Evidence map›Paper›PMID 26185365›Full record

ArticleMediators of inflammation2015

Changes of Proteases, Antiproteases, and Pathogens in Cystic Fibrosis Patients' Upper and Lower Airways after IV-Antibiotic Therapy.

Ulrike Müller, Julia Hentschel, Wibke K Janhsen, Kerstin Hünniger, Uta-Christina Hipler, Jürgen Sonnemann, Wolfgang Pfister, Klas Böer, Thomas Lehmann, Jochen G Mainz

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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

10 authors at 2 institutions in 1 country.

Ulrike MüllerDepartment of Pediatrics, Cystic Fibrosis Center, Jena University Hospital, 07740 Jena, Germany.
Julia HentschelDepartment of Pediatrics, Cystic Fibrosis Center, Jena University Hospital, 07740 Jena, Germany.
Wibke K JanhsenDepartment of Pediatrics, Cystic Fibrosis Center, Jena University Hospital, 07740 Jena, Germany.
Kerstin HünnigerSeptomics Research Center, Friedrich Schiller University, 07745 Jena, Germany ; Leibniz Institute for Natural Product Research and Infection Biology, Hans Knoell Institute, Jena, Germany.
Uta-Christina HiplerDepartment of Dermatology, Jena University Hospital, 07740 Jena, Germany.
Jürgen SonnemannDepartment of Pediatric Hematology and Oncology, Jena University Hospital, 07740 Jena, Germany.
Wolfgang PfisterInstitute of Medical Microbiology, University of Jena, 07740 Jena, Germany.
Klas BöerInstitute for Clinical Chemistry and Laboratory Diagnostics, Jena University Hospital, 07740 Jena, Germany.
Thomas LehmannInstitute of Medical Statistics, Computer Sciences and Documentation, Jena University Hospital, 07740 Jena, Germany.
Jochen G MainzDepartment of Pediatrics, Cystic Fibrosis Center, Jena University Hospital, 07740 Jena, Germany.
Jena University Hospital · DELeibniz-Institut für Naturstoff-Forschung und Infektionsbiologie e. V. - Hans-Knöll-Institut (HKI) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn cystic fibrosis (CF) the upper (UAW) and lower airways (LAW) are reservoirs for pathogens like Pseudomonas aeruginosa. The consecutive hosts' release of proteolytic enzymes contributes to inflammation and progressive pulmonary destruction. Objectives were to assess dynamics of protease : antiprotease ratios and pathogens in CF-UAW and LAW sampled by nasal lavage (NL) and sputum before and after intravenous- (IV-) antibiotic therapy.

methodsFrom 19 IV-antibiotic courses of 17 CF patients NL (10 mL/nostril) and sputum were collected before and after treatment. Microbiological colonization and concentrations of NE/SLPI/CTSS (ELISA) and MMP-9/TIMP-1 (multiplex bead array) were determined. Additionally, changes of sinonasal symptoms were assessed (SNOT-20).

resultsIV-antibiotic treatment had more pronounced effects on inflammatory markers in LAW, whereas trends to decrease were also found in UAW. Ratios of MMP-9/TIMP-1 were higher in sputum, and ratios of NE/SLPI were higher in NL. Remarkably, NE/SLPI ratio was 10-fold higher in NL compared to healthy controls. SNOT-20 scores decreased significantly during therapy (P = 0.001).

conclusionFor the first time, changes in microbiological patterns in UAW and LAW after IV-antibiotic treatments were assessed, together with changes of protease/antiprotease imbalances. Delayed responses of proteases and antiproteases to IV-antibiotic therapy were found in UAW compared to LAW.

Indexed as

AdolescentAdultAnti-Bacterial AgentsCase-Control StudiesCathepsinsChildCystic FibrosisFemaleHumansInjections, IntravenousLeukocyte ElastaseMaleMatrix Metalloproteinase 9Middle AgedProspective StudiesPseudomonas aeruginosaAnti-Bacterial Agentscathepsin SCathepsinsLeukocyte ElastaseMatrix Metalloproteinase 9Secretory Leukocyte Peptidase InhibitorSLPI protein, humanTissue Inhibitor of Metalloproteinase-1

Identifiers

PMID26185365
PMCPMC4491395
OpenAlexW1602926765

What OpenQuestion holds

Textmetadata
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.