Evidence map›Paper›PMID 27526712›Full record

ArticleThe Journal of experimental medicine2016

Nox2-derived oxidative stress results in inefficacy of antibiotics against post-influenza S. aureus pneumonia.

Keer Sun, Vijaya Kumar Yajjala, Christopher Bauer, Geoffrey A Talmon, Karl J Fischer, Tammy Kielian, Dennis W Metzger

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. A Tale of Two Cytokines: IL-10 Blocks IFN-γ in Influenza A Virus-American journal of respiratory cell and molecular biology · 2024
    Article
  3. IL-10 Counteracts IFN-γ to Alleviate Acute Lung Injury in a Viral-Bacterial Superinfection Model.American journal of respiratory cell and molecular biology · 2024
    Article
  4. Detection of blaBMC microbiology · 2024
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  13. When two for the price of one isn't a bargain: estimating prevalence and microbiology of bacterial co-infections in patients with COVID-19.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2020
    Article
  14. Review
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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 2 institutions in 1 country.

Keer SunDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198 Center for Immunology and Microbial Disease, Albany Medical College, Albany, NY 12208 Keer.sun@unmc.edu.ORCID 0000-0002-9702-9584
Vijaya Kumar YajjalaDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198.ORCID 0000-0001-6155-1138
Christopher BauerDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198.ORCID 0000-0002-5652-9582
Geoffrey A TalmonDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198.ORCID 0000-0002-4841-286X
Karl J FischerDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198.ORCID 0000-0001-7907-873X
Tammy KielianDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198.ORCID 0000-0001-7624-670X
Dennis W MetzgerCenter for Immunology and Microbial Disease, Albany Medical College, Albany, NY 12208.
University of Nebraska Medical Center · USAlbany Medical Center Hospital · US

Funding

Oxidative Burst in Influenza and MRSA Co-infectionR01HL118408 · NHLBI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI SUN, KEER · 2013 to 2022
$3.9M
Effect of Influenza Infection on Alveolar Macrophage FunctionR01AI075312 · NIAID · ALBANY MEDICAL COLLEGE · PI METZGER, DENNIS W · 2009 to 2012
$1.6M
NHLBI NIH HHS R01 HL118408NIAID NIH HHS R01 AI075312
6 · The paper itself

Abstract

Clinical post-influenza Staphylococcus aureus pneumonia is characterized by extensive lung inflammation associated with severe morbidity and mortality even after appropriate antibiotic treatment. In this study, we show that antibiotics rescue nicotinamide adenine dinucleotide phosphate (NADPH) oxidase 2 (Nox2)-deficient mice but fail to fully protect WT animals from influenza and S. aureus coinfection. Further experiments indicate that the inefficacy of antibiotics against coinfection is attributable to oxidative stress-associated inflammatory lung injury. However, Nox2-induced lung damage during coinfection was not associated with aggravated inflammatory cytokine response or cell infiltration but rather caused by reduced survival of myeloid cells. Specifically, oxidative stress increased necrotic death of inflammatory cells, thereby resulting in lethal damage to surrounding tissue. Collectively, our results demonstrate that influenza infection disrupts the delicate balance between Nox2-dependent antibacterial immunity and inflammation. This disruption leads to not only increased susceptibility to S. aureus infection, but also extensive lung damage. Importantly, we show that combination treatment of antibiotic and NADPH oxidase inhibitor significantly improved animal survival from coinfection. These findings suggest that treatment strategies that target both bacteria and oxidative stress will significantly benefit patients with influenza-complicated S. aureus pneumonia.

Indexed as

Oxidative StressAnimalsAnti-Bacterial AgentsCell SurvivalFemaleInflammationMaleMembrane GlycoproteinsMethicillin-Resistant Staphylococcus aureusMiceMice, Inbred C57BLMyeloid CellsNADPH Oxidase 2NADPH OxidasesOrthomyxoviridae InfectionsPneumonia, StaphylococcalAnti-Bacterial AgentsCybb protein, mouseMembrane GlycoproteinsNADPH Oxidase 2NADPH OxidasesReactive Oxygen Species

Identifiers

PMID27526712
PMCPMC4995072
OpenAlexW2517231791

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.