Evidence map›Paper›PMID 25398987›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2015

Abnormal epithelial structure and chronic lung inflammation after repair of chlorine-induced airway injury.

Yiqun Mo, Jing Chen, David M Humphrey, Ramy A Fodah, Jonathan M Warawa, Gary W Hoyle

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. A human airway-on-a-chip microphysiological system for modeling chlorine gas toxicity.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  2. Countermeasures against Pulmonary Threat Agents.The Journal of pharmacology and experimental therapeutics · 2024
    Review
  3. Leukotriene BBiomedicines · 2022
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Hyaluronan and halogen-induced airway hyperresponsiveness and lung injury.Annals of the New York Academy of Sciences · 2020
    Review
  11. Review
  12. Article
  13. Inhibition of chlorine-induced airway fibrosis by budesonide.Toxicology and applied pharmacology · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Persistent effects of chlorine inhalation on respiratory health.Annals of the New York Academy of Sciences · 2016
    Review
  18. Article
  19. Article
  20. Respiratory syncytial virus infection increases chlorine-induced airway hyperresponsiveness.American journal of physiology. Lung cellular and molecular physiology · 2015
    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

6 authors at 1 institution in 1 country.

Yiqun MoDepartment of Environmental and Occupational Health Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky;
Jing ChenDepartment of Environmental and Occupational Health Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky;
David M HumphreyDepartment of Environmental and Occupational Health Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky;
Ramy A FodahDepartment of Microbiology and Immunology, School of Medicine, University of Louisville, Louisville, Kentucky.
Jonathan M WarawaDepartment of Microbiology and Immunology, School of Medicine, University of Louisville, Louisville, Kentucky.
Gary W HoyleDepartment of Environmental and Occupational Health Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky; Gary.Hoyle@louisville.edu.
University of Louisville · US

Funding

Countermeasures for chlorine-induced airway fibrosisU01ES022564 · NIEHS · UNIVERSITY OF LOUISVILLE · PI HOYLE, GARY W. · 2012 to 2016
$1.9M
Repair of Airway Epithelium Following Chlorine Lung InjuryR21ES020123 · NIEHS · UNIVERSITY OF LOUISVILLE · PI HOYLE, GARY W. · 2010 to 2011
$524k
NIEHS NIH HHS R21 ES020123NIEHS NIH HHS U01 ES022564
6 · The paper itself

Abstract

Chlorine is a toxic gas used in a variety of industrial processes and is considered a chemical threat agent. High-level chlorine exposure causes acute lung injury, but the long-term effects of acute chlorine exposure are unclear. Here we characterized chronic pulmonary changes following acute chlorine exposure in mice. A/J mice were exposed to 240 parts per million-hour chlorine or sham-exposed to air. Chlorine inhalation caused sloughing of bronchial epithelium 1 day after chlorine exposure, which was repaired with restoration of a pseudostratified epithelium by day 7. The repaired epithelium contained an abnormal distribution of epithelial cells containing clusters of club or ciliated cells rather than the uniformly interspersed pattern of these cells in unexposed mice. Although the damaged epithelium in A/J mice was repaired rapidly, and minimal airway fibrosis was observed, chlorine-exposed mice developed pneumonitis characterized by infiltration of alveoli with neutrophils and prominent, large, foamy macrophages. Levels of CXCL1/KC, CXCL5/LPS-induced CXC chemokine, granulocyte colony-stimulating factor, and VEGF in bronchoalveolar (BAL) fluid from chlorine-exposed mice showed steadily increasing trends over time. BAL protein levels were increased on day 4 and remained elevated out to day 28. The number of bacteria cultured from lungs of chlorine-exposed mice 4 wk after exposure was not increased compared with sham-exposed mice, indicating that the observed pneumonitis was not driven by bacterial infection of the lung. The results indicate that acute chlorine exposure may cause chronic abnormalities in the lungs despite rapid repair of injured epithelium.

Indexed as

Acute Lung InjuryAdministration, InhalationAnimalsBronchoalveolar Lavage FluidChemokine CXCL1Chemokine CXCL5ChlorineCytokinesEpithelial CellsGranulocyte-Macrophage Colony-Stimulating FactorInflammationLungMacrophagesMicePneumoniaRespiratory MucosaChemokine CXCL1Chemokine CXCL5ChlorineCxcl1 protein, mouseCxcl5 protein, mouseCytokinesGranulocyte-Macrophage Colony-Stimulating FactorVascular Endothelial Growth Factor Avascular endothelial growth factor A, mousecytokinesfoamy macrophagelung repairpneumonitis

Identifiers

PMID25398987
PMCPMC4338946
OpenAlexW1988433301

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.