Evidence map›Paper›PMID 32948789›Full record

ArticleScientific reports2020

Sarcoidosis exosomes stimulate monocytes to produce pro-inflammatory cytokines and CCL2.

Casper J E Wahlund, Gozde Gucluler Akpinar, Loïc Steiner, Ahmed Ibrahim, Elga Bandeira, Rico Lepzien, Ana Lukic, Anna Smed-Sörensen, Susanna Kullberg, Anders Eklund and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Immunopathogenesis of Sarcoidosis.Seminars in respiratory and critical care medicine · 2025
    Review
  3. Article
  4. Review
  5. Overview of multi-omics approaches for pulmonary sarcoidosis.EC pulmonology and respiratory medicine · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Extracellular Vesicles as Therapeutic Resources in the Clinical Environment.International journal of molecular sciences · 2023
    Review
  11. Review
  12. LeveragingFrontiers in pharmacology · 2023
    Article
  13. Extracellular vesicles, the emerging mirrors of brain physiopathology.International journal of biological sciences · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

12 authors at 2 institutions in 1 country.

Casper J E WahlundDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Gozde Gucluler AkpinarDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Loïc SteinerDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Ahmed IbrahimDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Elga BandeiraDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0002-6098-9071
Rico LepzienDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Ana LukicDepartment of Clinical Neuroscience, Therapeutic Immune Design, Karolinska Institutet, Solna, Sweden.
Anna Smed-SörensenDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Susanna KullbergRespiratory Medicine Division, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Anders EklundRespiratory Medicine Division, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Johan GrunewaldRespiratory Medicine Division, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden.
Susanne GabrielssonDivision of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Solna, Sweden. Susanne.gabrielsson@ki.se.ORCID http://orcid.org/0000-0003-1771-1346
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary sarcoidosis has unknown etiology, a difficult diagnostic procedure and no curative treatment. Extracellular vesicles including exosomes are nano-sized entities released from all cell types. Previous studies of exosomes from bronchoalveolar lavage fluid (BALF) of sarcoidosis patients have revealed pro-inflammatory components and abilities, but cell sources and mechanisms have not been identified. In the current study, we found that BALF exosomes from sarcoidosis patients, but not from healthy individuals, induced a dose-dependent elevation of intracellular IL-1β in monocytes. Analyses of supernatants showed that patient exosomes also induced release of IL-1β, IL-6 and TNF from both PBMCs and enriched monocytes, suggesting that the observed effect is direct on monocytes. The potently chemotactic chemokine CCL2 was induced by exosomes from a subgroup of patients, and in a blocking assay the exosome-induced CCL2 was reduced for 13 out of 19 patients by the asthma drug Montelukast, a cysteinyl leukotriene receptor antagonist. Further, reactive oxygen species generation by PBMCs was induced to a higher degree by patient exosomes compared to healthy exosomes. These findings add to an emerging picture of exosomes as mediators and disseminators of inflammation, and open for further investigations of the link between CCL2 and exosomal leukotrienes in sarcoidosis.

Indexed as

AcetatesAdultBronchoalveolar Lavage FluidCase-Control StudiesChemokine CCL2CyclopropanesCytokinesExosomesFemaleHumansInterleukin-1betaMaleMiddle AgedMonocytesQuinolinesReactive Oxygen SpeciesAcetatesCCL2 protein, humanChemokine CCL2CyclopropanesCytokinesIL1B protein, humanInterleukin-1betamontelukastQuinolinesReactive Oxygen SpeciesSulfides

Identifiers

PMID32948789
PMCPMC7501276
OpenAlexW3087047879

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.