Evidence map›Paper›PMID 25317947›Full record

ArticleeLife2014

Female resistance to pneumonia identifies lung macrophage nitric oxide synthase-3 as a therapeutic target.

Zhiping Yang, Yuh-Chin T Huang, Henry Koziel, Rini de Crom, Hartmut Ruetten, Paulus Wohlfart, Reimar W Thomsen, Johnny A Kahlert, Henrik Toft Sørensen, Szczepan Jozefowski and 2 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Estrogen and bacterial infection.Frontiers in immunology · 2025
    Review
  4. Article
  5. The conneXion between sex and immune responses.Nature reviews. Immunology · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Diet-induced obesity in mice impairs host defense againstAmerican journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  10. Estradiol AggravateFrontiers in immunology · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Alveolar Macrophage Apoptosis-associated Bacterial Killing Helps Prevent Murine Pneumonia.American journal of respiratory and critical care medicine · 2019
    Article
  18. Sex differences in tuberculosis.Seminars in immunopathology · 2019
    Review
  19. Article
  20. Innate Sex Bias ofJournal of immunology (Baltimore, Md. : 1950) · 2018
    Article
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

12 authors at 7 institutions in 5 countries.

Zhiping YangDepartment of Environmental Health, Harvard School of Public Health, Boston, United States.
Yuh-Chin T HuangHuman Studies Division, National Health and Environmental Effects Research Laboratory, US Environmental Protection Agency, Chapel Hill, United States.
Henry KozielDivision of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconness Medical Center, Boston, United States.
Rini de CromDepartment of Cell Biology and Genetics, Erasmus University Medical Center, Rotterdam, Netherlands.
Hartmut RuettenDiabetes Division, Sanofi Research and Development, Frankfurt, Germany.
Paulus WohlfartDiabetes Division, Sanofi Research and Development, Frankfurt, Germany.
Reimar W ThomsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Johnny A KahlertDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Szczepan JozefowskiDepartment of Immunology, Jagiellonian University Medical College, Kraków, Poland.
Amy ColbyDepartment of Environmental Health, Harvard School of Public Health, Boston, United States.
Lester KobzikDepartment of Environmental Health, Harvard School of Public Health, Boston, United States.
Aarhus University Hospital · DKBoston University · USSanofi (Germany) · DEBeth Israel Deaconess Medical Center · USEnvironmental Protection Agency · USErasmus MC · NLJagiellonian University · PL

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Gender and Host Defense Against PneumoniaR01HL083436 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI KOBZIK, LESTER · 2006 to 2009
$1.6M
NHLBI NIH HHS HL083436NHLBI NIH HHS R01 HL083436NIEHS NIH HHS ES0002NIEHS NIH HHS P30 ES000002
6 · The paper itself

Abstract

To identify new approaches to enhance innate immunity to bacterial pneumonia, we investigated the natural experiment of gender differences in resistance to infections. Female and estrogen-treated male mice show greater resistance to pneumococcal pneumonia, seen as greater bacterial clearance, diminished lung inflammation, and better survival. In vitro, lung macrophages from female mice and humans show better killing of ingested bacteria. Inhibitors and genetically altered mice identify a critical role for estrogen-mediated activation of lung macrophage nitric oxide synthase-3 (NOS3). Epidemiologic data show decreased hospitalization for pneumonia in women receiving estrogen or statins (known to activate NOS3). Pharmacologic targeting of NOS3 with statins or another small-molecule compound (AVE3085) enhanced macrophage bacterial killing, improved bacterial clearance, and increased host survival in both primary and secondary (post-influenza) pneumonia. The data identify a novel mechanism for host defense via NOS3 and suggest a potential therapeutic strategy to reduce secondary bacterial pneumonia after influenza.

Indexed as

Immunity, InnateMolecular Targeted TherapyAdolescentAdultAgedAged, 80 and overAnimalsBenzodioxolesCase-Control StudiesEstrogensFemaleHospitalizationHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIndansMacrophage Activation2,2-difluorobenzo(1,3)dioxole-5-carboxylic acid indan-2-ylamideBenzodioxolesEstrogensHydroxymethylglutaryl-CoA Reductase InhibitorsIndansNitric Oxide Synthase Type IIIbacteriagenderhumanhuman biologyimmunologyinnate immunitymacrophagesmedicinemousenitric oxidepneumonia

Identifiers

PMID25317947
PMCPMC4215537
OpenAlexW2143291693

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.