Evidence map›Paper›PMID 31603951›Full record

ArticlePLoS pathogens2019

Lung transcriptional unresponsiveness and loss of early influenza virus control in infected neonates is prevented by intranasal Lactobacillus rhamnosus GG.

Ogan K Kumova, Adam J Fike, Jillian L Thayer, Linda T Nguyen, Joshua Chang Mell, Judy Pascasio, Christopher Stairiker, Leticia G Leon, Peter D Katsikis, Alison J Carey

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.1field-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

43 citing papers in PubMed, 63 citations in OpenAlex.

  1. Myeloid TLR2 signaling amplifies immunopathology in influenza-infected murine neonates.American journal of respiratory cell and molecular biology · 2026
    Article
  2. Nasal delivery ofMicrobiology spectrum · 2026
    Article
  3. Review
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  9. Article
  10. Antiviral Activity of Marine BacteriumInternational journal of molecular sciences · 2025
    Article
  11. Review
  12. Frontiers in cellular and infection microbiology · 2025
    Article
  13. Synergy betweenMolecular therapy. Methods & clinical development · 2024
    Article
  14. Article
  15. Article
  16. Nutrients · 2024
    Article
  17. Review
  18. Review
  19. Review
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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

10 authors at 2 institutions in 2 countries.

Ogan K KumovaMicrobiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0001-8455-8850
Adam J FikeMicrobiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0002-7105-6162
Jillian L ThayerMicrobiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0001-8635-0914
Linda T NguyenPediatrics, Drexel University College of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0003-3134-022X
Joshua Chang MellMicrobiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, United States of America.
Judy PascasioPathology, Drexel University College of Medicine, Philadelphia, PA, United States of America.
Christopher StairikerMicrobiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0002-8503-0983
Leticia G LeonImmunology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Peter D KatsikisImmunology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Alison J CareyMicrobiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0001-7610-5659
Drexel University · USErasmus MC · NL

Funding

Investigation of Neonatal Influenza PathogenesisK08AI108791 · NIAID · DREXEL UNIVERSITY · PI CAREY, ALISON J · 2014 to 2018
$886k
NIAID NIH HHS K08 AI108791
6 · The paper itself

Abstract

Respiratory viral infections contribute substantially to global infant losses and disproportionately affect preterm neonates. Using our previously established neonatal murine model of influenza infection, we demonstrate that three-day old mice are exceptionally sensitive to influenza virus infection and exhibit high mortality and viral load. Intranasal pre- and post-treatment of neonatal mice with Lactobacillus rhamnosus GG (LGG), an immune modulator in respiratory viral infection of adult mice and human preterm neonates, considerably improves neonatal mice survival after influenza virus infection. We determine that both live and heat-killed intranasal LGG are equally efficacious in protection of neonates. Early in influenza infection, neonatal transcriptional responses in the lung are delayed compared to adults. These responses increase by 24 hours post-infection, demonstrating a delay in the kinetics of the neonatal anti-viral response. LGG pretreatment improves immune gene transcriptional responses during early infection and specifically upregulates type I IFN pathways. This is critical for protection, as neonatal mice intranasally pre-treated with IFNβ before influenza virus infection are also protected. Using transgenic mice, we demonstrate that the protective effect of LGG is mediated through a MyD88-dependent mechanism, specifically via TLR4. LGG can improve both early control of virus and transcriptional responsiveness and could serve as a simple and safe intervention to protect neonates.

Indexed as

Administration, IntranasalAnimalsAnimals, NewbornDisease Models, AnimalInfluenza A virusLacticaseibacillus rhamnosusLungMiceMice, Inbred C57BLOrthomyxoviridae Infections

Identifiers

PMID31603951
PMCPMC6808501
OpenAlexW2979474654

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.