Evidence map›Paper›PMID 27317793›Full record

ArticleBlood2016

Inducible epithelial resistance protects mice against leukemia-associated pneumonia.

Miguel M Leiva-Juárez, Hayden H Ware, Vikram V Kulkarni, Patrick A Zweidler-McKay, Michael J Tuvim, Scott E Evans

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Epithelial STAT3: A New Twist in Inducible Antimicrobial Resistance.American journal of respiratory cell and molecular biology · 2023
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Immune Modulation to Improve Survival of Viral Pneumonia in Mice.American journal of respiratory cell and molecular biology · 2020
    Article
  9. Article
  10. Review
  11. Review
  12. Pattern recognition receptors in fungal immunity.Seminars in cell & developmental biology · 2019
    Review
  13. Article
  14. Integrative Physiology of Pneumonia.Physiological reviews · 2018
    Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Pathogenesis of severe pneumonia: advances and knowledge gaps.Current opinion in pulmonary medicine · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Miguel M Leiva-JuárezDivision of Internal Medicine, Department of Pulmonary Medicine, and.
Hayden H WareDivision of Internal Medicine, Department of Pulmonary Medicine, and.
Vikram V KulkarniDivision of Internal Medicine, Department of Pulmonary Medicine, and.
Patrick A Zweidler-McKayDivision of Pediatrics, Department of Leukemia and Lymphoma, University of Texas MD Anderson Cancer Center, Houston, TX; and.
Michael J TuvimDivision of Internal Medicine, Department of Pulmonary Medicine, and.
Scott E EvansDivision of Internal Medicine, Department of Pulmonary Medicine, and University of Texas Graduate School of Biomedical Sciences, Houston, TX.ORCID 0000-0003-4503-0644
Pulmonary Associates · USThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
Inducible epithelial antiviral resistance to prevent asthmaDP2HL123229 · NHLBI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI EVANS, SCOTT E. · 2013 to 2013
$2.4M
Epithelial mechanisms of inducible resistance to AML-associated pneumoniaR01HL117976 · NHLBI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI EVANS, SCOTT E. · 2014 to 2018
$2.0M
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA100632NHLBI NIH HHS DP2 HL123229NHLBI NIH HHS R01 HL117976
6 · The paper itself

Abstract

Despite widespread infection prevention efforts, pneumonia remains the leading cause of death among patients with acute leukemia, due to complex disease- and treatment-dependent immune defects. We have reported that a single inhaled treatment with a synergistic combination of Toll-like receptor 2/6 (TLR 2/6) and TLR9 agonists (Pam2-ODN) induces protective mucosal defenses in mice against a broad range of pathogens. As Pam2-ODN-induced protection persists despite depletion of several leukocyte populations, we tested whether it could prevent pneumonia in a mouse model of acute myeloid leukemia (AML) remission induction therapy. Pam2-ODN prevented death due to pneumonia caused by Pseudomonas aeruginosa, Streptococcus pneumoniae, and Aspergillus fumigatus when mice were heavily engrafted with leukemia cells, had severe chemotherapy-induced neutropenia or both. Pam2-ODN also extended survival of pneumonia in NSG mice engrafted with primary human AML cells. Protection was associated with rapid pathogen killing in the lungs at the time of infection and with reduced pathogen burdens at distant sites at the end of observation. Pathogen killing was inducible directly from isolated lung epithelial cells and was not abrogated by the presence of leukemia cells or cytotoxic agents. Pam2-ODN had no discernible effect on replication rate, total tumor population, or killing by chemotherapy of mouse or human leukemia cells, either in vitro or in vivo. Taken together, we report that therapeutic stimulation of lung epithelial defenses robustly protects against otherwise lethal pneumonias despite the profound immune dysfunction associated with acute leukemia and its treatment. These findings may suggest an opportunity to protect this population during periods of peak vulnerability.

Indexed as

AnimalsAnti-Infective AgentsEpithelial CellsHumansLeukemiaLungMiceMice, Inbred C57BLOligodeoxyribonucleotidesPneumoniaSheepAnti-Infective AgentsOligodeoxyribonucleotides

Identifiers

PMID27317793
PMCPMC4990857
OpenAlexW2422622361

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.