI NIH HHS 1P50 HL084945NHLBI NIH HHS P50 HL084945NHLBI NIH HHS R01 HL105772NIAID NIH HHS T32 AI060519NIAID NIH HHS T32 AI060519-05NIEHS NIH HHS ES016285NIEHS NIH HHS R01 ES016285
6 · The paper itself

Abstract

α₁-Antitrypsin (A1AT) is an acute-phase reactant, but also a major protective factor against the development of chronic obstructive pulmonary disease, a complex disease with sustained chronic inflammation. The lung-protective effects of A1AT have been attributed to the inhibition of proteases involved in lung matrix fragmentation, macrophage activation, and endothelial-cell apoptosis. More recently, A1AT has been shown to directly interact with or modulate the actions of cytokines such as TNF-α or IL-1 in inflammatory cells, but its effect on the lung endothelium, an active participant in the amplification and resolution of inflammation, has received little attention. An important role of A1AT in modulating lung endothelial inflammatory responses is expected, given the high concentrations of circulating A1AT during inflammation and its active uptake by endothelial cells. We investigated the role of A1AT in primary lung microvascular endothelial cell activation by relevant cytokines such as TNF-α or IL-1β. Despite an initial marked augmentation of TNF-α self-induced transcription, A1AT inhibited TNF-α receptor 1 up-regulation and significantly reduced TNF-α secretion, effects that were associated with inhibition of TNF-α-converting enzyme activity. Furthermore, A1AT inhibited calpain activity, whose activation by TNF-α contributed to decreased intracellular A1AT concentrations. These data indicate that A1AT initially facilitates acute responses of the endothelium to TNF-α, followed by selective inhibition of TNF-α-induced-self amplification, which may assist the vasculature in the resolution of chronic inflammation.

Indexed as

ADAM17 ProteinADAM Proteinsalpha 1-AntitrypsinAnimalsCalpainCell MembraneEndothelial CellsEndothelium, VascularEnzyme ActivationEnzyme InhibitorsFlow CytometryHumansI-kappa B ProteinsInflammationInterleukin-1betaLungADAM17 ProteinADAM Proteinsalpha 1-AntitrypsinCalpainEnzyme InhibitorsI-kappa B ProteinsInterleukin-1betainterleukin-1beta (163-171)NF-KappaB Inhibitor alphaNFKBIA protein, humanNfkbia protein, ratPeptide FragmentsReceptors, Tumor Necrosis FactorTumor Necrosis Factor-alpha

Identifiers

PMID23526215
PMCPMC3727880
OpenAlexW2101603826

What OpenQuestion holds

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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.