Evidence map›Paper›PMID 25673640›Full record

ArticleBlood2015

Lung parenchyma-derived IL-6 promotes IL-17A-dependent acute lung injury after allogeneic stem cell transplantation.

Antiopi Varelias, Kate H Gartlan, Ellen Kreijveld, Stuart D Olver, Mary Lor, Rachel D Kuns, Katie E Lineburg, Bianca E Teal, Neil C Raffelt, Melody Cheong and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 86 citations in OpenAlex.

  1. Diagnostic and Prognostic Plasma Biomarkers for Idiopathic Pneumonia Syndrome after Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  2. Review
  3. Targeted lungScience advances · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Immune regulation through tryptophan metabolism.Experimental & molecular medicine · 2023
    Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Reactive granulopoiesis depends on T-cell production of IL-17A and neutropenia-associated alteration of gut microbiota.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  17. IL-6 Responsiveness of CD4Journal of clinical medicine · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 6 institutions in 2 countries.

Antiopi VareliasQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Kate H GartlanQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Ellen KreijveldQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Stuart D OlverQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Mary LorQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Rachel D KunsQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Katie E LineburgQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Bianca E TealQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Neil C RaffeltQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Melody CheongQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Kylie A AlexanderQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Motoko KoyamaQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Kate A MarkeyQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Elise SturgeonQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; Department of Bone Marrow Transplantation, The Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia;
Justine LeachQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; Department of Bone Marrow Transplantation, The Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia;
Pavan ReddyDivision of Hematology and Oncology, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, MI;
Glen A KennedyQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; Department of Bone Marrow Transplantation, The Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia;
Gregory A YanikDivision of Hematology and Oncology, Blood and Marrow Transplantation Program, University of Michigan, Ann Arbor, MI;
Bruce R BlazarMasonic Cancer Center and Department of Pediatrics, Division of Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN;
Siok-Keen TeyQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; Department of Bone Marrow Transplantation, The Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia;
Andrew D CloustonEnvoi Specialist Pathologists, Brisbane, QLD, Australia; and.
Kelli P A MacDonaldQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Kenneth R CookeDepartment of Oncology, Blood and Marrow Stem Cell Transplantation Program, Sidney Kimmel Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD.
Geoffrey R HillQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; Department of Bone Marrow Transplantation, The Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia;
QIMR Berghofer Medical Research Institute · AURoyal Brisbane and Women's Hospital · AUUniversity of Michigan–Ann Arbor · USEnvoi Specialist Pathologists · AUJohns Hopkins University · USUniversity of Minnesota Medical Center · US

Funding

IN VIVO PREVENTION OF MURINE GVHDR01AI034495 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1993 to 2016
$6.2M
T-CELL TARGETING FOR GVHDR01HL056067 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1995 to 2022
$5.4M
NHLBI NIH HHS R01 HL056067NIAID NIH HHS R01 AI034495
6 · The paper itself

Abstract

Idiopathic pneumonia syndrome (IPS) is a relatively common, frequently fatal clinical entity, characterized by noninfectious acute lung inflammation following allogeneic stem cell transplantation (SCT), the mechanisms of which are unclear. In this study, we demonstrate that immune suppression with cyclosporin after SCT limits T-helper cell (Th) 1 differentiation and interferon-γ secretion by donor T cells, which is critical for inhibiting interleukin (IL)-6 generation from lung parenchyma during an alloimmune response. Thereafter, local IL-6 secretion induces donor alloantigen-specific Th17 cells to preferentially expand within the lung, and blockade of IL-17A or transplantation of grafts lacking the IL-17 receptor prevents disease. Studies using IL-6(-/-) recipients or IL-6 blockade demonstrate that IL-6 is the critical driver of donor Th17 differentiation within the lung. Importantly, IL-6 is also dysregulated in patients undergoing clinical SCT and is present at very high levels in the plasma of patients with IPS compared with SCT recipients without complications. Furthermore, at the time of diagnosis, plasma IL-6 levels were higher in a subset of IPS patients who were nonresponsive to steroids and anti-tumor necrosis factor therapy. In sum, pulmonary-derived IL-6 promotes IPS via the induction of Th17 differentiation, and strategies that target these cytokines represent logical therapeutic approaches for IPS.

Indexed as

Acute Lung InjuryAnimalsCyclosporineFemaleImmunosuppressive AgentsInterferon-gammaInterleukin-17Interleukin-6LungMice, Inbred BALB CMice, Inbred C57BLStem Cell TransplantationTh17 CellsTransplantation, HomologousCyclosporineImmunosuppressive AgentsInterferon-gammaInterleukin-17Interleukin-6

Identifiers

PMID25673640
PMCPMC5457133
OpenAlexW1970864665

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.