Evidence map›Paper›PMID 24747744›Full record

ArticleNature medicine2014

The microbiota regulates neutrophil homeostasis and host resistance to Escherichia coli K1 sepsis in neonatal mice.

Hitesh S Deshmukh, Yuhong Liu, Ogechukwu R Menkiti, Junjie Mei, Ning Dai, Claire E O'Leary, Paula M Oliver, Jay K Kolls, Jeffrey N Weiser, G Scott Worthen

Abstract read
In one paragraph

Article in Nature medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 331 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
331citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

331 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Review: the role of GSDMD in sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. A novel postbiotic fromJournal of traditional and complementary medicine · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. The intestinal microbiota impacts nutritional immunity and resistance toProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  13. [Differential analysis of gut microbiome in patients with periprosthetic joint infection, aseptic failure, and osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  14. Article
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  20. Review

271 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hitesh S Deshmukh1] Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Yuhong LiuDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Ogechukwu R Menkiti1] Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Junjie MeiDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Ning DaiDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Claire E O'LearyDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Paula M OliverDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Jay K KollsDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Jeffrey N Weiser1] Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA. [2] Department of Microbiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
G Scott Worthen1] Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Funding

Translational Research/Education ComponentP60AA009803 · NIAAA · LSU HEALTH SCIENCES CENTER · PI Tekeda F. Ferguson · 2004 to 2026
$42.6M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ANTHONY BLIKSLAGER · 1985 to 2026
$30.5M
ROLE OF OPACITY VARIATION IN PNEUMOCOCCAL PATHOGENESISR01AI038446 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WEISER, JEFFREY NEAL · 1996 to 2019
$7.4M
T-Cells and P. Carinii PneumoniaR01HL062052 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KOLLS, JAY K · 1998 to 2017
$5.1M
Nedd4-family adaptors and their regulation of T cell function.R01AI093566 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI OLIVER, PAULA MARIA · 2011 to 2020
$4.2M
Mechanisms of Pneumococcal Persistence During CarriageR37AI038446 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Jeffrey Neal Weiser · 2020 to 2026
$3.8M
Th17 Cytokines and Lung ImmunityR37HL079142 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KOLLS, JAY K · 2010 to 2017
$3.6M
Early Events in Pneumococcal ColonizationR01AI105168 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WEISER, JEFFREY NEAL · 2014 to 2018
$2.1M
CXC Chemokines and Regulation of GranulopoiesisR01AI099479 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI WORTHEN, GEORGE SCOTT · 2013 to 2017
$2.1M
Chemokine Compartmentalization and Neutrophil Accumulation in the LungR01HL105834 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI WORTHEN, GEORGE SCOTT · 2011 to 2014
$1.6M
Training Program in Genome-Environment Interactions in Neonatal DiseaseT32HD060556 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI WORTHEN, GEORGE SCOTT · 2010 to 2014
$922k
NHLBI NIH HHS 3R37HL079142NHLBI NIH HHS 5R01HL062052NHLBI NIH HHS 5R01HL105834NHLBI NIH HHS R01 HL062052NHLBI NIH HHS R01 HL105834NHLBI NIH HHS R37 HL079142NIAAA NIH HHS 5P60AA009803NIAAA NIH HHS P60 AA009803NIAID NIH HHS 1R01AI099479NIAID NIH HHS 1R01AI105168NIAID NIH HHS 5R01AI038446NIAID NIH HHS 5R01AI093566NIAID NIH HHS R01 AI038446NIAID NIH HHS R01 AI093566NIAID NIH HHS R01 AI099479NIAID NIH HHS R01 AI105168NIAID NIH HHS R37 AI038446NICHD NIH HHS 5T32HD060556NICHD NIH HHS T32 HD060556NIDDK NIH HHS P30 DK034987
6 · The paper itself

Abstract

Neonatal colonization by microbes, which begins immediately after birth, is influenced by gestational age and the mother's microbiota and is modified by exposure to antibiotics. In neonates, prolonged duration of antibiotic therapy is associated with increased risk of late-onset sepsis (LOS), a disorder controlled by neutrophils. A role for the microbiota in regulating neutrophil development and susceptibility to sepsis in the neonate remains unclear. We exposed pregnant mouse dams to antibiotics in drinking water to limit transfer of maternal microbes to the neonates. Antibiotic exposure of dams decreased the total number and composition of microbes in the intestine of the neonates. This was associated with decreased numbers of circulating and bone marrow neutrophils and granulocyte/macrophage-restricted progenitor cells in the bone marrow of antibiotic-treated and germ-free neonates. Antibiotic exposure of dams reduced the number of interleukin-17 (IL-17)-producing cells in the intestine and production of granulocyte colony-stimulating factor (G-CSF). Granulocytopenia was associated with impaired host defense and increased susceptibility to Escherichia coli K1 and Klebsiella pneumoniae sepsis in antibiotic-treated neonates, which could be partially reversed by administration of G-CSF. Transfer of a normal microbiota into antibiotic-treated neonates induced IL-17 production by group 3 innate lymphoid cells (ILCs) in the intestine, increasing plasma G-CSF levels and neutrophil numbers in a Toll-like receptor 4 (TLR4)- and myeloid differentiation factor 88 (MyD88)-dependent manner and restored IL-17-dependent resistance to sepsis. Specific depletion of ILCs prevented IL-17- and G-CSF-dependent granulocytosis and resistance to sepsis. These data support a role for the intestinal microbiota in regulation of granulocytosis, neutrophil homeostasis and host resistance to sepsis in neonates.

Indexed as

MicrobiotaAnimalsAnti-Bacterial AgentsEscherichia coliEscherichia coli InfectionsFemaleGranulocyte Colony-Stimulating FactorHomeostasisHost-Pathogen InteractionsHumansInterleukin-17IntestinesKlebsiella pneumoniaeMiceNeutrophilsPregnancyAnti-Bacterial AgentsGranulocyte Colony-Stimulating FactorInterleukin-17Tlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID24747744
PMCPMC4016187

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Registered trials

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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.