Evidence map›Paper›PMID 31366921›Full record

ArticleNature communications2019

Neutrophils-related host factors associated with severe disease and fatality in patients with influenza infection.

Benjamin M Tang, Maryam Shojaei, Sally Teoh, Adrienne Meyers, John Ho, T Blake Ball, Yoav Keynan, Amarnath Pisipati, Aseem Kumar, Damon P Eisen and 15 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 113 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 3 pooled it
18.7field-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

113 citing papers in PubMed, 3 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Matrix Metalloproteinase-8 Deficiency Alters the Balance Between Viral Clearance and Immunopathology in H1N1 Infection.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  14. Dual regulation of antiviral IFN response byJournal of pharmaceutical analysis · 2026
    Article
  15. Article
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  17. Hyaluronan Ameliorates Viral Pneumonia in Mice and Humans by Inhibiting Transcription Factor E2F1.American journal of respiratory cell and molecular biology · 2026
    Article
  18. Review
  19. Multivariate Host-Pathogen Interactions Driving Heterogeneous Viral Shedding and CD8medRxiv : the preprint server for health sciences · 2025
    Article
  20. Article

53 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

25 authors at 14 institutions in 5 countries.

Benjamin M TangDepartment of Intensive Care Medicine, Nepean Hospital, Sydney, Australia. benjamin.tang@sydney.edu.au.ORCID http://orcid.org/0000-0002-1469-9540
Maryam ShojaeiDepartment of Intensive Care Medicine, Nepean Hospital, Sydney, Australia.
Sally TeohDepartment of Intensive Care Medicine, Nepean Hospital, Sydney, Australia.
Adrienne MeyersNational HIV and Retrovirology Laboratories, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada, Department of Medical Microbiology and Infectious Disease, University of Manitoba, Winnipeg, Canada.
John HoNational HIV and Retrovirology Laboratories, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada, Department of Medical Microbiology and Infectious Disease, University of Manitoba, Winnipeg, Canada.
T Blake BallNational HIV and Retrovirology Laboratories, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada, Department of Medical Microbiology and Infectious Disease, University of Manitoba, Winnipeg, Canada.
Yoav KeynanDepartment of Internal Medicine, Medical Microbiology and Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Amarnath PisipatiDepartment of Chemistry and Biological Chemistry, Harvard University, Cambridge, MA, USA.
Aseem KumarDepartment of Chemistry and Biochemistry, Laurentian University, Laurentian, Canada.
Damon P EisenTownsville Hospital, Townsville, Queensland, Australia.
Kevin LaiDepartment of Emergency Medicine, Westmead Hospital, Sydney, Australia.
Mark GillettDepartment of Emergency Medicine, Royal North Shore Hospital, Sydney, Australia.
Rahul SantramDepartment of Emergency Medicine, St. Vincent Hospital, Sydney, Australia.
Robert GeffersGenome Analytics, Helmholtz Centre for Infection Research, Braunschweig, Germany.ORCID http://orcid.org/0000-0003-4409-016X
Jens SchreiberOtto-von-Guerike University of Magdeburg, Clinic of Pneumology, Magdeburg, Germany.
Khyobeni MozhuiDepartment of Preventive Medicine, University of Tennessee Health Science Centre, Memphis, TN, USA.
Stephen HuangDepartment of Intensive Care Medicine, Nepean Hospital, Sydney, Australia.
Grant P ParnellCentre for Immunology and Allergy Research, The Westmead Institute for Medical Research, Sydney, Australia.
Marek NalosDepartment of Intensive Care Medicine, Nepean Hospital, Sydney, Australia.
Monika HolubovaBiomedical Centre, Medical Faculty Plzen, Charles University Prague, Staré Město, Czech Republic.ORCID http://orcid.org/0000-0002-5096-9659
Tracy ChewSydney Informatic Hub, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0001-9529-7705
David BoothCentre for Immunology and Allergy Research, The Westmead Institute for Medical Research, Sydney, Australia.
Anand KumarSection of Critical Care Medicine and Section of Infectious Diseases, Departments of Medicine, Medical Microbiology and Pharmacology, University of Manitoba, Winnipeg, Canada.
Anthony McLeanDepartment of Intensive Care Medicine, Nepean Hospital, Sydney, Australia.
Klaus SchughartDepartment of Infection Genetics, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Nepean Hospital · AUPublic Health Agency of Canada · CAUniversity of Manitoba · CACharles University · CZUniversity of Tennessee Health Science Center · USWestmead Institute for Medical Research · AUHarvard University · USHelmholtz Centre for Infection Research · DEOtto-von-Guericke-Universität Magdeburg · DERoyal North Shore Hospital · AUSt Vincent's Hospital Sydney · AUThe University of Sydney · AUTownsville Hospital · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe influenza infection has no effective treatment available. One of the key barriers to developing host-directed therapy is a lack of reliable prognostic factors needed to guide such therapy. Here, we use a network analysis approach to identify host factors associated with severe influenza and fatal outcome. In influenza patients with moderate-to-severe diseases, we uncover a complex landscape of immunological pathways, with the main changes occurring in pathways related to circulating neutrophils. Patients with severe disease display excessive neutrophil extracellular traps formation, neutrophil-inflammation and delayed apoptosis, all of which have been associated with fatal outcome in animal models. Excessive neutrophil activation correlates with worsening oxygenation impairment and predicted fatal outcome (AUROC 0.817-0.898). These findings provide new evidence that neutrophil-dominated host response is associated with poor outcomes. Measuring neutrophil-related changes may improve risk stratification and patient selection, a critical first step in developing host-directed immune therapy.

Indexed as

Cell CycleExtracellular TrapsFemaleGene ExpressionHumansInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusInfluenza, HumanLungMaleMiddle AgedNeutrophil ActivationNeutrophilsProspective StudiesRespiration, Artificial

Identifiers

PMID31366921
PMCPMC6668409
OpenAlexW2964477617

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.