Evidence map›Paper›PMID 25485813›Full record

ArticleAmerican journal of respiratory and critical care medicine2015

Neutrophil extracellular traps are pathogenic in primary graft dysfunction after lung transplantation.

David M Sayah, Beñat Mallavia, Fengchun Liu, Guadalupe Ortiz-Muñoz, Axelle Caudrillier, Ariss DerHovanessian, David J Ross, Joseph P Lynch, Rajan Saggar, Abbas Ardehali and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07583992 (Multicenter Phase II Trial of NRICM102 Combined With Standard Therapy in Pneumonia), which is not on this map. Cited by 163 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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.

NCT07583992 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Multicenter Phase II Trial of NRICM102 Combined With Standard Therapy in Pneumonia

TypeinterventionalSponsorNational Research Institute of Chinese Medicine, Ministry of Health and WelfareRan2026 to 2027Enrolled150ConditionsMild to Moderate, Community-Acquired Pneumonia (CAP), Antibiotic Therapy, IntravenousArmsNRICM102, Placebo, Intravenous Antibiotic
3 · Its place in the literature

Who cites it

163 citing papers in PubMed, 1 synthesis or guideline pooled it, 238 citations in OpenAlex.

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  9. Immature neutrophils are elevated in human PGD and linked to G-CSF-driven injury in a murine model of lung ischemia-reperfusion.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
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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

15 authors at 5 institutions in 1 country.

David M Sayah1 Division of Pulmonary and Critical Care Medicine, Department of Medicine, and.
Beñat Mallavia
Fengchun Liu
Guadalupe Ortiz-Muñoz
Axelle Caudrillier
Ariss DerHovanessian
David J Ross
Joseph P Lynch
Rajan Saggar
Abbas Ardehali
Lung Transplant Outcomes Group Investigators
Lorraine B Ware
Jason D Christie
John A Belperio
Mark R Looney
University of California, Los Angeles · USUniversity of California, San Francisco · USPulmonary and Critical Care Associates · USUniversity of Pennsylvania · USVanderbilt University · US

Funding

Clinical Risk Factors for Primary Graft DysfunctionR01HL087115 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2017
$7.1M
Platelet and megakaryocyte biology in the normal and injured lungR01HL107386 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOONEY, MARK ROBERTS · 2011 to 2020
$4.2M
Genetics of primary graft dysfunctionR01HL081619 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2011
$3.9M
Obesity, Inflammation, and Lung Injury After Lung TransplantationR01HL114626 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHRISTIE, JASON D, LEDERER, DAVID J. · 2013 to 2016
$3.1M
Treatment of Pulmonary Edema in Organ DonorsR01HL088263 · NHLBI · VANDERBILT UNIVERSITY · PI WARE, LORRAINE B · 2008 to 2012
$2.3M
Role of anti-Col (V) immunity in primary graft dysfunctionR01HL096845 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D, WILKES, DAVID S · 2010 to 2013
$2.2M
Immune Mechanisms of AlloinjuryR01HL112990 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BELPERIO, JOHN A · 2012 to 2016
$2.2M
Midcareer Investigator Award in Patient-Oriented Research in Acute Lung InjuryK24HL103836 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARE, LORRAINE B · 2010 to 2020
$1.6M
Mentored Patient Oriented Research in Lung TransplantationK24HL115354 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2012 to 2021
$1.2M
NHLBI NIH HHS HL088263NHLBI NIH HHS HL103836NHLBI NIH HHS K24 HL103836NHLBI NIH HHS K24 HL115354NHLBI NIH HHS K24HL115354NHLBI NIH HHS R01 HL081619NHLBI NIH HHS R01HL081619NHLBI NIH HHS R01 HL087115NHLBI NIH HHS R01HL087115NHLBI NIH HHS R01 HL088263NHLBI NIH HHS R01 HL096845NHLBI NIH HHS R01HL096845NHLBI NIH HHS R01 HL107386NHLBI NIH HHS R01 HL112990NHLBI NIH HHS R01 HL114626NHLBI NIH HHS R01HL114626
6 · The paper itself

Abstract

rationalePrimary graft dysfunction (PGD) causes early mortality after lung transplantation and may contribute to late graft failure. No effective treatments exist. The pathogenesis of PGD is unclear, although both neutrophils and activated platelets have been implicated. We hypothesized that neutrophil extracellular traps (NETs) contribute to lung injury in PGD in a platelet-dependent manner.

objectivesTo study NETs in experimental models of PGD and in lung transplant patients.

methodsTwo experimental murine PGD models were studied: hilar clamp and orthotopic lung transplantation after prolonged cold ischemia (OLT-PCI). NETs were assessed by immunofluorescence microscopy and ELISA. Platelet activation was inhibited with aspirin, and NETs were disrupted with DNaseI. NETs were also measured in bronchoalveolar lavage fluid and plasma from lung transplant patients with and without PGD. MEASUREMENTS AND MAIN

resultsNETs were increased after either hilar clamp or OLT-PCI compared with surgical control subjects. Activation and intrapulmonary accumulation of platelets were increased in OLT-PCI, and platelet inhibition reduced NETs and lung injury, and improved oxygenation. Disruption of NETs by intrabronchial administration of DNaseI also reduced lung injury and improved oxygenation. In bronchoalveolar lavage fluid from human lung transplant recipients, NETs were more abundant in patients with PGD.

conclusionsNETs accumulate in the lung in both experimental and clinical PGD. In experimental PGD, NET formation is platelet-dependent, and disruption of NETs with DNaseI reduces lung injury. These data are the first description of a pathogenic role for NETs in solid organ transplantation and suggest that NETs are a promising therapeutic target in PGD.

Indexed as

Lung TransplantationAnimalsBiomarkersBronchoalveolar Lavage FluidEnzyme-Linked Immunosorbent AssayExtracellular TrapsHumansMaleMiceMice, Inbred C57BLMicroscopy, FluorescenceNeutrophilsPlatelet ActivationPrimary Graft DysfunctionBiomarkersacute lung injuryimmunityinflammationinnate

Identifiers

PMID25485813
PMCPMC4351593
OpenAlexW2136453607

What OpenQuestion holds

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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.