Evidence map›Paper›PMID 23561805›Full record

ArticleThe Annals of thoracic surgery2013

Rapamycin blocks fibrocyte migration and attenuates bronchiolitis obliterans in a murine model.

Jacob R Gillen, Yunge Zhao, David A Harris, Damien J Lapar, Matthew L Stone, Lucas G Fernandez, Irving L Kron, Christine L Lau

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018766 (A Randomized, Placebo-controlled Phase 2 Study to Demonstrate the Safety and Efficacy of the Addition of LAM-001 to Standard Immunosuppression Therapy for Chronic Lung Allograft Dysfunction), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 10% 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.

NCT06018766 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

A Randomized, Placebo-controlled Phase 2 Study to Demonstrate the Safety and Efficacy of the Addition of LAM-001 to Standard Immunosuppression Therapy for Chronic Lung Allograft Dysfunction (BOS).

TypeinterventionalSponsorSteven Hays, MDRan2023 to 2026Enrolled30ConditionsBronchiolitis Obliterans Syndrome, Chronic Lung Allograft Dysfunction, Lung TransplantationArmsLAM-001, Placebo
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. The emerging role of fibrocytes in ocular disorders.Stem cell research & therapy · 2018
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

8 authors at 1 institution in 1 country.

Jacob R GillenDepartment of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Virginia Health System, Charlottesville, VA 22908-0679, USA.
Yunge Zhao
David A Harris
Damien J Lapar
Matthew L Stone
Lucas G Fernandez
Irving L Kron
Christine L Lau
University of Virginia Health System · US

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Adenosine receptor activation in pulmonary ischemia-reperfusion injuryR01HL092953 · NHLBI · UNIVERSITY OF VIRGINIA · PI KRON, IRVING L., LAUBACH, VICTOR E · 2008 to 2011
$1.5M
Adenosine 2A Receptor Signaling in Lung Transplant Injury and RejectionK08HL094704 · NHLBI · UNIVERSITY OF VIRGINIA · PI LAU, CHRISTINE L · 2009 to 2013
$644k
NHLBI NIH HHS 1KO8HL094704NHLBI NIH HHS 5R01HL092953NHLBI NIH HHS K08 HL094704NHLBI NIH HHS R01 HL092953NHLBI NIH HHS T32 HL007849NHLBI NIH HHS T32HL007849
6 · The paper itself

Abstract

backgroundFibrocytes are integral in the development of fibroproliferative disease. The CXCL12/CXCR4 chemokine axis has been shown to play a central role in fibrocyte migration and the development of bronchiolitis obliterans (BO) after lung transplantation. Inhibition of the mammalian target of rapamycin (mTOR) pathway with rapamycin has been shown to decrease expression of both CXCR4 and its receptor agonist CXCL12. Thus, we hypothesized that rapamycin treatment would decrease fibrocyte trafficking into tracheal allografts and prevent BO.

methodsA total alloantigenic mismatch murine heterotopic tracheal transplant (HTT) model of BO was used. Animals were either treated with rapamycin or dimethyl sulfoxide (DMSO) for 14 days after tracheal transplantation. Fibrocyte levels were assessed by flow cytometry, and allograft neutrophil, CD3(+) T-cell, macrophage, and smooth muscle actin (SMA) levels were assessed by immunohistochemistry. Tracheal luminal obliteration was assessed on hematoxylin and eosin (H&E) stains.

resultsCompared with DMSO-treated controls, rapamycin-treated mice showed a significant decrease in fibrocyte levels in tracheal allografts. Fibrocyte levels in recipient blood showed a similar pattern, although it was not statistically significant. Furthermore, animals treated with rapamycin showed a significant decrease in tracheal allograft luminal obliteration compared with controls. Based on immunohistochemical analyses, populations of α-SMA-positive (α-SMA(+)) cells, neutrophils, CD3(+) T cells, and macrophages were all decreased in rapamycin-treated allografts versus DMSO controls.

conclusionsRapamycin effectively reduces recruitment of fibrocytes into tracheal allografts and mitigates development of tracheal luminal fibrosis. Further studies are needed to determine the cellular and molecular mechanisms that mediate the protective effect of rapamycin against BO.

Indexed as

AnimalsBronchiolitis ObliteransCell MovementChemokine CXCL12Disease Models, AnimalMiceMice, Inbred BALB CMice, Inbred C57BLReceptors, CXCR4SirolimusTOR Serine-Threonine KinasesTracheaTransplantation, HomologousChemokine CXCL12Cxcl12 protein, mouseCXCR4 protein, mouseReceptors, CXCR4SirolimusTOR Serine-Threonine Kinases

Identifiers

PMID23561805
PMCPMC4218735
OpenAlexW2054294447

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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.