Evidence map›Paper›PMID 29475562›Full record

ArticleKidney international2018

Interleukin-6/Stat3 signaling has an essential role in the host antimicrobial response to urinary tract infection.

Christina B Ching, Sudipti Gupta, Birong Li, Hanna Cortado, Nicholas Mayne, Ashley R Jackson, Kirk M McHugh, Brian Becknell

Abstract read
In one paragraph

Article in Kidney international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. CAUTIon - not all UTIs are the same.Nature reviews. Urology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. UropathogenicFrontiers in cellular and infection microbiology · 2024
    Article
  17. Article
  18. Article
  19. Review
  20. Immune defenses in the urinary tract.Trends in immunology · 2023
    Review
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

8 authors at 1 institution in 1 country.

Christina B ChingResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA; Department of Surgery, Division of Pediatric Urology, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Sudipti GuptaResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA.
Birong LiResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA.
Hanna CortadoResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA.
Nicholas MayneResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA.
Ashley R JacksonResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA.
Kirk M McHughResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA; Department of Anatomy, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Brian BecknellResearch Institute at Nationwide Children's Hospital, Center for Clinical and Translational Research, Columbus, Ohio, USA; Nephrology Section, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio, USA. Electronic address: brian.becknell2@nationwidechildrens.org.
Nationwide Children's Hospital · US

Funding

Role of urothelium in epithelial integrity and innate defense of the kidneyK08DK102594 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BECKNELL, BRIAN · 2015 to 2019
$745k
NIDDK NIH HHS K08 DK102594
6 · The paper itself

Abstract

The signaling networks regulating antimicrobial activity during urinary tract infection (UTI) are incompletely understood. Interleukin-6 (IL-6) levels increase with UTI severity, but the specific contributions of IL-6 to host immunity against bacterial uropathogens are unknown. To clarify this we tested whether IL-6 activates the Stat3 transcription factor, to drive a program of antimicrobial peptide gene expression in infected urothelium during UTI. Transurethral inoculation of uropathogenic Escherichia coli led to IL-6 secretion, urothelial Stat3 phosphorylation, and activation of antimicrobial peptide transcription, in a Toll-like receptor 4-dependent manner in a murine model of cystitis. Recombinant IL-6 elicited Stat3 phosphorylation in primary urothelial cells in vitro, and systemic IL-6 administration promoted urothelial Stat3 phosphorylation and antimicrobial peptide expression in vivo. IL-6 deficiency led to decreased urothelial Stat3 phosphorylation and antimicrobial peptide mRNA expression following UTI, a finding mirrored by conditional Stat3 deletion. Deficiency in IL-6 or Stat3 was associated with increased formation of intracellular bacterial communities, and exogenous IL-6 reversed this phenotype in IL-6 knockout mice. Moreover, chronic IL-6 depletion led to increased renal bacterial burden and severe pyelonephritis in C3H/HeOuJ mice. Thus, IL-6/Stat3 signaling drives a transcriptional program of antimicrobial gene expression in infected urothelium, with key roles in limiting epithelial invasion and ascending infection.

Indexed as

AnimalsCell LineCystitisDisease Models, AnimalEscherichia coliEscherichia coli InfectionsFemaleHepcidinsHost-Pathogen InteractionsHumansInterleukin-6Mice, Inbred C3HMice, Inbred C57BLMice, KnockoutPancreatitis-Associated ProteinsPhosphorylationHamp protein, mouseHepcidinsInterleukin-6interleukin-6, mousePancreatitis-Associated ProteinsReg3b protein, mouseReg3g protein, mouseStat3 protein, mouseSTAT3 Transcription FactorTlr4 protein, mouseToll-Like Receptor 4antimicrobial peptideIL-6intracellular bacterial communityStat3urinary tract infectionurothelium

Identifiers

PMID29475562
PMCPMC5967986
OpenAlexW2788447215

What OpenQuestion holds

Textmetadata
LicenceTDM
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.