Evidence map›Paper›PMID 26437894›Full record

ArticleMalaria journal2015

A potential role for interleukin-33 and γ-epithelium sodium channel in the pathogenesis of human malaria associated lung injury.

Sumate Ampawong, Urai Chaisri, Parnpen Viriyavejakul, Panote Prapansilp, Georges E Grau, Gareth D H Turner, Emsri Pongponratn

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Article
  7. Case Report: The First Direct Evidence ofThe American journal of tropical medicine and hygiene · 2020
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Neutrophils and Malaria.Frontiers in immunology · 2018
    Review
  13. Review
  14. Article
  15. Article
  16. IL-33 Signaling in Lung Injury.Translational perioperative and pain medicine · 2016
    Article
  17. Article
  18. 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

7 authors at 3 institutions in 2 countries.

Sumate AmpawongDepartment of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. am_sumate@hotmail.com.
Urai ChaisriDepartment of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. urai.cha@mahidol.ac.th.
Parnpen ViriyavejakulDepartment of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. parnpen.vir@mahidol.ac.th.
Panote PrapansilpDepartment of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. panote.pra@mahidol.ac.th.
Georges E GrauVascular Immunology Unit, Department of Pathology, Sydney Medical School, The University of Sydney, Parramatta Road, Camperdown, NSW, Australia. ggrau@med.usyd.edu.au.
Gareth D H TurnerDepartment of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. gdhturner@btinternet.com.
Emsri PongponratnDepartment of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. emsri.pon@mahidol.ac.th.
Mahidol University · THMahidol Oxford Tropical Medicine Research Unit · THUniversity of Sydney · AU

Funding

Wellcome TrustWellcome Trust 089275/Z/09/Z
6 · The paper itself

Abstract

backgroundThe pathogenesis of pulmonary oedema (PE) in patients with severe malaria is still unclear. It has been hypothesized that lung injury depends, in addition to microvascular obstruction, on an increased pulmonary capillary pressure and altered alveolar-capillary membrane permeability, causing pulmonary fluid accumulation.

methodsThis study compared the histopathological features of lung injury in Southeast Asian patients (n = 43) who died from severe Plasmodium falciparum malaria, and correlated these with clinical history in groups with or without PE. To investigate the expression of mediators that may influence fluid accumulation in PE, immunohistochemistry and image analysis were performed on controls and sub-sets of patient with or without PE.

resultsThe expression of leukocyte sub-set antigens, bronchial interleukin (IL)-33, γ-epithelium sodium channel (ENaC), aquaporin (AQP)-1 and -5, and control cytokeratin staining was quantified in the lung tissue of severe malaria patients. Bronchial IL-33 expression was significantly increased in severe malaria patients with PE. Malaria patients with shock showed significantly increased bronchial IL-33 compare to other clinical manifestations. Bronchial IL-33 levels were positively correlated with CD68+ monocyte and elastase + neutrophil, septal congestion and hyaline membrane formation. Moreover, the expression of both vascular smooth muscle cell (VSMC) and bronchial γ-ENaC significantly decreased in severe malaria patients with PE. Both VSMC and bronchial γ-ENaC were negatively correlated with the degree of parasitized erythrocyte sequestration, alveolar thickness, alveolar expansion score, septal congestion score, and malarial pigment score. In contrast AQP-1 and -5 and pan cytokeratin levels were similar between groups.

conclusionsThe results suggest that IL-33 may play a role in lung injury during severe malaria and lead to PE. Both VSMC and bronchial γ-ENaC downregulation may explain pulmonary fluid disturbances and participate in PE pathogenesis in severe malaria patients.

Indexed as

AdolescentAdultAsia, SoutheasternChildChild, PreschoolEpithelial Sodium ChannelsFemaleHistocytochemistryHumansImage Processing, Computer-AssistedImmunohistochemistryInterleukin-33Malaria, FalciparumMaleMiddle AgedPulmonary EdemaEpithelial Sodium ChannelsInterleukin-33

Identifiers

PMID26437894
PMCPMC4595310
OpenAlexW1867400411

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.