Evidence map›Paper›PMID 30580016›Full record

ArticleAlcohol (Fayetteville, N.Y.)2019

Role of zinc insufficiency in fetal alveolar macrophage dysfunction and RSV exacerbation associated with fetal ethanol exposure.

Juna Konomi Johnson, Frank L Harris, Xiao-Du Ping, Theresa W Gauthier, Lou Ann S Brown

Open access · greenAbstract read
In one paragraph

Article in Alcohol (Fayetteville, N.Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Zinc and respiratory tract infections: Perspectives for COVID‑19 (Review).International journal of molecular medicine · 2020
    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

5 authors at 1 institution in 1 country.

Juna Konomi JohnsonDepartment of Pediatrics, Division of Neonatal-Perinatal Medicine, Emory University, Atlanta, GA 30322, United States.
Frank L HarrisDepartment of Pediatrics, Division of Neonatal-Perinatal Medicine, Emory University, Atlanta, GA 30322, United States.
Xiao-Du PingDepartment of Pediatrics, Division of Neonatal-Perinatal Medicine, Emory University, Atlanta, GA 30322, United States.
Theresa W GauthierDepartment of Pediatrics, Division of Neonatal-Perinatal Medicine, Emory University, Atlanta, GA 30322, United States.
Lou Ann S BrownDepartment of Pediatrics, Division of Neonatal-Perinatal Medicine, Emory University, Atlanta, GA 30322, United States. Electronic address: lbrow03@emory.edua.
Emory University · US

Funding

THE ROLE OF TGFB IN ETHANOL MEDIATED LUNG INJURYP50AA013757 · NIAAA · EMORY UNIVERSITY · PI MARTIN, GREGORY S · 2003 to 2013
$15.7M
CHRONIC ETHANOL: MITOCHONDRIAL DYSFUNCTION AND APOPTOSISR01AA012197 · NIAAA · EMORY UNIVERSITY · PI BROWN, LOU ANN S · 2000 to 2010
$2.7M
Fetal alcohol exposure: effects on immunity of the premature newbornR01AA027020 · NIAAA · EMORY UNIVERSITY · PI BROWN, LOU ANN S, GAUTHIER, THERESA WANZOR · 2019 to 2023
$2.5M
NIAAA NIH HHS P50 AA013757NIAAA NIH HHS R01 AA012197NIAAA NIH HHS R01 AA027020
6 · The paper itself

Abstract

backgroundWe previously reported that maternal alcohol use significantly increases the risk of sepsis in premature and term newborns. In the mouse, fetal ethanol exposure results in an immunosuppressed phenotype for the alveolar macrophage (AM) and decreases bacterial phagocytosis. In pregnant mice, ethanol decreased AM zinc homeostasis, which contributed to immunosuppression and impaired AM phagocytosis. In this study, we explored whether ethanol-induced zinc insufficiency extended to the pup AMs and contributed to immunosuppression and exacerbated viral lung infections.

methodsC57BL/6 female mice were fed a liquid diet with 25% ethanol-derived calories or pair-fed a control diet with 25% of calories as maltose-dextrin. Some pup AMs were treated in vitro with zinc acetate before measuring zinc pools or transporter expression and bacteria phagocytosis. Some dams were fed additional zinc supplements in the ethanol or control diets, and then we assessed pup AM zinc pools, zinc transporters, and the immunosuppressant TGFβ1. On postnatal day 10, some pups were given intranasal saline or respiratory syncytial virus (RSV), and then AM RSV phagocytosis and the RSV burden in the airway lining fluid were assessed.

resultsFetal ethanol exposure decreased pup AM zinc pools, zinc transporter expression, and bacterial clearance, but in vitro zinc treatments reversed these alterations. In addition, the expected ethanol-induced increase in TGFβ1 and immunosuppression were associated with decreased RSV phagocytosis and exacerbated RSV infections. However, additional maternal zinc supplements blocked the ethanol-induced perturbations in the pup AM zinc homeostasis and TGFβ1 immunosuppression, thereby improving RSV phagocytosis and attenuating the RSV burden in the lung.

conclusionThese studies suggest that, despite normal maternal dietary zinc intake, in utero alcohol exposure results in zinc insufficiency, which contributes to compromised neonatal AM immune functions, thereby increasing the risk of bacterial and viral infections.

Indexed as

AnimalsDietary SupplementsDisease Models, AnimalFemaleFetal Alcohol Spectrum DisordersImmune ToleranceMacrophages, AlveolarMiceMice, Inbred C57BLPregnancyRespiratory Syncytial Virus InfectionsZincZincAlveolar macrophageFetal ethanol exposurePhagocytic functionZinc insufficiencyZinc transporters

Identifiers

PMID30580016
PMCPMC6586529
OpenAlexW2906072234

What OpenQuestion holds

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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.