Evidence map›Paper›PMID 23792737›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2013

Sugar administration is an effective adjunctive therapy in the treatment of Pseudomonas aeruginosa pneumonia.

Iwona Bucior, Jason Abbott, Yuanlin Song, Michael A Matthay, Joanne N Engel

Abstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.9field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  7. Insights onMicroorganisms · 2024
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  10. Discovery ofJournal of medicinal chemistry · 2022
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  11. Article
  12. Review
  13. Article
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  15. Article
  16. Article
  17. Article
  18. Receptor recognition by meningococcal type IV pili relies on a specific complexProceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  19. d-Mannose Treatment neither Affects UropathogenicMolecules (Basel, Switzerland) · 2020
    Article
  20. Clinically relevant model of pneumococcal pneumonia, ARDS, and nonpulmonary organ dysfunction in mice.American journal of physiology. Lung cellular and molecular physiology · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Iwona BuciorDepartment of Medicine, University of California, San Francisco, CA, USA.
Jason Abbott
Yuanlin Song
Michael A Matthay
Joanne N Engel
University of California, San Francisco · US

Funding

Sulfs and Injury Repair in Mucosal EpitheliaP01AI053194 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WERB, ZENA · 2002 to 2012
$13.4M
New approaches to Study Pseudomonas-host interactionsR01AI065902 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ENGEL, JOANNE N. · 2005 to 2013
$2.8M
NIAID NIH HHS P01 AI053194NIAID NIH HHS R01 AI065902
6 · The paper itself

Abstract

Treatment of acute and chronic pulmonary infections caused by opportunistic pathogen Pseudomonas aeruginosa is limited by the increasing frequency of multidrug bacterial resistance. Here, we describe a novel adjunctive therapy in which administration of a mix of simple sugars-mannose, fucose, and galactose-inhibits bacterial attachment, limits lung damage, and potentiates conventional antibiotic therapy. The sugar mixture inhibits adhesion of nonmucoid and mucoid P. aeruginosa strains to bronchial epithelial cells in vitro. In a murine model of acute pneumonia, treatment with the sugar mixture alone diminishes lung damage, bacterial dissemination to the subpleural alveoli, and neutrophil- and IL-8-driven inflammatory responses. Remarkably, the sugars act synergistically with anti-Pseudomonas antibiotics, including β-lactams and quinolones, to further reduce bacterial lung colonization and damage. To probe the mechanism, we examined the effects of sugars in the presence or absence of antibiotics during growth in liquid culture and in an ex vivo infection model utilizing freshly dissected mouse tracheas and lungs. We demonstrate that the sugar mixture induces rapid but reversible formation of bacterial clusters that exhibited enhanced susceptibility to antibiotics compared with individual bacteria. Our findings reveal that sugar inhalation, an inexpensive and safe therapeutic, could be used in combination with conventional antibiotic therapy to more effectively treat P. aeruginosa lung infections.

Indexed as

AnimalsAnti-Bacterial AgentsBacterial AdhesionBronchiCarbohydratesCells, CulturedCystic FibrosisFucoseGalactoseHumansInterleukin-8Lung InjuryMaleMannoseMiceMice, Inbred BALB CAnti-Bacterial AgentsCarbohydratesFucoseGalactoseInterleukin-8MannosePolysaccharidesantibioticsmicrobial pathogenesispneumoniaPseudomonas aeruginosatherapeutics

Identifiers

PMID23792737
PMCPMC3763031
OpenAlexW1990014136

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.