Evidence map›Paper›PMID 26426522›Full record

ArticleAmerican journal of respiratory and critical care medicine2016

Restoration of Corticosteroid Sensitivity in Chronic Obstructive Pulmonary Disease by Inhibition of Mammalian Target of Rapamycin.

Akihisa Mitani, Kazuhiro Ito, Chaitanya Vuppusetty, Peter J Barnes, Nicolas Mercado

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Hallmarks of the ageing lung: 10 years later.The European respiratory journal · 2026
    Review
  3. Article
  4. Article
  5. Cellular plasticity and regenerative mechanisms in the lung.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  6. Article
  7. Review
  8. Senotherapy for chronic lung disease.Pharmacological reviews · 2025
    Review
  9. Article
  10. Natural Products for the Management of Asthma and COPD.Handbook of experimental pharmacology · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

Akihisa MitaniAirway Disease Section, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Kazuhiro ItoAirway Disease Section, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Chaitanya VuppusettyAirway Disease Section, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Peter J BarnesAirway Disease Section, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Nicolas MercadoAirway Disease Section, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Imperial College London · GB

Funding

Wellcome Trust 093080/Z/10/Z
6 · The paper itself

Abstract

rationaleCorticosteroid resistance is a major barrier to the effective treatment of chronic obstructive pulmonary disease (COPD). Several molecular mechanisms have been proposed, such as activations of the phosphoinositide-3-kinase/Akt pathway and p38 mitogen-activated protein kinase. However, the mechanism for corticosteroid resistance is still not fully elucidated.

objectivesTo investigate the role of mammalian target of rapamycin (mTOR) in corticosteroid sensitivity in COPD.

methodsThe corticosteroid sensitivity of peripheral blood mononuclear cells collected from patients with COPD, smokers, and nonsmoking control subjects, or of human monocytic U937 cells exposed to cigarette smoke extract (CSE), was quantified as the dexamethasone concentration required to achieve 30% inhibition of tumor necrosis factor-α-induced CXCL8 production in the presence or absence of the mTOR inhibitor rapamycin. mTOR activity was determined as the phosphorylation of p70 S6 kinase, using Western blotting. MEASUREMENTS AND MAIN

resultsmTOR activity was increased in peripheral blood mononuclear cells from patients with COPD, and treatment with rapamycin inhibited this as well as restoring corticosteroid sensitivity. In U937 cells, CSE stimulated mTOR activity and c-Jun expression, but pretreatment with rapamycin inhibited both and also reversed CSE-induced corticosteroid insensitivity.

conclusionsmTOR inhibition by rapamycin restores corticosteroid sensitivity via inhibition of c-Jun expression, and thus mTOR is a potential novel therapeutic target for COPD.

Indexed as

Adrenal Cortex HormonesAgedDrug ResistanceFemaleHistone Deacetylase 2HumansImmunosuppressive AgentsMaleMiddle AgedOxidative Stressp38 Mitogen-Activated Protein KinasesPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-junPulmonary Disease, Chronic ObstructiveSirolimusAdrenal Cortex HormonesHistone Deacetylase 2Immunosuppressive AgentsMTOR protein, humanp38 Mitogen-Activated Protein KinasesPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-junSirolimusTOR Serine-Threonine Kinaseschronic obstructive pulmonary diseasec-Juncorticosteroid resistancemammalian target of rapamycinrapamycin

Identifiers

PMID26426522
PMCPMC4731710
OpenAlexW1954624102

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.