Evidence map›Paper›PMID 26192556›Full record

ArticleAmerican journal of respiratory and critical care medicine2015

The Causal Role of IL-4 and IL-13 in Schistosoma mansoni Pulmonary Hypertension.

Rahul Kumar, Claudia Mickael, Jacob Chabon, Liya Gebreab, Alleluiah Rutebemberwa, Alexandra Rodriguez Garcia, Daniel E Koyanagi, Linda Sanders, Aneta Gandjeva, Mark T Kearns and 7 more

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Schistosomiasis-associated pulmonary arterial hypertension: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2020
    Pooled it
  2. Pooled it
  3. Article
  4. Endothelial c-IAP2 loss amplifies P2X7 receptor-driven inflammation and worsens schistosomiasis-associated pulmonary hypertension.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Pulmonary Immune Cell Landscape Altered by Exposure to HIV,International journal of molecular sciences · 2026
    Article
  7. IL-6 and TGF-β1 as biomarkers of schistosomiasis-associated pulmonary hypertension in a murine model.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
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  19. Intrapulmonary T Cells Are Sufficient forInternational journal of molecular sciences · 2024
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 2 countries.

Rahul Kumar1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Claudia Mickael1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Jacob Chabon1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Liya Gebreab1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Alleluiah Rutebemberwa1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Alexandra Rodriguez Garcia1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Daniel E Koyanagi1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Linda Sanders1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Aneta Gandjeva1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Mark T Kearns2 Department of Medicine, National Jewish Health, Denver, Colorado.
Lea Barthel2 Department of Medicine, National Jewish Health, Denver, Colorado.
William J Janssen2 Department of Medicine, National Jewish Health, Denver, Colorado.
Thais Mauad3 Department of Pathology, Sao Paulo University Medical School, Sao Paulo, Brazil; and.
Angela Bandeira4 Department of Medicine, Memorial S. Jose Hospital, Universidade de Pernambuco, Recife, Brazil.
Eric Schmidt1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Rubin M Tuder1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
Brian B Graham1 Program in Translational Lung Research, Department of Medicine, Anschutz Medical Campus, Aurora, Colorado.
University of Colorado Anschutz Medical Campus · USNational Jewish Health · USUniversidade de Pernambuco · BRUniversidade de São Paulo · BR

Funding

VRAC and Rho in pulmonary EC proliferationP01HL014985 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R. · 1985 to 2019
$35.1M
Pulmonary Hypertension Breakthrough InitiativeR24HL123767 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ALDRED, MICHEALA A, ERZURUM, SERPIL C. · 2014 to 2017
$10.1M
Schistosomiasis Associated Pulmonary Arterial HypertensionK08HL105536 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GRAHAM, BRIAN BARKLEY · 2011 to 2015
$653k
NHLBI NIH HHS K08 HL105536NHLBI NIH HHS K08HL105536NHLBI NIH HHS P01 HL014985NHLBI NIH HHS P01HL014985-41NHLBI NIH HHS R24 HL123767NHLBI NIH HHS R24HL123767NIAID NIH HHS HHSN272201000005CNIAID NIH HHS HHSN272201000005IPHS HHS HHSN272201000005I
6 · The paper itself

Abstract

rationaleThe etiology of schistosomiasis-associated pulmonary arterial hypertension (PAH), a major cause of PAH worldwide, is poorly understood. Schistosoma mansoni exposure results in prototypical type-2 inflammation. Furthermore, transforming growth factor (TGF)-β signaling is required for experimental pulmonary hypertension (PH) caused by Schistosoma exposure.

objectivesWe hypothesized type-2 inflammation driven by IL-4 and IL-13 is necessary for Schistosoma-induced TGF-β-dependent vascular remodeling.

methodsWild-type, IL-4(-/-), IL-13(-/-), and IL-4(-/-)IL-13(-/-) mice (C57BL6/J background) were intraperitoneally sensitized and intravenously challenged with S. mansoni eggs to induce experimental PH. Right ventricular catheterization was then performed, followed by quantitative analysis of the lung tissue. Lung tissue from patients with schistosomiasis-associated and connective tissue disease-associated PAH was also systematically analyzed. MEASUREMENTS AND MAIN

resultsMice with experimental Schistosoma-induced PH had evidence of increased IL-4 and IL-13 signaling. IL-4(-/-)IL-13(-/-) mice, but not single knockout IL-4(-/-) or IL-13(-/-) mice, were protected from Schistosoma-induced PH, with decreased right ventricular pressures, pulmonary vascular remodeling, and right ventricular hypertrophy. IL-4(-/-)IL-13(-/-) mice had less pulmonary vascular phospho-signal transducer and activator of transcription 6 (STAT6) and phospho-Smad2/3 activity, potentially caused by decreased TGF-β activation by macrophages. In vivo treatment with a STAT6 inhibitor and IL-4(-/-)IL-13(-/-) bone marrow transplantation also protected against Schistosoma-PH. Lung tissue from patients with schistosomiasis-associated and connective tissue disease-associated PAH had evidence of type-2 inflammation.

conclusionsCombined IL-4 and IL-13 deficiency is required for protection against TGF-β-induced pulmonary vascular disease after Schistosoma exposure, and targeted inhibition of this pathway is a potential novel therapeutic approach for patients with schistosomiasis-associated PAH.

Indexed as

AnimalsBone Marrow TransplantationCell Adhesion MoleculesHumansHypertension, PulmonaryInflammationIntercellular Signaling Peptides and ProteinsInterleukin-13Interleukin-4Interleukin-4 Receptor alpha SubunitMacrophagesMiceMice, Inbred C57BLMice, KnockoutPhosphorylationSchistosoma mansoniCell Adhesion MoleculesIL4R protein, humanIntercellular Signaling Peptides and ProteinsInterleukin-13Interleukin-4Interleukin-4 Receptor alpha SubunitPOSTN protein, humanRETNLB protein, humanSmad2 ProteinSmad2 protein, mouseSmad3 ProteinSmad3 protein, mouseSTAT6 protein, humanStat6 protein, mouseSTAT6 Transcription FactorTransforming Growth Factor betapulmonary hypertensionschistosomiasisTh2 cellstransforming growth factor-β

Identifiers

PMID26192556
PMCPMC4642207
OpenAlexW1921445484

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.