Evidence map›Paper›PMID 30930127›Full record

ArticleCell host & microbe2019

Neutrophil Extracellular Traps Confine Pseudomonas aeruginosa Ocular Biofilms and Restrict Brain Invasion.

Ajitha Thanabalasuriar, Brittney Noelle Vivian Scott, Moritz Peiseler, Michelle Elizabeth Willson, Zhutian Zeng, Paul Warrener, Ashley Elaine Keller, Bas Gerardus Johannes Surewaard, Elizabeth Ashley Dozier, Juha Tapio Korhonen and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 1% 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

111 citing papers in PubMed, 2 syntheses or guidelines pooled it, 193 citations in OpenAlex.

  1. Neutrophil Extracellular Traps in Viral Infections.Pathogens (Basel, Switzerland) · 2025
    Pooled it
  2. Role of Neutrophils on the Ocular Surface.International journal of molecular sciences · 2021
    Pooled it
  3. Review
  4. Review
  5. ImagingmBio · 2026
    Article
  6. Article
  7. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  8. Biofilm Associated Persistence and Drug Tolerance in Mycobacteria Within Host Microenvironments.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Review
  9. Article
  10. Review
  11. UnderstandingMicroorganisms · 2026
    Review
  12. Review
  13. Review
  14. Article
  15. Target neutrophil heterogeneity and plasticity in cancer.Journal of hematology & oncology · 2025
    Review
  16. A biofilm-tropiceLife · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 2 countries.

Ajitha ThanabalasuriarUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada; Microbial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA.
Brittney Noelle Vivian ScottUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada.
Moritz PeiselerUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada.
Michelle Elizabeth WillsonUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada.
Zhutian ZengUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada.
Paul WarrenerMicrobial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA.
Ashley Elaine KellerMicrobial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA.
Bas Gerardus Johannes SurewaardUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada.
Elizabeth Ashley DozierMicrobial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA.
Juha Tapio KorhonenUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada.
Lily I-Ting ChengMicrobial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA.
Mihaela GadjevaDepartment of Medicine, Division of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
C Kendall StoverMicrobial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA.
Antonio DiGiandomenicoMicrobial Sciences, MedImmune/AstraZeneca LLC, Gaithersburg, MD, USA. Electronic address: digiandomenicoa@medimmune.com.
Paul KubesUniversity of Calgary, Department of Physiology and Pharmacology, Calvin Phoebe & Joan Snyder Institute for Chronic Diseases, Cumming School of Medicine, Calgary, AB, Canada. Electronic address: pkubes@ucalgary.ca.
University of Calgary · CAAstraZeneca (United States) · USBrigham and Women's Hospital · US

Funding

Novel treatment strategies to regulate inflammation during P.aeruginosa keratitisR01EY022054 · NEI · BRIGHAM AND WOMEN'S HOSPITAL · PI GADJEVA, MIHAELA GUEORGUIEVA · 2012 to 2020
$4.0M
NEI NIH HHS R01 EY022054
6 · The paper itself

Abstract

Bacterial biofilm infections are difficult to eradicate because of antibiotic insusceptibility and high recurrence rates. Biofilm formation by Pseudomonas aeruginosa, a leading cause of bacterial keratitis, is facilitated by the bacterial Psl exopolysaccharide and associated with heightened virulence. Using intravital microscopy, we observed that neutrophilic recruitment to corneal infections limits P. aeruginosa biofilms to the outer eye surface, preventing bacterial dissemination. Neutrophils moved to the base of forming biofilms, where they underwent neutrophil extracellular trap formation (NETosis) in response to high expression of the bacterial type-3 secretion system (T3SS). NETs formed a barrier "dead zone," confining bacteria to the external corneal environment and inhibiting bacterial dissemination into the brain. Once formed, ocular biofilms were resistant to antibiotics and neutrophil killing, advancing eye pathology. However, blocking both Psl and T3SS together with antibiotic treatment broke down the biofilm and reversed keratitis, suggesting future therapeutic strategies for this intractable infection.

Indexed as

AnimalsBiofilmsCorneaDisease Models, AnimalExtracellular TrapsMeningoencephalitisMiceNeutrophilsPseudomonas aeruginosaPseudomonas Infectionsbiofilmscorneaintravital microscopykeratitisneutrophil extracellular trapsP. aeruginosa

Identifiers

PMID30930127
PMCPMC7364305
OpenAlexW2928738696

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.