Evidence map›Paper›PMID 27621476›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

TLR9-mediated inflammation drives a Ccr2-independent peripheral monocytosis through enhanced extramedullary monocytopoiesis.

Lehn K Weaver, Niansheng Chu, Edward M Behrens

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Monocytic Phagocytes in the Immunopathogenesis of Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  7. Murine Models of Secondary Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  8. Article
  9. JAK Inhibitors in Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  10. The Multifaceted Immunology of Cytokine Storm Syndrome.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

3 authors at 1 institution in 1 country.

Lehn K WeaverDivision of Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA 19104.
Niansheng ChuDivision of Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA 19104.
Edward M BehrensDivision of Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA 19104 behrens@email.chop.edu.
Children's Hospital of Philadelphia · US

Funding

T32 Institutional Pediatric ResearchT32HD043021 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Joseph W. St. Geme · 2002 to 2026
$6.4M
TRAINING PROGRAM/RHEUMATIC DISEASEST32AR007442 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI BEHRENS, EDWARD M, MERKEL, PETER A · 1986 to 2018
$5.8M
The Opposing Roles of IL-10 and IFN-gamma in Macrophage Activation SyndromeR01HL112836 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI BEHRENS, EDWARD M · 2013 to 2017
$2.1M
NHLBI NIH HHS R01 HL112836NIAMS NIH HHS T32 AR007442NICHD NIH HHS T32 HD043021
6 · The paper itself

Abstract

Monocytes are innate immune cells that interact with their environment through the expression of pattern recognition receptors, including Toll-like receptors (TLRs). Both monocytes and TLRs are implicated in driving persistent inflammation in autoimmune diseases. However, cell-intrinsic mechanisms to control inflammation, including TLR tolerance, are thought to limit inflammatory responses in the face of repeated TLR activation, leaving it unclear how chronic TLR-mediated inflammation is maintained in vivo. Herein, we used a well-characterized model of systemic inflammation to determine the mechanisms allowing sustained TLR9 responses to develop in vivo. Monocytes were identified as the main TLR9-responsive cell and accumulated in peripherally inflamed tissues during TLR9-driven inflammation. Intriguingly, canonical mechanisms controlling monocyte production and localization were altered during the systemic inflammatory response, as accumulation of monocytes in the liver and spleen developed in the absence of dramatic increases in bone marrow monocyte progenitors and was independent of chemokine (C-C motif) receptor 2 (Ccr2). Instead, TLR9-driven inflammation induced a Ccr2-independent expansion of functionally enhanced extramedullary myeloid progenitors that correlated with the peripheral accumulation of monocytes in both wild-type and Ccr2(-/-) mice. Our data implicate inflammation-induced extramedullary monocytopoiesis as a peripheral source of newly produced TLR9 responsive monocytes capable of sustaining chronic TLR9 responses in vivo. These findings help to explain how chronic TLR-mediated inflammation may be perpetuated in autoimmune diseases and increase our understanding of how monocytes are produced and positioned during systemic inflammatory responses.

Indexed as

AnimalsBone Marrow CellsErythroid CellsImmune ToleranceInflammationInterleukin-12MegakaryocytesMice, Inbred C57BLMonocytesMyeloid Progenitor CellsReceptors, CCR2Toll-Like Receptor 9Transcription, GeneticInterleukin-12Receptors, CCR2Toll-Like Receptor 9monocytemonocytopoiesisToll-like receptor

Identifiers

PMID27621476
PMCPMC5047205
OpenAlexW2519353610

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.