Evidence map›Paper›PMID 23749634›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2013

Microenvironments in tuberculous granulomas are delineated by distinct populations of macrophage subsets and expression of nitric oxide synthase and arginase isoforms.

Joshua T Mattila, Olabisi O Ojo, Diane Kepka-Lenhart, Simeone Marino, Jin Hee Kim, Seok Yong Eum, Laura E Via, Clifton E Barry, Edwin Klein, Denise E Kirschner and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 230 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
230citing papers in PubMed, 1 pooled it
17.4field-weighted citation impact, top 1% 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

230 citing papers in PubMed, 1 synthesis or guideline pooled it, 346 citations in OpenAlex.

  1. Pooled it
  2. MakingCell insight · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Macrophage states and polarization duringFrontiers in cellular and infection microbiology · 2026
    Review
  12. Arginine Metabolism in Decidual Macrophages During Pregnancy.American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Journal of bacteriology · 2025
    Review
  17. Article
  18. Zinc-limitedInfection and immunity · 2025
    Article
  19. Building Spatiotemporal Understanding ofACS infectious diseases · 2025
    Review
  20. Article

170 more citing papers are in PubMed but not listed here.

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

13 authors at 6 institutions in 2 countries.

Joshua T MattilaDepartment of Microbiology and Molecular Genetics, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Olabisi O Ojo
Diane Kepka-Lenhart
Simeone Marino
Jin Hee Kim
Seok Yong Eum
Laura E Via
Clifton E Barry
Edwin Klein
Denise E Kirschner
Sidney M Morris
Philana Ling Lin
Joanne L Flynn
University of Pittsburgh · USNational Institute of Allergy and Infectious Diseases · USUniversity of Michigan–Ann Arbor · USInternational Tuberculosis Research Center · KRMasan National Tuberculosis Hospital · KRUniversity of Pittsburgh Medical Center · US

Funding

Experimental Animal Models of TB: Chemotherapeutics and ImagingZIAAI000734 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI BARRY, CLIFTON · 2009 to 2025
$19.6M
Predicting immune responses that correlate with protection against tuberculosisR01HL110811 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FLYNN, JOANNE L., KIRSCHNER, DENISE E · 2012 to 2016
$5.9M
Immunology of Infectious DiseaseT32AI060525 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JoAnne L. Flynn · 2005 to 2026
$5.3M
Cell Migration in Tuberculosis InfectionR01HL071241 · NHLBI · YESHIVA UNIVERSITY · PI CHAN, JOHN R. · 2002 to 2011
$4.8M
Role of Arginase in Inflammation and TraumaR01GM057384 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORRIS, SIDNEY MACHEN · 1998 to 2012
$3.8M
Weight Gain Prevention in Hypertensive SmokersR01HL074845 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI KLESGES, ROBERT C · 2004 to 2008
$3.1M
Defining how the spectrum of latency affects reactivation of TBR01HL106804 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FLYNN, JOANNE L., KIRSCHNER, DENISE E · 2010 to 2013
$2.6M
A multi-scale model to predict outcomes of immunomodulation and drug therapy duriR01EB012579 · NIBIB · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FLYNN, JOANNE L., KIRSCHNER, DENISE E · 2011 to 2014
$2.3M
A Multi-scale and Multi-system Approach to Understand Granuloma Formation in TBR33HL092883 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FLYNN, JOANNE L. · 2008 to 2010
$672k
TNF and Granuloma Formation in TuberculosisK08AI063101 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LIN, PHILANA LING · 2005 to 2009
$584k
Reactivated tuberculosis in SIV-infected cynomolgus macaquesF32AI077183 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MATTILA, JOSHUA T. · 2009 to 2010
$102k
NHLBI NIH HHS HL074845NHLBI NIH HHS HL092883NHLBI NIH HHS HL106804NHLBI NIH HHS R01 HL071241NHLBI NIH HHS R01 HL074845NHLBI NIH HHS R01 HL106804NHLBI NIH HHS R01 HL110811NHLBI NIH HHS R33 HL092883NIAID NIH HHS AI060525-05NIAID NIH HHS AI077183NIAID NIH HHS F32 AI077183NIAID NIH HHS K08 AI063101NIAID NIH HHS T32 AI060525NIBIB NIH HHS EB012579NIBIB NIH HHS R01 EB012579NIGMS NIH HHS GM057384-11NIGMS NIH HHS R01 GM057384
6 · The paper itself

Abstract

Macrophages in granulomas are both antimycobacterial effector and host cell for Mycobacterium tuberculosis, yet basic aspects of macrophage diversity and function within the complex structures of granulomas remain poorly understood. To address this, we examined myeloid cell phenotypes and expression of enzymes correlated with host defense in macaque and human granulomas. Macaque granulomas had upregulated inducible and endothelial NO synthase (iNOS and eNOS) and arginase (Arg1 and Arg2) expression and enzyme activity compared with nongranulomatous tissue. Immunohistochemical analysis indicated macrophages adjacent to uninvolved normal tissue were more likely to express CD163, whereas epithelioid macrophages in regions where bacteria reside strongly expressed CD11c, CD68, and HAM56. Calprotectin-positive neutrophils were abundant in regions adjacent to caseum. iNOS, eNOS, Arg1, and Arg2 proteins were identified in macrophages and localized similarly in granulomas across species, with greater eNOS expression and ratio of iNOS/Arg1 expression in epithelioid macrophages as compared with cells in the lymphocyte cuff. iNOS, Arg1, and Arg2 expression in neutrophils was also identified. The combination of phenotypic and functional markers support that macrophages with anti-inflammatory phenotypes localized to outer regions of granulomas, whereas the inner regions were more likely to contain macrophages with proinflammatory, presumably bactericidal, phenotypes. Together, these data support the concept that granulomas have organized microenvironments that balance antimicrobial anti-inflammatory responses to limit pathology in the lungs.

Indexed as

AnimalsAntigens, CDAntigens, Differentiation, MyelomonocyticArginaseCD11c AntigenCD163 AntigenCD68 MoleculeCellular MicroenvironmentGranulomaHumansLeukocyte L1 Antigen ComplexLungMacacaMacrophagesMycobacterium tuberculosisMyeloid CellsAntigens, CDAntigens, Differentiation, MyelomonocyticArginaseCD11c AntigenCD163 AntigenCD68 antigen, humanCD68 MoleculeLeukocyte L1 Antigen ComplexNitric Oxide Synthase Type IINitric Oxide Synthase Type IIIProtein IsoformsReceptors, Cell Surface

Identifiers

PMID23749634
PMCPMC3746594
OpenAlexW2109531704

What OpenQuestion holds

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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.