Evidence map›Paper›PMID 29107075›Full record

ArticleThe American journal of pathology2018

The Role of Extracellular Histones in Influenza Virus Pathogenesis.

Harshini K Ashar, Nathan C Mueller, Jennifer M Rudd, Timothy A Snider, Mallika Achanta, Maram Prasanthi, Sivasami Pulavendran, Paul G Thomas, Akhilesh Ramachandran, Jerry R Malayer and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

64 citing papers in PubMed, 113 citations in OpenAlex.

  1. Trial
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  6. NETosis: A key player in autoimmunity, COVID-19, and long COVID.Journal of translational autoimmunity · 2025
    Review
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4 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

15 authors at 5 institutions in 2 countries.

Harshini K AsharCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Nathan C MuellerCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Jennifer M RuddCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Timothy A SniderCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Mallika AchantaCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Maram PrasanthiCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Sivasami PulavendranCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Paul G ThomasDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Akhilesh RamachandranCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Jerry R MalayerCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Jerry W RitcheyCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma.
Rachakatla RajasekharDepartment of Anatomy, Arkansas College of Osteopathic Medicine, Fort Smith, Arkansas.
Vincent T K ChowDepartment of Microbiology and Immunology, School of Medicine, National University of Singapore, National University Health System, Singapore.
Charles T EsmonCoagulation Biology Laboratory, Oklahoma Medical Research Foundation, and Department of Pathology, Department of Biochemistry & Molecular Biology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Narasaraju TeluguakulaCenter for Veterinary Health Sciences, Oklahoma State University, Stillwater, Oklahoma. Electronic address: narasa@okstate.edu.
Oklahoma State University · USNational University of Singapore · SGOklahoma Medical Research Foundation · USSt. Jude Children's Research Hospital · USUniversity of Arkansas – Fort Smith · US

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
ZFC3H1 Regulation of Host Defense and Influenza A Virus PathogenesisP20GM103648 · NIGMS · OKLAHOMA STATE UNIVERSITY STILLWATER · PI CHENG, YONG · 2013 to 2022
$22.3M
NHLBI NIH HHS UM1 HL120877NIGMS NIH HHS P20 GM103648
6 · The paper itself

Abstract

Although exaggerated host immune responses have been implicated in influenza-induced lung pathogenesis, the etiologic factors that contribute to these events are not completely understood. We previously demonstrated that neutrophil extracellular traps exacerbate pulmonary injury during influenza pneumonia. Histones are the major protein components of neutrophil extracellular traps and are known to have cytotoxic effects. Here, we examined the role of extracellular histones in lung pathogenesis during influenza. Mice infected with influenza virus displayed high accumulation of extracellular histones, with widespread pulmonary microvascular thrombosis. Occluded pulmonary blood vessels with vascular thrombi often exhibited endothelial necrosis surrounded by hemorrhagic effusions and pulmonary edema. Histones released during influenza induced cytotoxicity and showed strong binding to platelets within thrombi in infected mouse lungs. Nasal wash samples from influenza-infected patients also showed increased accumulation of extracellular histones, suggesting a possible clinical relevance of elevated histones in pulmonary injury. Although histones inhibited influenza growth in vitro, in vivo treatment with histones did not yield antiviral effects and instead exacerbated lung pathology. Blocking with antihistone antibodies caused a marked decrease in lung pathology in lethal influenza-challenged mice and improved protection when administered in combination with the antiviral agent oseltamivir. These findings support the pathogenic effects of extracellular histones in that pulmonary injury during influenza was exacerbated. Targeting histones provides a novel therapeutic approach to influenza pneumonia.

Indexed as

AnimalsDisease Models, AnimalHistonesHumansLungMiceOrthomyxoviridae InfectionsPneumoniaThrombosisHistones

Identifiers

PMID29107075
PMCPMC5745522
OpenAlexW2765213553

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.