Evidence map›Paper›PMID 24836575›Full record

ArticleNature medicine2014

Neutrophil granulocytes recruited upon translocation of intestinal bacteria enhance graft-versus-host disease via tissue damage.

Lukas Schwab, Luise Goroncy, Senthilnathan Palaniyandi, Sanjivan Gautam, Antigoni Triantafyllopoulou, Attila Mocsai, Wilfried Reichardt, Fridrik J Karlsson, Sabarinath V Radhakrishnan, Kathrin Hanke and 19 more

Registry-linked trialAbstract read
PubMed Publisher
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. It is linked to trial NCT04342442 (Investigation of Novel Targetable Kinases in Steroid-refractory Acute Graft-versus-host Disease), which is not on this map. Cited by 163 papers.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed
14.3field-weighted citation impact, top 1% 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.

NCT04342442 completednot on this mapstarted 2017, after this paper: background citation

Investigation of Novel Targetable Kinases in Steroid-refractory Acute Graft-versus-host Disease

TypeobservationalSponsorUniversity of FreiburgRan2017 to 2019Enrolled24ConditionsGraft Versus Host Disease
3 · Its place in the literature

Who cites it

163 citing papers in PubMed, 293 citations in OpenAlex.

  1. Trial
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  5. Review
  6. Hyperacute Graft-Versus-Host Disease.Bone marrow transplantation · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
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  13. Article
  14. Review
  15. Article
  16. Preclinical Applications of Magnetic Resonance Imaging in Oncology.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
  17. Article
  18. Article
  19. Gut microbiota and acute graft-versus-host disease.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 7 institutions in 3 countries.

Lukas Schwab1] Department of Hematology and Oncology, University Medical Center, Freiburg, Germany. [2].
Luise Goroncy1] Department of Hematology and Oncology, University Medical Center, Freiburg, Germany. [2] Faculty of Biology, Albert-Ludwigs-University, Freiburg, Germany. [3].
Senthilnathan Palaniyandi1] Division of Hematology and Oncology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA. [2] Division of Bone Marrow Transplantation, University of Utah School of Medicine, Huntsman Cancer Institute, Salt Lake City, Utah, USA. [3].
Sanjivan Gautam1] Faculty of Biology, Albert-Ludwigs-University, Freiburg, Germany. [2] Department of Medical Microbiology and Hygiene, University Medical Center, Freiburg, Germany. [3] Spemann Graduate School of Biology and Medicine, Albert-Ludwigs-University Freiburg, Germany.
Antigoni TriantafyllopoulouCenter of Chronic Immunodeficiency, Albert-Ludwigs-University Freiburg, Germany.
Attila MocsaiDepartment of Physiology, Semmelweis University School of Medicine, Budapest, Hungary.
Wilfried ReichardtDepartment of Radiology Medical Physics, University Medical Center, Freiburg, Germany.
Fridrik J KarlssonDivision of Hematology and Oncology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA.
Sabarinath V Radhakrishnan1] Division of Hematology and Oncology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA. [2] Division of Bone Marrow Transplantation, University of Utah School of Medicine, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Kathrin Hanke1] Department of Hematology and Oncology, University Medical Center, Freiburg, Germany. [2] Faculty of Biology, Albert-Ludwigs-University, Freiburg, Germany.
Annette Schmitt-GraeffDepartment of Pathology, University Medical Center, Albert-Ludwigs-University, Freiburg, Germany.
Marina Freudenberg1] Max Planck Institute of Immunobiology and Epigenetics, Freiburg, Germany. [2] Centre for Biological Signaling Studies BIOSS, Albert-Ludwigs-University Freiburg, Germany.
Friederike D von LoewenichDepartment of Medical Microbiology and Hygiene, University Medical Center, Freiburg, Germany.
Philipp WolfDepartment of Urology, University Medical Center, Freiburg, Germany.
Franziska Leonhardt1] Department of Hematology and Oncology, University Medical Center, Freiburg, Germany. [2] Faculty of Biology, Albert-Ludwigs-University, Freiburg, Germany.
Nicoleta BaxanDepartment of Radiology Medical Physics, University Medical Center, Freiburg, Germany.
Dietmar PfeiferDepartment of Hematology and Oncology, University Medical Center, Freiburg, Germany.
Oliver SchmahDepartment of Hematology and Oncology, University Medical Center, Freiburg, Germany.
Anne SchönleDepartment of Hematology and Oncology, University Medical Center, Freiburg, Germany.
Stefan F MartinAllergy Research Group, Department of Dermatology, University Medical Center, University Freiburg, Germany.
Roland MertelsmannDepartment of Hematology and Oncology, University Medical Center, Freiburg, Germany.
Justus DuysterDepartment of Hematology and Oncology, University Medical Center, Freiburg, Germany.
Jürgen FinkeDepartment of Hematology and Oncology, University Medical Center, Freiburg, Germany.
Marco Prinz1] Spemann Graduate School of Biology and Medicine, Albert-Ludwigs-University Freiburg, Germany. [2] Department of Neuropathology, University Medical Center, Freiburg, Germany.
Philipp Henneke1] Center of Chronic Immunodeficiency, Albert-Ludwigs-University Freiburg, Germany. [2] Center for Pediatrics and Adolescent Medicine, University Medical Center, Freiburg, Germany.
Hans HäckerDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Gerhard C Hildebrandt1] Division of Hematology and Oncology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA. [2] Division of Bone Marrow Transplantation, University of Utah School of Medicine, Huntsman Cancer Institute, Salt Lake City, Utah, USA. [3].
Georg Häcker1] Department of Medical Microbiology and Hygiene, University Medical Center, Freiburg, Germany. [2] Spemann Graduate School of Biology and Medicine, Albert-Ludwigs-University Freiburg, Germany. [3].
Robert Zeiser1] Department of Hematology and Oncology, University Medical Center, Freiburg, Germany. [2] Spemann Graduate School of Biology and Medicine, Albert-Ludwigs-University Freiburg, Germany. [3] Centre for Biological Signaling Studies BIOSS, Albert-Ludwigs-University Freiburg, Germany. [4].
University Medical Center Freiburg · DEUniversity of Freiburg · DELouisiana State University Health Sciences Center Shreveport · USInstitute of Medical Microbiology and Hygiene · DESemmelweis University · HUSt. Jude Children's Research Hospital · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute graft-versus-host disease (GVHD) considerably limits wider usage of allogeneic hematopoietic cell transplantation (allo-HCT). Antigen-presenting cells and T cells are populations customarily associated with GVHD pathogenesis. Of note, neutrophils are the largest human white blood cell population. The cells cleave chemokines and produce reactive oxygen species, thereby promoting T cell activation. Therefore, during an allogeneic immune response, neutrophils could amplify tissue damage caused by conditioning regimens. We analyzed neutrophil infiltration of the mouse ileum after allo-HCT by in vivo myeloperoxidase imaging and found that infiltration levels were dependent on the local microbial flora and were not detectable under germ-free conditions. Physical or genetic depletion of neutrophils reduced GVHD-related mortality. The contribution of neutrophils to GVHD severity required reactive oxygen species (ROS) because selective Cybb (encoding cytochrome b-245, beta polypeptide, also known as NOX2) deficiency in neutrophils impairing ROS production led to lower levels of tissue damage, GVHD-related mortality and effector phenotype T cells. Enhanced survival of Bcl-xL transgenic neutrophils increased GVHD severity. In contrast, when we transferred neutrophils lacking Toll-like receptor-2 (TLR2), TLR3, TLR4, TLR7 and TLR9, which are normally less strongly activated by translocating bacteria, into wild-type C57BL/6 mice, GVHD severity was reduced. In humans, severity of intestinal GVHD strongly correlated with levels of neutrophils present in GVHD lesions. This study describes a new potential role for neutrophils in the pathogenesis of GVHD in both mice and humans.

Indexed as

AnimalsBusulfanCyclophosphamideFlow CytometryFreund's AdjuvantGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistological TechniquesIleumImmunohistochemistryKaplan-Meier EstimateLuciferasesMagnetic Resonance ImagingMembrane GlycoproteinsMiceMice, Inbred C57BLBusulfanCybb protein, mouseCyclophosphamideFreund's AdjuvantLuciferasesMembrane GlycoproteinsNADPH Oxidase 2NADPH OxidasesPeroxidaseReactive Oxygen Species

Identifiers

PMID24836575
OpenAlexW2038908080

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.