Evidence map›Paper›PMID 27432520›Full record

ArticleScientific reports2016

Bile signalling promotes chronic respiratory infections and antibiotic tolerance.

F Jerry Reen, Stephanie Flynn, David F Woods, Niall Dunphy, Muireann Ní Chróinín, David Mullane, Stephen Stick, Claire Adams, Fergal O'Gara

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

30 citing papers in PubMed, 55 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Bile effects on theHeliyon · 2023
    Review
  11. Reply to WardAmerican journal of respiratory and critical care medicine · 2023
    Article
  12. Efflux, Signaling and Warfare in a Polymicrobial World.Antibiotics (Basel, Switzerland) · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Microorganisms · 2022
    Article
  18. Aspiration of conjugated bile acids predicts adverse lung transplant outcomes and correlates with airway lipid and cytokine dysregulation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Article
  19. Review
  20. 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

9 authors at 4 institutions in 2 countries.

F Jerry ReenBIOMERIT Research Centre, School of Microbiology, University College Cork, National University of Ireland, Cork, Ireland.
Stephanie FlynnBIOMERIT Research Centre, School of Microbiology, University College Cork, National University of Ireland, Cork, Ireland.
David F WoodsBIOMERIT Research Centre, School of Microbiology, University College Cork, National University of Ireland, Cork, Ireland.
Niall DunphyBIOMERIT Research Centre, School of Microbiology, University College Cork, National University of Ireland, Cork, Ireland.
Muireann Ní ChróinínPaediatric Cystic Fibrosis Unit, Cork University Hospital, Cork, Ireland.
David MullanePaediatric Cystic Fibrosis Unit, Cork University Hospital, Cork, Ireland.
Stephen StickTelethon Kids Institute, Perth, Western Australia.
Claire AdamsBIOMERIT Research Centre, School of Microbiology, University College Cork, National University of Ireland, Cork, Ireland.
Fergal O'GaraBIOMERIT Research Centre, School of Microbiology, University College Cork, National University of Ireland, Cork, Ireland.
University College Cork · IECork University Hospital · IEThe Kids Research Institute Australia · AUNational University of Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite aggressive antimicrobial therapy, many respiratory pathogens persist in the lung, underpinning the chronic inflammation and eventual lung decline that are characteristic of respiratory disease. Recently, bile acid aspiration has emerged as a major comorbidity associated with a range of lung diseases, shaping the lung microbiome and promoting colonisation by Pseudomonas aeruginosa in Cystic Fibrosis (CF) patients. In order to uncover the molecular mechanism through which bile modulates the respiratory microbiome, a combination of global transcriptomic and phenotypic analyses of the P. aeruginosa response to bile was undertaken. Bile responsive pathways responsible for virulence, adaptive metabolism, and redox control were identified, with macrolide and polymyxin antibiotic tolerance increased significantly in the presence of bile. Bile acids, and chenodeoxycholic acid (CDCA) in particular, elicited chronic biofilm behaviour in P. aeruginosa, while induction of the pro-inflammatory cytokine Interleukin-6 (IL-6) in lung epithelial cells by CDCA was Farnesoid X Receptor (FXR) dependent. Microbiome analysis of paediatric CF sputum samples demonstrated increased colonisation by P. aeruginosa and other Proteobacterial pathogens in bile aspirating compared to non-aspirating patients. Together, these data suggest that bile acid signalling is a leading trigger for the development of chronic phenotypes underlying the pathophysiology of chronic respiratory disease.

Indexed as

Anti-Bacterial AgentsBile Acids and SaltsBiofilmsCell LineChenodeoxycholic AcidChronic DiseaseCystic FibrosisDrug ToleranceGene Expression ProfilingGene Expression Regulation, BacterialHumansPseudomonas aeruginosaPseudomonas InfectionsRespiratory Tract InfectionsSputumAnti-Bacterial AgentsBile Acids and SaltsChenodeoxycholic Acid

Identifiers

PMID27432520
PMCPMC4949476
OpenAlexW2488688470

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.