Evidence map›Paper›PMID 25512526›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2014

pH modulates the activity and synergism of the airway surface liquid antimicrobials β-defensin-3 and LL-37.

Mahmoud H Abou Alaiwa, Leah R Reznikov, Nicholas D Gansemer, Kelsey A Sheets, Alexander R Horswill, David A Stoltz, Joseph Zabner, Michael J Welsh

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed
11.8field-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

125 citing papers in PubMed, 202 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Article
  7. Microbiome dysbiosis and therapeutic restoration in atopic dermatitis.Frontiers in cellular and infection microbiology · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Immune escape ofFrontiers in cellular and infection microbiology · 2025
    Review
  12. The pH-sensitive translocation of V-ATPase in the small airway of cystic fibrosis pigs.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  13. Article
  14. Pulmonary Ionocytes: What Are They Transporting and Which Way?American journal of respiratory and critical care medicine · 2024
    Article
  15. Storage stability of lysostaphin solution and its pulmonary delivery.Drug delivery and translational research · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

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

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

8 authors at 2 institutions in 2 countries.

Mahmoud H Abou AlaiwaDepartments of Internal Medicine.
Leah R ReznikovDepartments of Internal Medicine.
Nicholas D GansemerDepartments of Internal Medicine.
Kelsey A SheetsDepartments of Internal Medicine.
Alexander R HorswillMicrobiology, and.
David A StoltzDepartments of Internal Medicine, Molecular Physiology and Biophysics, Roy J. and Lucille A. Carver College of Medicine, Department of Biomedical Engineering, and.
Joseph ZabnerDepartments of Internal Medicine.
Michael J WelshDepartments of Internal Medicine, Molecular Physiology and Biophysics, Roy J. and Lucille A. Carver College of Medicine, Howard Hughes Medical Institute, University of Iowa, Iowa City, IA 52242 michael-welsh@uiowa.edu.
Czech Academy of Sciences, Institute of Microbiology · CZHoward Hughes Medical Institute · US

Funding

Vector CoreP01HL051670 · NHLBI · UNIVERSITY OF IOWA · PI ZABNER, JOSEPH · 1993 to 2019
$36.5M
Respiratory virus infection in early cystic fibrosis lung diseaseP01HL091842 · NHLBI · UNIVERSITY OF IOWA · PI ZABNER, JOSEPH · 2008 to 2022
$34.2M
Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Amy Leanne Ryan · 1998 to 2026
$30.5M
Neural Pathogenesis of Airway Smooth Muscle Defects in Airway DiseaseK99HL119560 · NHLBI · UNIVERSITY OF IOWA · PI REZNIKOV, LEAH R · 2014 to 2015
$194k
Howard Hughes Medical InstituteNHLBI NIH HHS HL091842NHLBI NIH HHS HL51670NHLBI NIH HHS K99 HL119560NHLBI NIH HHS P01 HL051670NHLBI NIH HHS P01 HL091842NIDDK NIH HHS P30 DK054759
6 · The paper itself

Abstract

The pulmonary airways are continuously exposed to bacteria. As a first line of defense against infection, the airway surface liquid (ASL) contains a complex mixture of antimicrobial factors that kill inhaled and aspirated bacteria. The composition of ASL is critical for antimicrobial effectiveness. For example, in cystic fibrosis an abnormally acidic ASL inhibits antimicrobial activity. Here, we tested the effect of pH on the activity of an ASL defensin, human β-defensin-3 (hBD-3), and the cathelicidin-related peptide, LL-37. We found that reducing pH from 8.0 to 6.8 reduced the ability of both peptides to kill Staphylococcus aureus. An acidic pH also attenuated LL-37 killing of Pseudomonas aeruginosa. In addition, we discovered synergism between hBD-3 and LL-37 in killing S. aureus. LL-37 and lysozyme were also synergistic. Importantly, an acidic pH reduced the synergistic effects of combinations of ASL antibacterials. These results indicate that an acidic pH reduces the activity of individual ASL antimicrobials, impairs synergism between them, and thus may disrupt an important airway host defense mechanism.

Indexed as

Anti-Infective AgentsAntimicrobial Cationic Peptidesbeta-DefensinsCathelicidinsDrug SynergismHumansHydrogen-Ion ConcentrationPseudomonas aeruginosaStaphylococcus aureusAnti-Infective AgentsAntimicrobial Cationic Peptidesbeta-DefensinsCathelicidinsDEFB103A protein, humancathelicidincystic fibrosishost defensePseudomonas aeruginosaStaphylococcus aureus

Identifiers

PMID25512526
PMCPMC4284593
OpenAlexW2019385365

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.