Evidence map›Paper›PMID 31221971›Full record

ArticleNature communications2019

IL-33 drives group 2 innate lymphoid cell-mediated protection during Clostridium difficile infection.

Alyse L Frisbee, Mahmoud M Saleh, Mary K Young, Jhansi L Leslie, Morgan E Simpson, Mayuresh M Abhyankar, Carrie A Cowardin, Jennie Z Ma, Patcharin Pramoonjago, Stephen D Turner and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
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

99 citing papers in PubMed, 137 citations in OpenAlex.

  1. Article
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  4. Phase variable colony morphotypes ofInfection and immunity · 2026
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  6. Phase variable colony morphotypes ofbioRxiv : the preprint server for biology · 2026
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39 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

13 authors at 3 institutions in 1 country.

Alyse L FrisbeeDepartment of Microbiology, Immunology and Cancer Biology, University of Virginia Health System, Charlottesville, VA, 22908, USA.ORCID http://orcid.org/0000-0003-1095-5145
Mahmoud M SalehDepartment of Microbiology, Immunology and Cancer Biology, University of Virginia Health System, Charlottesville, VA, 22908, USA.
Mary K YoungDepartment of Medicine, University of Virginia Health System, Charlottesville, VA, 22908, USA.ORCID http://orcid.org/0000-0002-4754-1440
Jhansi L LeslieDepartment of Medicine, University of Virginia Health System, Charlottesville, VA, 22908, USA.
Morgan E SimpsonDepartment of Pathology, University of Virginia Health System, Charlottesville, VA, 22908, USA.
Mayuresh M AbhyankarDepartment of Medicine, University of Virginia Health System, Charlottesville, VA, 22908, USA.
Carrie A CowardinDepartment of Microbiology, Immunology and Cancer Biology, University of Virginia Health System, Charlottesville, VA, 22908, USA.
Jennie Z MaDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, 22908, USA.
Patcharin PramoonjagoDepartment of Pathology, University of Virginia Health System, Charlottesville, VA, 22908, USA.
Stephen D TurnerDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, 22908, USA.
Alice P LiouSeres Therapeutics, Cambridge, 02139, MA, USA.
Erica L BuonomoDepartment of Microbiology, Immunology and Cancer Biology, University of Virginia Health System, Charlottesville, VA, 22908, USA.
William A PetriDepartment of Microbiology, Immunology and Cancer Biology, University of Virginia Health System, Charlottesville, VA, 22908, USA. wap3g@virginia.edu.
University of Virginia Health System · USUniversity of Virginia · USSeres Therapeutics (United States) · US

Funding

INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
Role of Type 2 Immunity in Innate Protection from C. difficileR01AI124214 · NIAID · UNIVERSITY OF VIRGINIA · PI William A Petri · 2016 to 2026
$5.4M
Role of IL-23 in the Immunopathogenesis of C. difficile colitisR21AI114734 · NIAID · UNIVERSITY OF VIRGINIA · PI PETRI, WILLIAM A · 2015 to 2016
$422k
Balancing TLR2 and IL-33 immune pathways to protect during epidemic Clostridium difficile infectionF31AI136421 · NIAID · UNIVERSITY OF VIRGINIA · PI FRISBEE, ALYSE LONGTIN · 2018 to 2018
$31k
Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) 1R21AI114734Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) 5R01AI124214-02NIAID NIH HHS F31 AI136421NIAID NIH HHS R01 AI124214NIAID NIH HHS R21 AI114734NIAID NIH HHS T32 AI007496
6 · The paper itself

Abstract

Clostridium difficile (C. difficile) incidence has tripled over the past 15 years and is attributed to the emergence of hypervirulent strains. While it is clear that C. difficile toxins cause damaging colonic inflammation, the immune mechanisms protecting from tissue damage require further investigation. Through a transcriptome analysis, we identify IL-33 as an immune target upregulated in response to hypervirulent C. difficile. We demonstrate that IL-33 prevents C. difficile-associated mortality and epithelial disruption independently of bacterial burden or toxin expression. IL-33 drives colonic group 2 innate lymphoid cell (ILC2) activation during infection and IL-33 activated ILC2s are sufficient to prevent disease. Furthermore, intestinal IL-33 expression is regulated by the microbiota as fecal microbiota transplantation (FMT) rescues antibiotic-associated depletion of IL-33. Lastly, dysregulated IL-33 signaling via the decoy receptor, sST2, predicts C. difficile-associated mortality in human patients. Thus, IL-33 signaling to ILC2s is an important mechanism of defense from C. difficile colitis.

Indexed as

Immunity, InnateAdolescentAdultAgedAged, 80 and overAnimalsAnti-Bacterial AgentsBacterial ToxinsClostridioides difficileColonDisease Models, AnimalEnterocolitis, PseudomembranousFecal Microbiota TransplantationFemaleGastrointestinal MicrobiomeGene Expression ProfilingAnti-Bacterial AgentsBacterial ToxinsIL33 protein, humanIl33 protein, mouseInterleukin-33

Identifiers

PMID31221971
PMCPMC6586630
OpenAlexW2949720623

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.