Evidence map›Paper›PMID 27655850›Full record

ArticleScience translational medicine2016

IVIG-mediated protection against necrotizing pneumonia caused by MRSA.

Binh An Diep, Vien T M Le, Cedric Badiou, Hoan N Le, Marcos Gabriel Pinheiro, Au H Duong, Xing Wang, Etyene Castro Dip, Fábio Aguiar-Alves, Li Basuino and 10 more

Abstract read
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In one paragraph

Article in Science translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. The virulence toolkit of Staphylococcus aureus: a comprehensive review of toxin diversity, molecular mechanisms, and clinical implications.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Current Perspectives of Antifungal Therapy: A Special Focus onJournal of fungi (Basel, Switzerland) · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Development and validation of a rabbit model ofFrontiers in cellular and infection microbiology · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 1 country.

Binh An DiepDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA. binh.diep@ucsf.edu gerard.lina@univ-lyon1.fr.
Vien T M LeDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Cedric BadiouINSERM U1111, Université Lyon 1, CNRS UMR5308, ENS Lyon, Lyon, France. Centre National de Référence des Staphylocoques, Hospices Civils de Lyon, Bron, France.
Hoan N LeDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Marcos Gabriel PinheiroDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA. Pathology Program, Fluminense Federal University, Niterói, RJ, Brazil.
Au H DuongDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Xing WangDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Etyene Castro DipDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Fábio Aguiar-AlvesDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA. Pathology Program, Fluminense Federal University, Niterói, RJ, Brazil.
Li BasuinoDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Helene MarbachDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Thuy T MaiDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Marie N SardaLaboratory of Immunology, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France.
Osamu KajikawaDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA 98109, USA.
Gustavo Matute-BelloDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA 98109, USA.
Christine TkaczykDepartment of Infectious Diseases, MedImmune, LLC, Gaithersburg, MD 20878, USA.
Jean-Philippe RasigadeINSERM U1111, Université Lyon 1, CNRS UMR5308, ENS Lyon, Lyon, France. Centre National de Référence des Staphylocoques, Hospices Civils de Lyon, Bron, France.
Bret R SellmanDepartment of Infectious Diseases, MedImmune, LLC, Gaithersburg, MD 20878, USA.
Henry F ChambersDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Gerard LinaINSERM U1111, Université Lyon 1, CNRS UMR5308, ENS Lyon, Lyon, France. Centre National de Référence des Staphylocoques, Hospices Civils de Lyon, Bron, France. binh.diep@ucsf.edu gerard.lina@univ-lyon1.fr.
Centre National de la Recherche Scientifique · FRHôpital Lyon Sud · FRInserm · FRUniversité Claude Bernard Lyon 1 · FR

Funding

Synthetic Chemical Biology CoreP20GM113117 · NIGMS · UNIVERSITY OF KANSAS LAWRENCE · PI OROZCO, ROBIN C. · 2016 to 2025
$23.9M
Mechanisms of PVL-induced Acute Lung InjuryR01AI087674 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIEP, BINH AN · 2010 to 2014
$2.1M
NIAID NIH HHS R01 AI087674NIGMS NIH HHS P20 GM113117
6 · The paper itself

Abstract

New therapeutic approaches are urgently needed to improve survival outcomes for patients with necrotizing pneumonia caused by Staphylococcus aureus One such approach is adjunctive treatment with intravenous immunoglobulin (IVIG), but clinical practice guidelines offer conflicting recommendations. In a preclinical rabbit model, prophylaxis with IVIG conferred protection against necrotizing pneumonia caused by five different epidemic strains of community-associated methicillin-resistant S. aureus (MRSA) as well as a widespread strain of hospital-associated MRSA. Treatment with IVIG, either alone or in combination with vancomycin or linezolid, improved survival outcomes in this rabbit model. Two specific IVIG antibodies that neutralized the toxic effects of α-hemolysin (Hla) and Panton-Valentine leukocidin (PVL) conferred protection against necrotizing pneumonia in the rabbit model. This mechanism of action of IVIG was uncovered by analyzing loss-of-function mutant bacterial strains containing deletions in 17 genes encoding staphylococcal exotoxins, which revealed only Hla and PVL as having an impact on necrotizing pneumonia. These results demonstrate the potential clinical utility of IVIG in the treatment of severe pneumonia induced by S. aureus.

Indexed as

Acute Lung InjuryAnimalsAntibiotic ProphylaxisAntibodies, NeutralizingBacterial ToxinsDisease Models, AnimalExotoxinsHemolysin ProteinsHumansImmunoglobulins, IntravenousLeukocidinsLinezolidMethicillin-Resistant Staphylococcus aureusPneumonia, NecrotizingRabbitsVancomycinAntibodies, NeutralizingBacterial ToxinsExotoxinsHemolysin ProteinsImmunoglobulins, IntravenousLeukocidinsLinezolidPanton-Valentine leukocidinstaphylococcal alpha-toxinVancomycin

Identifiers

PMID27655850
OpenAlexW2521806555

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.