Evidence map›Paper›PMID 32692317›Full record

ArticleThe Journal of clinical investigation2020

Residual endotoxin induces primary graft dysfunction through ischemia/reperfusion-primed alveolar macrophages.

Mahzad Akbarpour, Emilia Lecuona, Stephen F Chiu, Qiang Wu, Melissa Querrey, Ramiro Fernandez, Félix L Núñez-Santana, Haiying Sun, Sowmya Ravi, Chitaru Kurihara and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

21 citing papers in PubMed, 28 citations in OpenAlex.

  1. How the Jacobson Award Catalyzed My Pursuit of Surgical Innovation.Journal of the American College of Surgeons · 2026
    Article
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  5. Nanoparticle targeting of neutrophil glycolysis prevents lung ischemia-reperfusion injury.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  6. Article
  7. Lobar lung transplantation in the mouse.Journal of thoracic disease · 2024
    Article
  8. Smoking exposure-induced bronchus-associated lymphoid tissue in donor lungs does not prevent tolerance induction after transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  9. Multiple Shades of Gray-Macrophages in Acute Allograft Rejection.International journal of molecular sciences · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. ROS-activated CXCR2Experimental & molecular medicine · 2022
    Article
  15. Review
  16. Necroptosis triggers spatially restricted neutrophil-mediated vascular damage during lung ischemia reperfusion injury.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  17. Microglial lnc-U90926 facilitates neutrophil infiltration in ischemic stroke via MDH2/CXCL2 axis.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  18. Innate immunity in lung transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Review
  19. Article
  20. Macrophages in Organ Transplantation.Frontiers in immunology · 2020
    Review
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

22 authors at 5 institutions in 1 country.

Mahzad AkbarpourDivision of Thoracic Surgery.
Emilia LecuonaDivision of Thoracic Surgery.
Stephen F ChiuDivision of Thoracic Surgery.
Qiang WuDivision of Thoracic Surgery.
Melissa QuerreyDivision of Thoracic Surgery.
Ramiro FernandezDivision of Thoracic Surgery.
Félix L Núñez-SantanaDivision of Thoracic Surgery.
Haiying SunDivision of Thoracic Surgery.
Sowmya RaviDivision of Thoracic Surgery.
Chitaru KuriharaDivision of Thoracic Surgery.
James M WalterDivision of Pulmonary and Critical Care Medicine, and.
Nikita JoshiDivision of Pulmonary and Critical Care Medicine, and.
Ziyou RenDivision of Pulmonary and Critical Care Medicine, and.
Scott C RobertsDepartment of Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Alan HauserDivision of Pulmonary and Critical Care Medicine, and.
Daniel KreiselDepartment of Surgery and.
Wenjun LiDepartment of Surgery and.
Navdeep S ChandelDivision of Pulmonary and Critical Care Medicine, and.
Alexander V MisharinDivision of Pulmonary and Critical Care Medicine, and.
Thalachallour MohanakumarNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
G R Scott BudingerDivision of Pulmonary and Critical Care Medicine, and.
Ankit BharatDivision of Thoracic Surgery.
Thoracic Surgery Foundation · USPulmonary and Critical Care Associates · USNorthwestern University · USSt. Joseph's Hospital and Medical Center · USWashington University in St. Louis · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEONIDAS C. PLATANIAS · 1993 to 2026
$153.9M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Role of LUBAC and Na K-ATPase in Acute Lung InjuryP01HL071643 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SZNAJDER, JACOB I · 2003 to 2019
$30.8M
Tissue resident macrophages regulate proteostasis in the aging lungP01AG049665 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GR Scott Budinger · 2015 to 2026
$26.9M
Role of spleen educated monocytes in mediating ischemia-reperfusion injury followinglung transplant surgeryR01HL147575 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Ankit Bharat, GR Scott Budinger · 2019 to 2026
$5.5M
Pathogenesis of lung injury mediated by lung-restricted antibodiesR01HL147290 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Ankit Bharat, GR Scott Budinger · 2019 to 2026
$5.2M
Donor nonclassical monocytes mediate primary graft dysfunction and remote organ injury following lung transplant surgeryR01HL145478 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Ankit Bharat, GR Scott Budinger · 2019 to 2026
$4.8M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA060553NHLBI NIH HHS P01 HL071643NHLBI NIH HHS R01 HL145478NHLBI NIH HHS R01 HL147290NHLBI NIH HHS R01 HL147575NIA NIH HHS P01 AG049665
6 · The paper itself

Abstract

Despite the widespread use of antibiotics, bacterial pneumonias in donors strongly predispose to the fatal syndrome of primary graft dysfunction (PGD) following lung transplantation. We report that bacterial endotoxin persists in human donor lungs after pathogen is cleared with antibiotics and is associated with neutrophil infiltration and PGD. In mouse models, depletion of tissue-resident alveolar macrophages (TRAMs) attenuated neutrophil recruitment in response to endotoxin as shown by compartmental staining and intravital imaging. Bone marrow chimeric mice revealed that neutrophils were recruited by TRAM through activation of TLR4 in a MyD88-dependent manner. Intriguingly, low levels of endotoxin, insufficient to cause donor lung injury, promoted TRAM-dependent production of CXCL2, increased neutrophil recruitment, and led to PGD, which was independent of donor NCMs. Reactive oxygen species (ROS) increased in human donor lungs starting from the warm-ischemia phase and were associated with increased transcription and translocation to the plasma membrane of TLR4 in donor TRAMs. Consistently, scavenging ROS or inhibiting their production to prevent TLR4 transcription/translocation or blockade of TLR4 or coreceptor CD14 on donor TRAMs prevented neutrophil recruitment in response to endotoxin and ameliorated PGD. Our studies demonstrate that residual endotoxin after successful treatment of donor bacterial pneumonia promotes PGD through ischemia/reperfusion-primed donor TRAMs.

Indexed as

Lung TransplantationAnimalsEndotoxinsHumansLung InjuryMacrophages, AlveolarMiceMice, TransgenicMyeloid Differentiation Factor 88Neutrophil InfiltrationNeutrophilsPrimary Graft DysfunctionReperfusion InjuryToll-Like Receptor 4EndotoxinsMyd88 protein, mouseMyeloid Differentiation Factor 88Tlr4 protein, mouseToll-Like Receptor 4Bacterial infectionsImmunologyMacrophagesOrgan transplantationTransplantation

Identifiers

PMID32692317
PMCPMC7410086
OpenAlexW3028564766

What OpenQuestion holds

Textmetadata
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.