Evidence map›Paper›PMID 24291043›Full record

ArticleThe Journal of infection2014

Restoration of lung surfactant protein D by IL-6 protects against secondary pneumonia following hemorrhagic shock.

Stephen Thacker, Ana Moran, Mihalis Lionakis, Mary-Ann A Mastrangelo, Tripti Halder, Maria del Pilar Huby, Yong Wu, David J Tweardy

Open access · greenAbstract read
In one paragraph

Article in The Journal of infection, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

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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.

Stephen ThackerSection of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Ana MoranSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Mihalis LionakisSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Mary-Ann A MastrangeloSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Tripti HalderSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Maria del Pilar HubySection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Yong WuSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
David J TweardySection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA; Department of Biochemistry and Molecular Biology, Baylor College of Medicine, Houston, TX, USA. Electronic address: dtweardy@bcm.edu.
Baylor College of Medicine · US

Funding

Immunopathogenesis of Fungal InfectionsZIAAI001175 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LIONAKIS, MICHAIL · 2012 to 2025
$23.9M
Research Training in Infections and ImmunityT32AI055413 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI GIORDANO, THOMAS P, MYSOREKAR, INDIRA U · 2003 to 2024
$3.2M
Molecular Medicine Scholars Training GrantT32HL066991 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI CHAN, LAWRENCE · 2002 to 2012
$2.1M
NON-MUSCARINIC MECHANISM IN SO2-INDUCED BRONCHOSPASMF32HL007619 · NHLBI · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI FINE, JONATHAN M · 1987 to 1987
–
NHLBI NIH HHS HL07619NHLBI NIH HHS HL66991NHLBI NIH HHS T32 HL066991NIAID NIH HHS AI055413NIAID NIH HHS T32 AI055413
6 · The paper itself

Abstract

objectivesTo identify novel approaches to improve innate immunity in the lung following trauma complicated by hemorrhagic shock (T/HS) for prevention of nosocomial pneumonia.

methodsWe developed a rat model of T/HS followed by Pseudomonas aeruginosa (PA) pneumonia to assess the effect of alveolar epithelial cell (AEC) apoptosis, and its prevention by IL-6, on lung surfactant protein (SP)-D protein levels, lung bacterial burden, and survival from PA pneumonia, as well as to determine whether AEC apoptosis is a consequence of the unfolded protein response (UPR). Lung UPR transcriptome analysis was performed on rats subjected to sham, T/HS, and T/HS plus IL-6 protocols. Group comparisons were performed via Kaplan-Meier or ANOVA.

resultsT/HS decreased lung SP-D by 1.8-fold (p < 0.05), increased PA bacterial burden 9-fold (p < 0.05), and increased PA pneumonia mortality by 80% (p < 0.001). IL-6, when provided at resuscitation, normalized SP-D levels (p < 0.05), decreased PA bacterial burden by 4.8-fold (p < 0.05), and prevented all mortality from PA pneumonia (p < 0.001). The UPR transcriptome was significantly impacted by T/HS; IL-6 treatment normalized the T/HS-induced UPR transcriptome changes (p < 0.05).

conclusionsImpaired innate lung defense occurs following T/HS and is mediated, in part, by reduction in SP-D protein levels, which, along with AEC apoptosis, may be mediated by the UPR, and prevented by use of IL-6 as a resuscitation adjuvant.

Indexed as

Analysis of VarianceAnimalsApoptosisDisease Models, AnimalInterleukin-6PneumoniaPulmonary Surfactant-Associated Protein DRatsShock, HemorrhagicUnfolded Protein ResponseInterleukin-6Pulmonary Surfactant-Associated Protein DAlveolar epithelial cellHemorrhagic shockPneumoniaUnfolded protein response

Identifiers

PMID24291043
PMCPMC4692462
OpenAlexW2137386295

What OpenQuestion holds

Textmetadata
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.