Evidence map›Paper›PMID 26083346›Full record

ArticlePLoS pathogens2015

Virulence Factors of Pseudomonas aeruginosa Induce Both the Unfolded Protein and Integrated Stress Responses in Airway Epithelial Cells.

Emily F A van 't Wout, Annemarie van Schadewijk, Ria van Boxtel, Lucy E Dalton, Hanna J Clarke, Jan Tommassen, Stefan J Marciniak, Pieter S Hiemstra

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Temperature-dependent reprogramming of virulence traits duringbioRxiv : the preprint server for biology · 2026
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  8. Frontiers in immunology · 2025
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  10. Modeling Host-Pathogen Interactions inInternational journal of molecular sciences · 2024
    Review
  11. Article
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  15. Article
  16. Article
  17. Review
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  20. Article

1 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 3 institutions in 2 countries.

Emily F A van 't WoutDepartment of Pulmonology, Leiden University Medical Centre, Leiden, the Netherlands; Cambridge Institute for Medical Research (CIMR), University of Cambridge, Cambridge, United Kingdom.
Annemarie van SchadewijkDepartment of Pulmonology, Leiden University Medical Centre, Leiden, the Netherlands.
Ria van BoxtelDepartment of Molecular Microbiology, Utrecht University, Utrecht, the Netherlands.
Lucy E DaltonCambridge Institute for Medical Research (CIMR), University of Cambridge, Cambridge, United Kingdom.
Hanna J ClarkeCambridge Institute for Medical Research (CIMR), University of Cambridge, Cambridge, United Kingdom.
Jan TommassenDepartment of Molecular Microbiology, Utrecht University, Utrecht, the Netherlands.
Stefan J MarciniakCambridge Institute for Medical Research (CIMR), University of Cambridge, Cambridge, United Kingdom.
Pieter S HiemstraDepartment of Pulmonology, Leiden University Medical Centre, Leiden, the Netherlands.
University of Cambridge · GBLeiden University · NLUtrecht University · NL

Funding

Medical Research Council G0601840Medical Research Council G1002610Wellcome Trust 100140
6 · The paper itself

Abstract

Pseudomonas aeruginosa infection can be disastrous in chronic lung diseases such as cystic fibrosis and chronic obstructive pulmonary disease. Its toxic effects are largely mediated by secreted virulence factors including pyocyanin, elastase and alkaline protease (AprA). Efficient functioning of the endoplasmic reticulum (ER) is crucial for cell survival and appropriate immune responses, while an excess of unfolded proteins within the ER leads to "ER stress" and activation of the "unfolded protein response" (UPR). Bacterial infection and Toll-like receptor activation trigger the UPR most likely due to the increased demand for protein folding of inflammatory mediators. In this study, we show that cell-free conditioned medium of the PAO1 strain of P. aeruginosa, containing secreted virulence factors, induces ER stress in primary bronchial epithelial cells as evidenced by splicing of XBP1 mRNA and induction of CHOP, GRP78 and GADD34 expression. Most aspects of the ER stress response were dependent on TAK1 and p38 MAPK, except for the induction of GADD34 mRNA. Using various mutant strains and purified virulence factors, we identified pyocyanin and AprA as inducers of ER stress. However, the induction of GADD34 was mediated by an ER stress-independent integrated stress response (ISR) which was at least partly dependent on the iron-sensing eIF2α kinase HRI. Our data strongly suggest that this increased GADD34 expression served to protect against Pseudomonas-induced, iron-sensitive cell cytotoxicity. In summary, virulence factors from P. aeruginosa induce ER stress in airway epithelial cells and also trigger the ISR to improve cell survival of the host.

Indexed as

Blotting, WesternCells, CulturedEndoplasmic Reticulum Chaperone BiPEndoplasmic Reticulum StressEnzyme-Linked Immunosorbent AssayEpithelial CellsHumansProtein Phosphatase 1Pseudomonas aeruginosaPseudomonas InfectionsRespiratory MucosaReverse Transcriptase Polymerase Chain ReactionUnfolded Protein ResponseVirulence FactorsEndoplasmic Reticulum Chaperone BiPHSPA5 protein, humanPPP1R15A protein, humanProtein Phosphatase 1Virulence Factors

Identifiers

PMID26083346
PMCPMC4471080
OpenAlexW567038336

What OpenQuestion holds

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LicenceCC BY
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.