Evidence map›Paper›PMID 24430542›Full record

ArticleShock (Augusta, Ga.)2014

Interleukin 10 overexpression alters survival in the setting of gram-negative pneumonia following lung contusion.

Vladislav A Dolgachev, Bi Yu, Lei Sun, Thomas P Shanley, Krishnan Raghavendran, Mark R Hemmila

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

16 citing papers in PubMed, 25 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

6 authors at 1 institution in 1 country.

Vladislav A DolgachevDepartments of *Surgery and †Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan.
Bi Yu
Lei Sun
Thomas P Shanley
Krishnan Raghavendran
Mark R Hemmila
University of Michigan–Ann Arbor · US

Funding

Mechanisms of MCP-1 in lung contusion with and without gastric aspirationR01HL102013 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RAGHAVENDRAN, KRISHNAN · 2010 to 2013
$1.5M
Gram-Negative Pneumonia and Lipopolysaccharide Binding ProteinK08GM078610 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HEMMILA, MARK RICHARD · 2006 to 2010
$643k
NHLBI NIH HHS R01 HL102013NHLBI NIH HHS R01-HL102013NIGMS NIH HHS K08 GM078610NIGMS NIH HHS K08-GM078610
6 · The paper itself

Abstract

objectiveLung contusion injury produces a vulnerable window within the inflammatory defenses of the lung that predisposes the patient to pneumonia. Interleukin 10 (IL-10) is a known anti-inflammatory mediator produced by macrophages and capable of downregulating acute lung inflammation. We investigated the impact of increased levels of IL-10 within the lung on survival and the host response to trauma in the setting of lung contusion (LC) and gram-negative pneumonia.

designA bitransgenic, tetracycline-inducible, lung-specific human IL-10 overexpression (IL-10 OE) mouse model and single transgenic (TG-) control mice were used. Mice underwent LC injury or sham injury (sham) at time -6 h. At time 0, animals were inoculated intratracheally with 500 colony-forming units of Klebsiella pneumoniae (pneu). Bronchoalveolar lavage fluid, lung tissue specimens, or purified macrophages were collected. Lung tissue and blood bacteria levels were quantified. Cytokine levels were assayed by enzyme-linked immunosorbent assay, and gene expression levels were evaluated by real-time polymerase chain reaction. Cell-type identification and quantification were done using real-time polymerase chain reaction and flow cytometry. MAIN

resultsInterleukin 10 OE mice demonstrated decreased 5-day survival compared with TG- mice following LC + pneu (0 vs. 30%, P < 0.0001). Interleukin 10 OE mice had significantly higher lung bacteria counts (P = 0.02) and levels of bacteremia (P = 0.001) at 24 h. The IL-10 OE mice recruited more neutrophils into the alveoli as measured in bronchoalveolar lavage fluid compared with TG- mice. Alveolar macrophages from IL-10 OE mice displayed increased alternative activation (M2 macrophages, P = 0.046), whereas macrophages from TG- mice exhibited classic activation (M1 macrophages) and much higher intracellular bacterial killing potential (P = 0.03). Interleukin 6, keratinocyte-derived chemokine, and macrophage inflammatory protein 2 levels were significantly elevated in IL-10 OE LC + pneu animals (P < 0.05).

conclusionsLung-specific IL-10 overexpression induces alternative activation of alveolar macrophages. This shift in macrophage phenotype decreases intracellular bacterial killing, resulting in a more pronounced bacteremia and accelerated mortality in a model of LC and pneumonia.

Indexed as

AnimalsBacterial LoadBronchoalveolar Lavage FluidContusionsGram-Negative Bacterial InfectionsInterleukin-10Lung InjuryMacrophage ActivationMacrophages, AlveolarMiceMice, TransgenicPhenotypePneumonia, BacterialSurvival AnalysisInterleukin-10

Identifiers

PMID24430542
PMCPMC4019007
OpenAlexW2009614265

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.