Evidence map›Paper›PMID 30385726›Full record

Observational studyJCI insight2018

Heme scavenging reduces pulmonary endoplasmic reticulum stress, fibrosis, and emphysema.

Saurabh Aggarwal, Israr Ahmad, Adam Lam, Matthew A Carlisle, Changzhao Li, J Michael Wells, S Vamsee Raju, Mohammad Athar, Steven M Rowe, Mark T Dransfield and 1 more

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. The long road to Ithaca: a physiologist's journey.American journal of physiology. Cell physiology · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Hemopexin reverses activation of lung eIF2α and decreases mitochondrial injury in chlorine-exposed mice.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  10. Article
  11. Article
  12. Advances in metabolomics of chronic obstructive pulmonary disease.Chinese medical journal pulmonary and critical care medicine · 2023
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

11 authors at 2 institutions in 1 country.

Saurabh AggarwalDepartment of Anesthesiology and Perioperative Medicine, Division of Molecular and Translational Biomedicine.
Israr AhmadDepartment of Anesthesiology and Perioperative Medicine, Division of Molecular and Translational Biomedicine.
Adam LamDepartment of Anesthesiology and Perioperative Medicine, Division of Molecular and Translational Biomedicine.
Matthew A CarlisleDepartment of Anesthesiology and Perioperative Medicine, Division of Molecular and Translational Biomedicine.
Changzhao LiDepartment of Dermatology.
J Michael WellsDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine.
S Vamsee RajuDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine.
Mohammad AtharDepartment of Dermatology.
Steven M RoweDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine.
Mark T DransfieldDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine.
Sadis MatalonDepartment of Anesthesiology and Perioperative Medicine, Division of Molecular and Translational Biomedicine.
Pulmonary Associates · USUniversity of Alabama at Birmingham · US

Funding

Bromine Inhalation Induced Lung Injury: Novel Mechanisms and Treatment StrategiesU01ES026458 · NIEHS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MATALON, SADIS · 2015 to 2019
$3.9M
CIALIS® reverses halogen induced injury to pregnant animals and their offspringU01ES027697 · NIEHS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JILLING, TAMAS SANDOR, MATALON, SADIS · 2016 to 2020
$3.7M
Chemoprevention of environmental UVB-induced skin cancer in immunosuppressed miceR01ES026219 · NIEHS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ATHAR, MOHAMMAD · 2016 to 2020
$1.7M
The Role of PGP in COPD-associated Pulmonary HypertensionK08HL123940 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WELLS, JAMES MICHAEL · 2014 to 2018
$744k
NHLBI NIH HHS K08 HL123940NIEHS NIH HHS R01 ES026219NIEHS NIH HHS U01 ES026458NIEHS NIH HHS U01 ES027697
6 · The paper itself

Abstract

Pulmonary fibrosis and emphysema are irreversible chronic events after inhalation injury. However, the mechanism(s) involved in their development remain poorly understood. Higher levels of plasma and lung heme have been recorded in acute lung injury associated with several insults. Here, we provide the molecular basis for heme-induced chronic lung injury. We found elevated plasma heme in chronic obstructive pulmonary disease (COPD) (GOLD stage 4) patients and also in a ferret model of COPD secondary to chronic cigarette smoke inhalation. Next, we developed a rodent model of chronic lung injury, where we exposed C57BL/6 mice to the halogen gas, bromine (Br2) (400 ppm, 30 minutes), and returned them to room air resulting in combined airway fibrosis and emphysematous phenotype, as indicated by high collagen deposition in the peribronchial spaces, increased lung hydroxyproline concentrations, and alveolar septal damage. These mice also had elevated pulmonary endoplasmic reticulum (ER) stress as seen in COPD patients; the pharmacological or genetic diminution of ER stress in mice attenuated Br2-induced lung changes. Finally, treating mice with the heme-scavenging protein, hemopexin, reduced plasma heme, ER stress, airway fibrosis, and emphysema. This is the first study to our knowledge to report elevated heme in COPD patients and establishes heme scavenging as a potential therapy after inhalation injury.

Indexed as

Acute Lung InjuryAgedAnimalsEmphysemaEndoplasmic Reticulum StressFemaleFibrosisHemeHumansHydroxyprolineInhalationLungMaleMiceMice, Inbred C57BLMiddle AgedHemeHydroxyprolineSmokeCOPDFibrosisPulmonology

Identifiers

PMID30385726
PMCPMC6238745
OpenAlexW2898633264

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.