Evidence map›Paper›PMID 28157391›Full record

ArticleAmerican journal of respiratory and critical care medicine2017

Microbes Are Associated with Host Innate Immune Response in Idiopathic Pulmonary Fibrosis.

Yong Huang, Shwu-Fan Ma, Milena S Espindola, Rekha Vij, Justin M Oldham, Gary B Huffnagle, John R Erb-Downward, Kevin R Flaherty, Beth B Moore, Eric S White and 10 more

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 1 pooled it
14.7field-weighted citation impact, top 1% 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

99 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Journal of bacteriology · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. eNAMPT Is a Novel DAMP and Therapeutic Target in Human and Murine Pulmonary Fibrosis.American journal of respiratory cell and molecular biology · 2025
    Article
  11. Article
  12. The lung microbiome in interstitial lung disease.Breathe (Sheffield, England) · 2025
    Review
  13. Article
  14. Review
  15. SIRT3/6/7: promising therapeutic targets for pulmonary fibrosis.Frontiers in cell and developmental biology · 2025
    Review
  16. Review
  17. Reply to FujimotoAmerican journal of respiratory and critical care medicine · 2024
    Article
  18. American journal of respiratory and critical care medicine · 2024
    Article
  19. Review
  20. Commensal Oral Microbiota, Disease Severity, and Mortality in Fibrotic Lung Disease.American journal of respiratory and critical care medicine · 2024
    Article

39 more citing papers are in PubMed but not listed here.

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

20 authors at 8 institutions in 1 country.

Yong Huang1 Section of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago, Illinois.
Shwu-Fan Ma1 Section of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago, Illinois.
Milena S Espindola2 Pulmonary and Critical Care Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
Rekha Vij1 Section of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago, Illinois.
Justin M Oldham3 Pulmonary and Critical Care Medicine, University of California at Davis, Sacramento, California.
Gary B Huffnagle4 Division of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, Michigan.
John R Erb-Downward4 Division of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Kevin R Flaherty4 Division of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Beth B Moore4 Division of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Eric S White4 Division of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Tong Zhou5 Department of Physiology and Cell Biology, University of Nevada School of Medicine, Reno, Nevada.
Jianrong Li6 University of Arizona Health Sciences at the University of Arizona, Tucson, Arizona.
Yves A Lussier6 University of Arizona Health Sciences at the University of Arizona, Tucson, Arizona.
MeiLan K Han4 Division of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Naftali Kaminski7 Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, Connecticut; and.
Joe G N Garcia6 University of Arizona Health Sciences at the University of Arizona, Tucson, Arizona.
Cory M Hogaboam2 Pulmonary and Critical Care Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
Fernando J Martinez8 Weill Cornell Medical College, Cornell University, New York, New York.
Imre Noth1 Section of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago, Illinois.
COMET-IPF Investigators
Michigan Medicine · USUniversity of Chicago · USUniversity of Arizona · USCedars-Sinai Medical Center · USCornell University · USUniversity of California, Davis · USUniversity of Nevada, Reno · USYale University · US

Funding

Structure-Function Analysis of nmMLCK in EC Barrier ResponsesP01HL126609 · NHLBI · UNIVERSITY OF FLORIDA · PI Nathan A. Ellis · 2016 to 2026
$24.4M
CTRIP: Molecular phenotypes of rapidly progressive idiopathic pulmonary fibrosisRC2HL101740 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FLAHERTY, KEVIN R, MARTINEZ, FERNANDO J · 2009 to 2010
$7.9M
Innate DNA sensing in rapidly progressing IPFR01HL123899 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI HOGABOAM, CORY M · 2015 to 2018
$2.0M
Study of Co-trimoxazole and Proton Pump Inhibition Using Pragmatic Design in Idiopathic Pulmonary Fibrosis - CleanUP-IPFU01HL128964 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI ANSTROM, KEVIN J, MARTINEZ, FERNANDO J · 2015 to 2018
$1.6M
Periostin Regulation of Lung FibrosisR01HL115618 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOORE, BETHANY B. · 2013 to 2016
$1.6M
Phenomic and genomic study to subphenotype Hispanics with pulmonary hypertensionU01HL125208 · NHLBI · UNIVERSITY OF ARIZONA · PI GARCIA, JOE G. N., RISCHARD, FRANZ P · 2014 to 2018
$1.5M
Defining Pathways in COPD Patient Oriented ResearchK24HL138188 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MeiLan K Han · 2017 to 2026
$1.2M
Genomic Phenotyping and Mechanisms in sarcoidosis and AATU01HL112696 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GARCIA, JOE G. N., KOTH, LAURA L · 2012 to 2014
$470k
NHLBI NIH HHS K24 HL138188NHLBI NIH HHS P01 HL126609NHLBI NIH HHS R01 HL115618NHLBI NIH HHS R01 HL123899NHLBI NIH HHS RC2 HL101740NHLBI NIH HHS U01 HL112696NHLBI NIH HHS U01 HL125208NHLBI NIH HHS U01 HL128964
6 · The paper itself

Abstract

rationaleDifferences in the lung microbial community influence idiopathic pulmonary fibrosis (IPF) progression. Whether the lung microbiome influences IPF host defense remains unknown.

objectivesTo explore the host immune response and microbial interaction in IPF as they relate to progression-free survival (PFS), fibroblast function, and leukocyte phenotypes.

methodsPaired microarray gene expression data derived from peripheral blood mononuclear cells as well as 16S ribosomal RNA sequencing data from bronchoalveolar lavage obtained as part of the COMET-IPF (Correlating Outcomes with Biochemical Markers to Estimate Time-Progression in Idiopathic Pulmonary Fibrosis) study were used to conduct association pathway analyses. The responsiveness of paired lung fibroblasts to Toll-like receptor 9 (TLR9) stimulation by CpG-oligodeoxynucleotide (CpG-ODN) was integrated into microbiome-gene expression association analyses for a subset of individuals. The relationship between associated pathways and circulating leukocyte phenotypes was explored by flow cytometry. MEASUREMENTS AND MAIN

resultsDown-regulation of immune response pathways, including nucleotide-binding oligomerization domain (NOD)-, Toll-, and RIG1-like receptor pathways, was associated with worse PFS. Ten of the 11 PFS-associated pathways correlated with microbial diversity and individual genus, with species accumulation curve richness as a hub. Higher species accumulation curve richness was significantly associated with inhibition of NODs and TLRs, whereas increased abundance of Streptococcus correlated with increased NOD-like receptor signaling. In a network analysis, expression of up-regulated signaling pathways was strongly associated with decreased abundance of operational taxonomic unit 1341 (OTU1341; Prevotella) among individuals with fibroblasts responsive to CpG-ODN stimulation. The expression of TLR signaling pathways was also linked to CpG-ODN responsive fibroblasts, OTU1341 (Prevotella), and Shannon index of microbial diversity in a network analysis. Lymphocytes expressing C-X-C chemokine receptor 3 CD8 significantly correlated with OTU1348 (Staphylococcus).

conclusionsThese findings suggest that host-microbiome interactions influence PFS and fibroblast responsiveness.

Indexed as

Bronchoalveolar LavageDisease-Free SurvivalDown-RegulationFemaleFlow CytometryGene ExpressionHumansIdiopathic Pulmonary FibrosisImmunity, InnateMaleMicroarray AnalysisMicrobiotaMiddle Agedbronchoalveolar lavage microbiomeCpG-oligodeoxynucleotide responsehost immune response and microbial interactionpattern recognition receptorsperipheral blood mononuclear cell transcriptome

Identifiers

PMID28157391
PMCPMC5519968
OpenAlexW2591274003

What OpenQuestion holds

Textmetadata
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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.