Evidence map›Paper›PMID 27422381›Full record

ArticleRespiratory research2016

Weakly acidic pH reduces inflammatory cytokine expression in airway epithelial cells.

A P Hackett, R E Trinick, K Rose, B F Flanagan, P S McNamara

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Acidic pH Reduces Fluconazole Susceptibility inJournal of microbiology and biotechnology · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Gastric Aspiration and Its Role in Airway Inflammation.The open respiratory medicine journal · 2018
    Review
  12. Article
  13. 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

5 authors at 2 institutions in 1 country.

A P HackettDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
R E TrinickAlder Hey Children's Hospital NHS Foundation Trust, Eaton Rd, Liverpool, UK.
K RoseDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
B F FlanaganDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
P S McNamaraDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK. mcnamp@liverpool.ac.uk.
University of Liverpool · GBAlder Hey Children's NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAspiration lung disease (ALD) is a common cause of respiratory morbidity in children and adults with severe neurodisability (sND). Recent studies suggest that chronic microaspiration of gastric contents is associated with mild rather than low, airway acidification. We investigated inflammatory responses to infection by airway epithelial cells (AECs) exposed to weakly acidic media.

methodsUsing pH measurements from children with sND at high risk of ALD as a guide, we incubated AECs in weakly acidic (pH5.5-7.4) media alone; in combination with lipopolysaccharide (LPS); or prior to LPS stimulation at normal pH. Interleukin (IL) -6 and IL-8 expression were measured.

resultsIL-6/8 expression in AECs simultaneously exposed to weakly acidic media and LPS for 4 h was reduced with no effect on cell viability. Pre-incubation of AECs at weakly acidic pH also reduced subsequent LPS-induced cytokine expression. Suppression of inflammation was greatest at lower pHs (pH 5.5-6.0) for prolonged periods (16/24 h), but this also adversely affected cell viability.

conclusionAEC inflammatory responses to bacterial stimuli is markedly reduced in a mildly acidic environment.

Indexed as

Cell LineCell SurvivalCentral Nervous System DiseasesDown-RegulationEpithelial CellsHumansHydrogen-Ion ConcentrationInflammation MediatorsInterleukin-6Interleukin-8LipopolysaccharidesLungRespiratory Aspiration of Gastric ContentsTime FactorsCXCL8 protein, humanIL6 protein, humanInflammation MediatorsInterleukin-6Interleukin-8LipopolysaccharidesAirway epithelial cellsBALInflammationInterleukin-6Interleukin-8LipopolysaccharideNeurodisabilityReflux-aspiration

Identifiers

PMID27422381
PMCPMC4947271
OpenAlexW2473831097

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.