Evidence map›Paper›PMID 25761888›Full record

Trial reportScience translational medicine2015

Therapeutic exercise attenuates neutrophilic lung injury and skeletal muscle wasting.

D Clark Files, Chun Liu, Andrea Pereyra, Zhong-Min Wang, Neil R Aggarwal, Franco R D'Alessio, Brian T Garibaldi, Jason R Mock, Benjamin D Singer, Xin Feng and 11 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Science translational 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 NCT02963558 (ASPIRE), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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.

NCT02963558 nacompletednot on this mapstarted 2017, after this paper: background citation

ASPIRE: A Study Promoting Critical Illness Recovery in the Elderly

TypeinterventionalSponsorWake Forest University Health SciencesRan2017 to 2021Enrolled24ConditionsAcute Respiratory Distress Syndrome, Critical Illness, Critical CareArmscycle ergometry
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Development of a preclinical model of ICU-associated sleep fragmentation and effects on pneumonia recovery in mice.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Aging Influences the Metabolic and Inflammatory Phenotype in an Experimental Mouse Model of Acute Lung Injury.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
  14. Macrophages augment the skeletal muscle proinflammatory response through TNFα following LPS-induced acute lung injury.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021
    Article
  15. Observational
  16. Review
  17. Review
  18. Article
  19. Article
  20. Immunometabolism of pro-repair cells.The Journal of clinical investigation · 2019
    Review
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

21 authors at 1 institution in 1 country.

D Clark FilesDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. Wake Forest Critical Illness, Injury and Recovery Research Center, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. dfiles@wakehealth.edu.
Chun LiuDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Andrea PereyraDepartment of Internal Medicine-Gerontology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. National Scientific and Technical Research Council (CONICET) and School of Medicine, National University of La Plata, 1900 La Plata, Argentina.
Zhong-Min WangDepartment of Internal Medicine-Gerontology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Neil R AggarwalDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Baltimore, MD 21205, USA.
Franco R D'AlessioDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Baltimore, MD 21205, USA.
Brian T GaribaldiDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Baltimore, MD 21205, USA.
Jason R MockDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Baltimore, MD 21205, USA.
Benjamin D SingerDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Baltimore, MD 21205, USA.
Xin FengDepartment of Otolaryngology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Raghunatha R YammaniDepartment of Internal Medicine-Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Tan ZhangDepartment of Internal Medicine-Gerontology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Amy L LeeDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Sydney PhilpottDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Stephanie LussierDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Lina PurcellDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Jeff ChouDivision of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Michael SeedsDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. Wake Forest Critical Illness, Injury and Recovery Research Center, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Landon S KingDivision of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, Baltimore, MD 21205, USA.
Peter E MorrisDepartment of Internal Medicine-Pulmonary, Critical Care, Allergy and Immunologic Diseases, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. Wake Forest Critical Illness, Injury and Recovery Research Center, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Osvaldo DelbonoDepartment of Internal Medicine-Gerontology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Wake Forest University · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Tropin T and Excitation-Contraction Coupling in Aging Skeletal MuscleR01AG013934 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DELBONO, OSVALDO · 2001 to 2017
$4.7M
Age-Dependent Regulation of Excitation-Contraction CouplingR01AG015820 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DELBONO, OSVALDO · 1998 to 2013
$3.4M
Standardized Rehabilitation for ICU Patients with Acute Respiratory FailureR01NR011186 · NINR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MORRIS, PETER E · 2009 to 2013
$2.6M
Resolution and repair of acute lung injury by macrophage-derived iNOSR00HL103973 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI D'ALESSIO, FRANCO RAFAEL · 2012 to 2014
$713k
Regulatory T Cell Modulation of the Alveolar Epithelium in Acute Lung InjuryF32HL110561 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MOCK, JASON ROBERT · 2012 to 2012
$51k
NHLBI NIH HHS F32 HL110561NHLBI NIH HHS R00 HL103973NHLBI NIH HHS R00HL103973NIA NIH HHS P30 AG021332NIA NIH HHS P30-AG21332NIA NIH HHS R01 AG013934NIA NIH HHS R01 AG015820NIA NIH HHS R01AG13934NIA NIH HHS R01AG15820NINR NIH HHS 1R01NR011186-01NINR NIH HHS R01 NR011186
6 · The paper itself

Abstract

Early mobilization of critically ill patients with the acute respiratory distress syndrome (ARDS) has emerged as a therapeutic strategy that improves patient outcomes, such as the duration of mechanical ventilation and muscle strength. Despite the apparent efficacy of early mobility programs, their use in clinical practice is limited outside of specialized centers and clinical trials. To evaluate the mechanisms underlying mobility therapy, we exercised acute lung injury (ALI) mice for 2 days after the instillation of lipopolysaccharides into their lungs. We found that a short duration of moderate intensity exercise in ALI mice attenuated muscle ring finger 1 (MuRF1)-mediated atrophy of the limb and respiratory muscles and improved limb muscle force generation. Exercise also limited the influx of neutrophils into the alveolar space through modulation of a coordinated systemic neutrophil chemokine response. Granulocyte colony-stimulating factor (G-CSF) concentrations were systemically reduced by exercise in ALI mice, and in vivo blockade of the G-CSF receptor recapitulated the lung exercise phenotype in ALI mice. Additionally, plasma G-CSF concentrations in humans with acute respiratory failure (ARF) undergoing early mobility therapy showed greater decrements over time compared to control ARF patients. Together, these data provide a mechanism whereby early mobility therapy attenuates muscle wasting and limits ongoing alveolar neutrophilia through modulation of systemic neutrophil chemokines in lung-injured mice and humans.

Indexed as

Exercise TherapyPhysical Conditioning, AnimalAcute Lung InjuryAnimalsChemokinesGranulocyte Colony-Stimulating FactorHumansInflammationLipopolysaccharidesMice, Inbred C57BLMotor ActivityMuscle ProteinsMuscle, SkeletalMuscular AtrophyNeutrophilsPulmonary AlveoliChemokinesGranulocyte Colony-Stimulating FactorLipopolysaccharidesMuscle ProteinsReceptors, Granulocyte Colony-Stimulating FactorTrim63 protein, mouseTripartite Motif ProteinsUbiquitin-Protein Ligases

Identifiers

PMID25761888
PMCPMC4820823
OpenAlexW2122381833

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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.