Evidence map›Paper›PMID 24934256›Full record

ArticleBlood2014

A neutrophil intrinsic impairment affecting Rab27a and degranulation in cystic fibrosis is corrected by CFTR potentiator therapy.

Kerstin Pohl, Elaine Hayes, Joanne Keenan, Michael Henry, Paula Meleady, Kevin Molloy, Bakr Jundi, David A Bergin, Cormac McCarthy, Oliver J McElvaney and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed
12.1field-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.

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

101 citing papers in PubMed, 157 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. The Challenges of Detecting Neutrophil CFTR.Journal of innate immunity · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Journal of fungi (Basel, Switzerland) · 2025
    Review
  9. Article
  10. Article
  11. Cystic fibrosis.Nature reviews. Disease primers · 2024
    Review
  12. Article
  13. Article
  14. The vacuolar anti-Frontiers in immunology · 2024
    Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Observational

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Kerstin PohlRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Elaine HayesRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Joanne KeenanNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Michael HenryNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Paula MeleadyNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Kevin MolloyRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Bakr JundiRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
David A BerginRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Cormac McCarthyRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Oliver J McElvaneyRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Michelle M WhiteRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Martin ClynesNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Emer P ReevesRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Noel G McElvaneyRespiratory Research Division, Department of Medicine, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland; and.
Royal College of Surgeons in Ireland · IEBeaumont Hospital · IEDublin City University · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies have endeavored to reconcile whether dysfunction of neutrophils in people with cystic fibrosis (CF) is a result of the genetic defect or is secondary due to infection and inflammation. In this study, we illustrate that disrupted function of the CF transmembrane conductance regulator (CFTR), such as that which occurs in patients with ∆F508 and/or G551D mutations, correlates with impaired degranulation of antimicrobial proteins. We demonstrate that CF blood neutrophils release less secondary and tertiary granule components compared with control cells and that activation of the low-molecular-mass GTP-binding protein Rab27a, involved in the regulation of granule trafficking, is defective. The mechanism leading to impaired degranulation involves altered ion homeostasis caused by defective CFTR function with increased cytosolic levels of chloride and sodium, yet decreased magnesium measured in CF neutrophils. Decreased magnesium concentration in vivo and in vitro resulted in significantly decreased levels of GTP-bound Rab27a. Treatment of G551D patients with the ion channel potentiator ivacaftor resulted in normalized neutrophil cytosolic ion levels and activation of Rab27a, thereby leading to increased degranulation and bacterial killing. Our results confirm that intrinsic alterations of circulating neutrophils from patients with CF are corrected by ivacaftor, thus illustrating additional clinical benefits for CFTR modulator therapy.

Indexed as

AdultAminophenolsCell DegranulationCells, CulturedChloridesCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorElectrophoresis, Gel, Two-DimensionalFemaleHomeostasisHumansImmunoblottingMagnesiumMaleMutationNeutrophilsAminophenolsCFTR protein, humanChloridesCystic Fibrosis Transmembrane Conductance RegulatorivacaftorMagnesiumProteomeQuinolonesRAB27A protein, humanrab27 GTP-Binding Proteinsrab GTP-Binding ProteinsSodiumTumor Necrosis Factor-alpha

Identifiers

PMID24934256
PMCPMC4133506
OpenAlexW1988413334

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.