Evidence map›Paper›PMID 24716610›Full record

Trial reportAmerican journal of respiratory and critical care medicine2014

Keratinocyte growth factor promotes epithelial survival and resolution in a human model of lung injury.

Murali Shyamsundar, Daniel F McAuley, Rebecca J Ingram, David S Gibson, Donal O'Kane, Scott T McKeown, Alex Edwards, Cliff Taggart, Joseph S Elborn, Carolyn S Calfee and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  11. Effects ofBMJ open respiratory research · 2025
    Article
  12. Article
  13. CXCR3-independent role of CXCL10 in alveolar epithelial repair.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  14. Review
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Murali Shyamsundar1 Centre for Infection and Immunity, Queen's University of Belfast, Belfast, United Kingdom; and.
Daniel F McAuley
Rebecca J Ingram
David S Gibson
Donal O'Kane
Scott T McKeown
Alex Edwards
Cliff Taggart
Joseph S Elborn
Carolyn S Calfee
Michael A Matthay
Cecilia M O'Kane
Queen's University Belfast · GBUniversity of California, San Francisco · US

Funding

Resolution of Clinical Lung InjuryR37HL051856 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHAY, MICHAEL A. · 2006 to 2015
$3.9M
Medical Research Council G0701690NHLBI NIH HHS R37 HL051856NHLBI NIH HHS R37HL51856
6 · The paper itself

Abstract

rationaleIncreasing epithelial repair and regeneration may hasten resolution of lung injury in patients with the acute respiratory distress syndrome (ARDS). In animal models of ARDS, keratinocyte growth factor (KGF) reduces injury and increases epithelial proliferation and repair. The effect of KGF in the human alveolus is unknown.

objectivesTo test whether KGF can attenuate alveolar injury in a human model of ARDS.

methodsVolunteers were randomized to intravenous KGF (60 μg/kg) or placebo for 3 days, before inhaling 50 μg LPS. Six hours later, subjects underwent bronchoalveolar lavage (BAL) to quantify markers of alveolar inflammation and cell-specific injury. MEASUREMENTS AND MAIN

resultsKGF did not alter leukocyte infiltration or markers of permeability in response to LPS. KGF increased BAL concentrations of surfactant protein D, matrix metalloproteinase (MMP)-9, IL-1Ra, granulocyte-macrophage colony-stimulating factor (GM-CSF), and C-reactive protein. In vitro, BAL fluid from KGF-treated subjects inhibited pulmonary fibroblast proliferation, but increased alveolar epithelial proliferation. Active MMP-9 increased alveolar epithelial wound repair. Finally, BAL from the KGF-pretreated group enhanced macrophage phagocytic uptake of apoptotic epithelial cells and bacteria compared with BAL from the placebo-treated group. This effect was blocked by inhibiting activation of the GM-CSF receptor.

conclusionsKGF treatment increases BAL surfactant protein D, a marker of type II alveolar epithelial cell proliferation in a human model of acute lung injury. Additionally, KGF increases alveolar concentrations of the antiinflammatory cytokine IL-1Ra, and mediators that drive epithelial repair (MMP-9) and enhance macrophage clearance of dead cells and bacteria (GM-CSF). Clinical trial registered with ISRCTN 98813895.

Indexed as

Models, BiologicalAcute Lung InjuryAdministration, IntravenousAdolescentAdultAgedAged, 80 and overBiomarkersBronchoalveolar LavageCell ProliferationCell SurvivalDrug Administration ScheduleEpithelial CellsFemaleFibroblast Growth Factor 7FibroblastsBiomarkersFibroblast Growth Factor 7LipopolysaccharidesProtective Agentsacute lung injuryacute respiratory distress syndromeclinical trialkeratinocyte growth factorlipopolysaccharide

Identifiers

PMID24716610
PMCPMC4226011
OpenAlexW2121003873

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.