Evidence map›Paper›PMID 29907871›Full record

ArticleMucosal immunology2018

C3a receptor antagonism as a novel therapeutic target for chronic rhinosinusitis.

Jennifer K Mulligan, Kunal Patel, Tucker Williamson, Nicholas Reaves, William Carroll, Sarah E Stephenson, Peng Gao, Richard R Drake, Benjamin A Neely, Stephen Tomlinson and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Mucosal immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

21 citing papers in PubMed, 24 citations in OpenAlex.

  1. CD25 expression marks an activated mast cell population in human nasal polyposis.The Journal of allergy and clinical immunology · 2026
    Article
  2. Article
  3. Review
  4. What can we learn about chronic rhinosinusitis through mucus?Current opinion in otolaryngology & head and neck surgery · 2026
    Review
  5. Review
  6. Emerging roles for complement in lung transplantation.The Journal of clinical investigation · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Role of C3a as a Novel Regulator of 25(OH)DJournal of immunology (Baltimore, Md. : 1950) · 2022
    Article
  16. Current Insights on the Impact of Proteomics in Respiratory Allergies.International journal of molecular sciences · 2022
    Review
  17. Article
  18. Article
  19. Review
  20. Linking Complement C3 and B Cells in Nasal Polyposis.Journal of immunology research · 2020
    Article
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

12 authors at 3 institutions in 1 country.

Jennifer K MulliganDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Kunal PatelDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
Tucker WilliamsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
Nicholas ReavesDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
William CarrollDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Sarah E StephensonDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
Peng GaoDepartment of Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston, SC, USA.
Richard R DrakeDepartment of Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston, SC, USA.
Benjamin A NeelyMarine Biochemical Sciences, National Institute of Standards and Technology, Charleston, SC, USA.
Stephen TomlinsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
Rodney J SchlosserDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Carl AtkinsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA. atkinsoc@musc.edu.
Medical University of South Carolina · USNational Institute of Standards and Technology · USRalph H. Johnson VA Medical Center · US

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Jian Ouyang · 2009 to 2026
$42.7M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
SOUTH CAROLINA COBRE IN OXIDANTS, REDOX BALANCE AND STRESS SIGNALINGP20GM103542 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TEW, KENNETH D. · 2012 to 2020
$20.2M
South Carolina Clinical & Translational Research Institute (SCTR)KL2TR001452 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCRAE-CLARK, AIMEE L · 2015 to 2024
$5.9M
The Role of Complement in the Pathogenesis of EmphysemaR01HL091944 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ATKINSON, CARL · 2010 to 2014
$1.8M
NCATS NIH HHS KL2 TR001452NCATS NIH HHS UL1 TR001450NCI NIH HHS P30 CA138313NHLBI NIH HHS R01 HL091944NIGMS NIH HHS P20 GM103542
6 · The paper itself

Abstract

Chronic rhinosinusitis with nasal polyps (CRSwNP) is an inflammatory disease with an unknown etiology. Recent studies have implicated the complement system as a potential modulator of disease immunopathology. We performed proteomic pathway enrichment analysis of differentially increased proteins, and found an enrichment of complement cascade pathways in the nasal mucus of individuals with CRSwNP as compared to control subjects. Sinonasal mucus levels of complement 3 (C3) correlated with worse subjective disease severity, whereas no significant difference in systemic C3 levels could be determined in plasma samples. Given that human sinonasal epithelial cells were the predominate sinonasal source of C3 and complement anaphylatoxin 3a (C3a) staining, we focused on their role in in vitro studies. Baseline intracellular C3 levels were higher in CRSwNP cells, and following exposure to Aspergillus fumigatus (Af) extract, they released significantly more C3 and C3a. Inhibition of complement 3a receptor (C3aR) signaling led to a decrease in Af-induced C3 and C3a release, both in vitro and in vivo. Finally, we found in vivo that C3aR deficiency or inhibition significantly reduced inflammation and CRS development in a mouse model of Af-induced CRS. These findings demonstrate that local sinonasal complement activation correlates with subjective disease severity, and that local C3aR antagonism significantly ameliorates Af-induced CRS in a rodent model.

Indexed as

AnimalsAspergillus fumigatusCell LineChronic DiseaseComplement C3Disease Models, AnimalEpithelial CellsHumansInflammationMiceMice, Inbred BALB CNasal MucosaNasal PolypsProteomeReceptors, ComplementRhinosporidiosisComplement C3complement C3a receptorProteomeReceptors, Complement

Identifiers

PMID29907871
PMCPMC6162114
OpenAlexW2807956632

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.