Evidence map›Paper›PMID 24231757›Full record

ArticleCritical care medicine2014

The role of leptin in the development of pulmonary neutrophilia in infection and acute lung injury.

Niki D Ubags, Juanita H Vernooy, Elianne Burg, Catherine Hayes, Jenna Bement, Estee Dilli, Lennart Zabeau, Edward Abraham, Katie R Poch, Jerry A Nick and 9 more

Open access · greenAbstract read
In one paragraph

Article in Critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 12% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Leptin and Acute Lung Disorders.Comprehensive Physiology · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The impact of obesity on immune function in pediatric asthma.Current opinion in allergy and clinical immunology · 2021
    Review
  11. Review
  12. The Weight of Obesity in Immunity from Influenza to COVID-19.Frontiers in cellular and infection microbiology · 2021
    Review
  13. Review
  14. Adipose tissue quantification and primary graft dysfunction after lung transplantation: The Lung Transplant Body Composition study.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 4 countries.

Niki D Ubags1Department of Medicine, University of Vermont College of Medicine, Burlington, VT. 2Department of Respiratory Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands. 3Department of Medical Protein Research, Ghent University, Ghent, Belgium. 4Department of Medicine, National Jewish Health, Denver, CO. 5Laboratory of Immunobiology and Genetics, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico. 6Department of Microbiology and Molecular Genetics, University of Vermont College of Medicine, Burlington, VT. 7Pulmonary Center, Department of Medicine, Boston University School of Medicine, Boston, MA.
Juanita H Vernooy
Elianne Burg
Catherine Hayes
Jenna Bement
Estee Dilli
Lennart Zabeau
Edward Abraham
Katie R Poch
Jerry A Nick
Oliver Dienz
Joaquin Zuñiga
Matthew J Wargo
Joseph P Mizgerd
Jan Tavernier
Mercedes Rincón
Matthew E Poynter
Emiel F M Wouters
Benjamin T Suratt
University of Vermont · USGhent University · BEMaastricht University Medical Centre · NLUniversity of Colorado Denver · USBoston University · USInstituto Nacional de Enfermedades Respiratorias · MXNational Jewish Health · US

Funding

WEIGHT LOSS & ASTHMAP20RR015557 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI RINCON, MERCEDES · 2000 to 2009
$21.4M
NF-KB and Innate Immunity in the LungsR01HL068153 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI MIZGERD, JOSEPH P · 2003 to 2016
$5.1M
Regulation and function of STAT3 during pneumoniaR01HL079392 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI MIZGERD, JOSEPH P · 2005 to 2015
$4.0M
Translational Research in Lung Biology and DiseaseP30GM103532 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI IRVIN, CHARLES G · 2012 to 2016
$3.7M
Nitrogen Dioxide in the Sensitization to Allergic Airway DiseaseR01HL089177 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI POYNTER, MATTHEW E · 2007 to 2011
$2.2M
Reciprocal regulation of SDF-1 between marrow and lung during acute lung injuryR01HL084200 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SURATT, BENJAMIN T · 2006 to 2010
$2.0M
Viral-induced Adaptation of Neutrophil Response in ARDSR01HL090991 · NHLBI · NATIONAL JEWISH HEALTH · PI NICK, JERRY A · 2007 to 2010
$1.7M
Serum Amyloid A3 in Allergic Asthma: An Endogenous Mediator of Disease SeverityR01HL107291 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI POYNTER, MATTHEW E · 2012 to 2015
$1.5M
Pseudomonas detection and metabolism of sphingosineR01AI103003 · NIAID · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI WARGO, MATTHEW J · 2013 to 2017
$1.4M
NCRR NIH HHS P20 RR015557NCRR NIH HHS P20RR15557NHLBI NIH HHS HL 084200NHLBI NIH HHS R01 HL068153NHLBI NIH HHS R01 HL079392NHLBI NIH HHS R01 HL084200NHLBI NIH HHS R01 HL089177NHLBI NIH HHS R01 HL090991NHLBI NIH HHS R01 HL107291NIAID NIH HHS R01 AI103003NIGMS NIH HHS P30 GM103532
6 · The paper itself

Abstract

objectivesOne of the hallmarks of severe pneumonia and associated acute lung injury is neutrophil recruitment to the lung. Leptin is thought to be up-regulated in the lung following injury and to exert diverse effects on leukocytes, influencing both chemotaxis and survival. We hypothesized that pulmonary leptin contributes directly to the development of pulmonary neutrophilia during pneumonia and acute lung injury.

designControlled human and murine in vivo and ex vivo experimental studies.

settingResearch laboratory of a university hospital. SUBJECTS: Healthy human volunteers and subjects hospitalized with bacterial and H1N1 pneumonia. C57Bl/6 and db/db mice were also used.

interventionsLung samples from patients and mice with either bacterial or H1N1 pneumonia and associated acute lung injury were immunostained for leptin. Human bronchoalveolar lavage samples obtained after lipopolysaccharide-induced lung injury were assayed for leptin. C57Bl/6 mice were examined after oropharyngeal aspiration of recombinant leptin alone or in combination with Escherichia coli- or Klebsiella pneumoniae-induced pneumonia. Leptin-resistant (db/db) mice were also examined using the E. coli model. Bronchoalveolar lavage neutrophilia and cytokine levels were measured. Leptin-induced chemotaxis was examined in human blood- and murine marrow-derived neutrophils in vitro. MEASUREMENTS AND MAIN

resultsInjured human and murine lung tissue showed leptin induction compared to normal lung, as did human bronchoalveolar lavage following lipopolysaccharide instillation. Bronchoalveolar lavage neutrophilia in uninjured and infected mice was increased and lung bacterial load decreased by airway leptin administration, whereas bronchoalveolar lavage neutrophilia in infected leptin-resistant mice was decreased. In sterile lung injury by lipopolysaccharide, leptin also appeared to decrease airspace neutrophil apoptosis. Both human and murine neutrophils migrated toward leptin in vitro, and this required intact signaling through the Janus Kinase 2/phosphatidylinositol-4,5-bisphosphate 3-kinase pathway.

conclusionsWe demonstrate that pulmonary leptin is induced in injured human and murine lungs and that this cytokine is effective in driving alveolar airspace neutrophilia. This action appears to be caused by direct effects of leptin on neutrophils.

Indexed as

Neutrophil InfiltrationNeutrophilsAcute Lung InjuryAnimalsFemaleHumansLeptinLeukocyte DisordersMiceMice, Inbred C57BLPneumonia, BacterialPneumonia, ViralLeptin

Identifiers

PMID24231757
PMCPMC3947045
OpenAlexW1968831988

What OpenQuestion holds

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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.