Evidence map›Paper›PMID 29420060›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Platelets Regulate Pulmonary Inflammation and Tissue Destruction in Tuberculosis.

Katharine A Fox, Daniela E Kirwan, Ashley M Whittington, Nitya Krishnan, Brian D Robertson, Robert H Gilman, José W López, Shivani Singh, Joanna C Porter, Jon S Friedland

Abstract readComparative Study
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

42 citing papers in PubMed, 79 citations in OpenAlex.

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  3. Towards host-directed therapy: The role of matrix metalloproteinases in the immunopathogenesis of tuberculosis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Katharine A Fox1 Infectious Diseases and Immunity, Wellcome Trust Centre for Global Health Research, and.
Daniela E Kirwan1 Infectious Diseases and Immunity, Wellcome Trust Centre for Global Health Research, and.ORCID 0000-0003-3989-0795
Ashley M Whittington1 Infectious Diseases and Immunity, Wellcome Trust Centre for Global Health Research, and.
Nitya Krishnan2 Medical Research Council Centre for Molecular Bacteriology and Infection, Department of Medicine, Imperial College London, United Kingdom.
Brian D Robertson2 Medical Research Council Centre for Molecular Bacteriology and Infection, Department of Medicine, Imperial College London, United Kingdom.
Robert H Gilman3 Department of International Health, Johns Hopkins University, Baltimore Maryland.
José W López5 Laboratorio de Bioinformática y Biología Molecular, Universidad Peruana Cayetano Heredia, Lima, Peru.
Shivani Singh1 Infectious Diseases and Immunity, Wellcome Trust Centre for Global Health Research, and.
Joanna C Porter7 Centre for Inflammation and Tissue Repair, Respiratory Medicine, University College London, United Kingdom.
Jon S Friedland1 Infectious Diseases and Immunity, Wellcome Trust Centre for Global Health Research, and.ORCID 0000-0001-7789-9649
Imperial College London · GBCentre for Inflammation Research · GBJohns Hopkins University · USUniversidad Peruana Cayetano Heredia · PE

Funding

Department of HealthMedical Research Council MR/K004158/1Medical Research Council MR/K007467/1Medical Research Council MR/P019978/1Medical Research Council MR/P019978/2Medical Research Council MR/P028225/1
6 · The paper itself

Abstract

rationalePlatelets may interact with the immune system in tuberculosis (TB) to regulate human inflammatory responses that lead to morbidity and spread of infection.

objectivesTo identify a functional role of platelets in the innate inflammatory and matrix-degrading response in TB.

methodsMarkers of platelet activation were examined in plasma from 50 patients with TB before treatment and 50 control subjects. Twenty-five patients were followed longitudinally. Platelet-monocyte interactions were studied in a coculture model infected with live, virulent Mycobacterium tuberculosis (M.tb) and dissected using qRT-PCR, Luminex multiplex arrays, matrix degradation assays, and colony counts. Immunohistochemistry detected CD41 (cluster of differentiation 41) expression in a pulmonary TB murine model, and secreted platelet factors were measured in BAL fluid from 15 patients with TB and matched control subjects. MEASUREMENTS AND MAIN

resultsFive of six platelet-associated mediators were upregulated in plasma of patients with TB compared with control subjects, with concentrations returning to baseline by Day 60 of treatment. Gene expression of the monocyte collagenase MMP-1 (matrix metalloproteinase-1) was upregulated by platelets in M.tb infection. Platelets also enhanced M.tb-induced MMP-1 and -10 secretion, which drove type I collagen degradation. Platelets increased monocyte IL-1 and IL-10 and decreased IL-12 and MDC (monocyte-derived chemokine; also known as CCL-22) secretion, as consistent with an M2 monocyte phenotype. Monocyte killing of intracellular M.tb was decreased. In the lung, platelets were detected in a TB mouse model, and secreted platelet mediators were upregulated in human BAL fluid and correlated with MMP and IL-1β concentrations.

conclusionsPlatelets drive a proinflammatory, tissue-degrading phenotype in TB.

Indexed as

AdultApoptosisBlood PlateletsCell ProliferationFemaleHumansMaleMycobacterium tuberculosisPneumoniaTuberculosishumaninnate immunitymatrix metalloproteinasesplateletstuberculosis

Identifiers

PMID29420060
PMCPMC6058979
OpenAlexW2791778287

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.