Evidence map›Paper›PMID 27548618›Full record

ArticlePLoS neglected tropical diseases2016

Liver Necrosis and Lethal Systemic Inflammation in a Murine Model of Rickettsia typhi Infection: Role of Neutrophils, Macrophages and NK Cells.

Stefanie Papp, Kristin Moderzynski, Jessica Rauch, Liza Heine, Svenja Kuehl, Ulricke Richardt, Heidelinde Mueller, Bernhard Fleischer, Anke Osterloh

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
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  9. Review
  10. Review
  11. Article
  12. Article
  13. The neglected challenge: Vaccination against rickettsiae.PLoS neglected tropical diseases · 2020
    Review
  14. Review
  15. Article
  16. Article
  17. Extracellular Vesicles From the HelminthFrontiers in microbiology · 2018
    Article
  18. Review
  19. The American journal of tropical medicine and hygiene · 2017
    Article
  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 1 institution in 1 country.

Stefanie PappDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Kristin ModerzynskiDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Jessica RauchDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Liza HeineDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Svenja KuehlDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Ulricke RichardtDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Heidelinde MuellerDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Bernhard FleischerDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Anke OsterlohDepartment of Immunology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Bernhard Nocht Institute for Tropical Medicine · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rickettsia (R.) typhi is the causative agent of endemic typhus, an emerging febrile disease that is associated with complications such as pneumonia, encephalitis and liver dysfunction. To elucidate how innate immune mechanisms contribute to defense and pathology we here analyzed R. typhi infection of CB17 SCID mice that are congenic to BALB/c mice but lack adaptive immunity. CB17 SCID mice succumbed to R. typhi infection within 21 days and showed high bacterial load in spleen, brain, lung, and liver. Most evident pathological changes in R. typhi-infected CB17 SCID mice were massive liver necrosis and splenomegaly due to the disproportionate accumulation of neutrophils and macrophages (MΦ). Both neutrophils and MΦ infiltrated the liver and harbored R. typhi. Both cell populations expressed iNOS and produced reactive oxygen species (ROS) and, thus, exhibited an inflammatory and bactericidal phenotype. Surprisingly, depletion of neutrophils completely prevented liver necrosis but neither altered bacterial load nor protected CB17 SCID mice from death. Furthermore, the absence of neutrophils had no impact on the overwhelming systemic inflammatory response in these mice. This response was predominantly driven by activated MΦ and NK cells both of which expressed IFNγ and is considered as the reason of death. Finally, we observed that iNOS expression by MΦ and neutrophils did not correlate with R. typhi uptake in vivo. Moreover, we demonstrate that MΦ hardly respond to R. typhi in vitro. These findings indicate that R. typhi enters MΦ and also neutrophils unrecognized and that activation of these cells is mediated by other mechanisms in the context of tissue damage in vivo.

Indexed as

AnimalsBrainCytokinesDisease Models, AnimalImmunity, InnateInflammationInterferon-gammaKiller Cells, NaturalLiverLungMacrophage ActivationMacrophagesMiceMice, Inbred BALB CMice, SCIDNecrosisCytokinesInterferon-gammaNitric Oxide Synthase Type IINos2 protein, mouseReactive Oxygen Species

Identifiers

PMID27548618
PMCPMC4993389
OpenAlexW2514062588

What OpenQuestion holds

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LicenceCC BY
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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.