Evidence map›Paper›PMID 30617300›Full record

ArticleMucosal immunology2019

Excessive neutrophil levels in the lung underlie the age-associated increase in influenza mortality.

Upasana Kulkarni, Rachel L Zemans, Candice A Smith, Sherri C Wood, Jane C Deng, Daniel R Goldstein

Open access · bronzeAbstract read
In one paragraph

Article in Mucosal immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 1 pooled it
5.4field-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

93 citing papers in PubMed, 1 synthesis or guideline pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Immune cell disorder in viral pneumonia.Journal of translational medicine · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Fibroblast orchestration of inflammaging via NF-kB activation.bioRxiv : the preprint server for biology · 2025
    Article
  12. Review
  13. ApoD mediates age-associated increase in vulnerability to influenza virus infection.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Article
  15. Immunosenescence: signaling pathways, diseases and therapeutic targets.Signal transduction and targeted therapy · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

33 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Upasana KulkarniDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Rachel L ZemansDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Candice A SmithDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Sherri C WoodDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Jane C DengDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Daniel R GoldsteinDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. drgoldst@umich.edu.
University of Michigan · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Mechanisms to augment primary immunity in agingR01AG028082 · NIA · YALE UNIVERSITY · PI DENG, JANE C · 2007 to 2023
$6.9M
Physician Scientist Training in Age-Related DiseasesT32AG062403 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIN, LILLIAN CHIANG, MODY, LONA · 2020 to 2025
$2.7M
Mechanisms of Repair of the Alveolar Epithelium after Lung InjuryR01HL131608 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZEMANS, RACHEL LYNNE · 2016 to 2020
$1.9M
Mechanisms of Impaired Neutrophil Responses in PostInfluenza Bacterial PneumoniaR01HL108949 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DENG, JANE C · 2012 to 2016
$1.8M
Academic leadership in the Biology of Aging and Cardiovascular DiseasesK07AG050096 · NIA · YALE UNIVERSITY · PI GOLDSTEIN, DANIEL ROBERT · 2015 to 2019
$651k
NHLBI NIH HHS R01 HL108949NHLBI NIH HHS R01 HL131608NIA NIH HHS K07 AG050096NIA NIH HHS P30 AG024824NIA NIH HHS R01 AG028082NIA NIH HHS T32 AG062403
6 · The paper itself

Abstract

Neutrophils clear viruses, but excessive neutrophil responses induce tissue injury and worsen disease. Aging increases mortality to influenza infection; however, whether this is due to impaired viral clearance or a pathological host immune response is unknown. Here we show that aged mice have higher levels of lung neutrophils than younger mice after influenza viral infection. Depleting neutrophils after, but not before, infection substantially improves the survival of aged mice without altering viral clearance. Aged alveolar epithelial cells (AECs) have a higher frequency of senescence and secrete higher levels of the neutrophil-attracting chemokines CXCL1 and CXCL2 during influenza infection. These chemokines are required for age-enhanced neutrophil chemotaxis in vitro. Our work suggests that aging increases mortality from influenza in part because senescent AECs secrete more chemokines, leading to excessive neutrophil recruitment. Therapies that mitigate this pathological immune response in the elderly might improve outcomes of influenza and other respiratory infections.

Indexed as

AgingAnimalsCell CountCellular SenescenceChemokine CXCL1Chemokine CXCL2ChemotaxisEpithelial CellsHumansInfluenza, HumanLungMiceMice, Inbred C57BLMortalityNeutrophilsSurvival AnalysisChemokine CXCL1Chemokine CXCL2

Identifiers

PMID30617300
PMCPMC6375784
OpenAlexW2907471984

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.