Evidence map›Paper›PMID 29991496›Full record

ArticleBlood advances2018

Gastrointestinal microbiota contributes to the development of murine transfusion-related acute lung injury.

Rick Kapur, Michael Kim, Johan Rebetz, Björn Hallström, Jonas T Björkman, Alisa Takabe-French, Noel Kim, Jonathan Liu, Shanjeevan Shanmugabhavananthan, Stefan Milosevic and 3 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Mouse Models of Transfusion-Related Acute Lung Injury (TRALI).Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. Pharmacological mechanism of active components inFrontiers in pharmacology · 2026
    Article
  5. Article
  6. Article
  7. Transfusion-Related Acute Lung Injury: from Mechanistic Insights to Therapeutic Strategies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
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  16. Review
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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

13 authors at 3 institutions in 3 countries.

Rick KapurDivision of Hematology and Transfusion Medicine, Lund University, Lund, Sweden.ORCID 0000-0002-1608-876X
Michael KimKeenan Research Centre for Biomedical Science and.
Johan RebetzDivision of Hematology and Transfusion Medicine, Lund University, Lund, Sweden.ORCID 0000-0003-1673-0684
Björn HallströmCenter for Translational Genomics, Lund University, Lund, Sweden.
Jonas T BjörkmanCenter for Molecular Diagnostics, Skåne University Hospital, Lund, Sweden.
Alisa Takabe-FrenchKeenan Research Centre for Biomedical Science and.
Noel KimKeenan Research Centre for Biomedical Science and.
Jonathan LiuKeenan Research Centre for Biomedical Science and.
Shanjeevan ShanmugabhavananthanKeenan Research Centre for Biomedical Science and.
Stefan MilosevicKeenan Research Centre for Biomedical Science and.
Mark J McVeyKeenan Research Centre for Biomedical Science and.
Edwin R SpeckKeenan Research Centre for Biomedical Science and.
John W SempleDivision of Hematology and Transfusion Medicine, Lund University, Lund, Sweden.ORCID 0000-0002-1510-0077
St. Michael's Hospital · CALund University · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transfusion-related acute lung injury (TRALI) is a syndrome of respiratory distress upon blood transfusion and is the leading cause of transfusion-related fatalities. Whether the gut microbiota plays any role in the development of TRALI is currently unknown. We observed that untreated barrier-free (BF) mice suffered from severe antibody-mediated acute lung injury, whereas the more sterile housed specific pathogen-free (SPF) mice and gut flora-depleted BF mice were both protected from lung injury. The prevention of TRALI in the SPF mice and gut flora-depleted BF mice was associated with decreased plasma macrophage inflammatory protein-2 levels as well as decreased pulmonary neutrophil accumulation. DNA sequencing of amplicons of the 16S ribosomal RNA gene revealed a varying gastrointestinal bacterial composition between BF and SPF mice. BF fecal matter transferred into SPF mice significantly restored TRALI susceptibility in SPF mice. These data reveal a link between the gut flora composition and the development of antibody-mediated TRALI in mice. Assessment of gut microbial composition may help in TRALI risk assessment before transfusion.

Indexed as

Gastrointestinal MicrobiomeAnimalsChemokine CXCL2LungMiceNeutrophilsTransfusion-Related Acute Lung InjuryChemokine CXCL2Cxcl2 protein, mouse

Identifiers

PMID29991496
PMCPMC6039664
OpenAlexW2862188711

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.