Evidence map›Paper›PMID 28774302›Full record

ArticleRespiratory research2017

Airway and parenchyma immune cells in influenza A(H1N1)pdm09 viral and non-viral diffuse alveolar damage.

Monique Buttignol, Ruy Camargo Pires-Neto, Renata Calciolari Rossi E Silva, Marina Ballarin Albino, Marisa Dolhnikoff, Thais Mauad

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. CD207-Positive Dendritic Cells Promote Emphysema Through CD8Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Expression of angiotensin-converting enzyme 2, transmembrane serine protease 2, and sirtuin 1 proteins in lungs of different age groups.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2026
    Article
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  18. Dapsone as treatment adjunct in ARDS.Experimental lung research
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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

6 authors at 1 institution in 1 country.

Monique ButtignolDepartament of Pathology, University of São Paulo - School of Medicine (FMUSP), Av. Dr. Arnaldo, 455 - 1 andar, sala 1155, São Paulo, SP, 01246903, Brazil. monique.buttignol@usp.br.ORCID 0000-0002-7195-6400
Ruy Camargo Pires-NetoDepartament of Pathology, University of São Paulo - School of Medicine (FMUSP), Av. Dr. Arnaldo, 455 - 1 andar, sala 1155, São Paulo, SP, 01246903, Brazil.
Renata Calciolari Rossi E SilvaDepartament of Pathology, University of São Paulo - School of Medicine (FMUSP), Av. Dr. Arnaldo, 455 - 1 andar, sala 1155, São Paulo, SP, 01246903, Brazil.
Marina Ballarin AlbinoDepartament of Pathology, University of São Paulo - School of Medicine (FMUSP), Av. Dr. Arnaldo, 455 - 1 andar, sala 1155, São Paulo, SP, 01246903, Brazil.
Marisa DolhnikoffDepartament of Pathology, University of São Paulo - School of Medicine (FMUSP), Av. Dr. Arnaldo, 455 - 1 andar, sala 1155, São Paulo, SP, 01246903, Brazil.
Thais MauadDepartament of Pathology, University of São Paulo - School of Medicine (FMUSP), Av. Dr. Arnaldo, 455 - 1 andar, sala 1155, São Paulo, SP, 01246903, Brazil.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffuse alveolar damage (DAD), which is the histological surrogate for acute respiratory distress syndrome (ARDS), has a multifactorial aetiology. Therefore it is possible that the immunopathology differs among the various presentations of DAD. The aim of this study is to compare lung immunopathology of viral (influenza A(H1N1)pdm09) to non-viral, extrapulmonary aetiologies in autopsy cases with DAD.

methodsThe lung tissue of 44 patients, was divided in the H1N1 group (n = 15) characterized by severe pulmonary injury due to influenza A(H1N1)pdm09 infection; the ARDS group (n = 13), characterized by patients with DAD due to non-pulmonary causes; and the Control group (n = 16), consisting of patients with non-pulmonary causes of death. Immunohistochemistry and image analysis were used to quantify, in the parenchyma and small airways, several immune cell markers.

resultsBoth DAD groups had higher expression of neutrophils and macrophages in parenchyma and small airways. However, there was a higher expression of CD4+ and CD8+ T lymphocytes, CD83+ dendritic cells, granzyme A+ and natural killer + cell density in the lung parenchyma of the H1N1 group (p < 0.05). In the small airways, there was a lower cell density of tryptase + mast cells and dendritic + cells and an increase of IL-17 in both DAD groups (p < 0.05).

conclusionDAD due to viral A(H1N1)pdm09 is associated with a cytotoxic inflammatory phenotype, with partially divergent responses in the parenchyma relative to the small airways. In non-viral DAD, main immune cell alterations were found at the small airway level, reinforcing the role of the small airways in the pathogenesis of the exudative phase of DAD.

Indexed as

AdultAgedDendritic CellsFemaleHumansImmunity, CellularInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMaleMiddle AgedPulmonary AlveoliRespiratory Distress SyndromeRetrospective StudiesT-LymphocytesARDSAutopsyDiffuse alveolar damageHuman InfluenzaPathology

Identifiers

PMID28774302
PMCPMC5543730
OpenAlexW2744411337

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.