Evidence map›Paper›PMID 33021967›Full record

ArticleJCI insight2020

Alveolar barrier disruption in varicella pneumonia is associated with neutrophil extracellular trap formation.

Werner Jd Ouwendijk, Henk-Jan van den Ham, Mark W Delany, Jeroen Ja van Kampen, Gijsbert P van Nierop, Tamana Mehraban, Fatiha Zaaraoui-Boutahar, Wilfred Fj van IJcken, Judith Ma van den Brand, Rory D de Vries and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Neutrophil Extracellular Traps in Viral Infections.Pathogens (Basel, Switzerland) · 2025
    Pooled it
  2. Article
  3. Animal models of human herpesvirus infection.Animal models and experimental medicine · 2025
    Review
  4. Article
  5. A crucial role of neutrophil extracellular traps in pulmonary infectious diseases.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
  6. Everolimus-induced hyperpermeability of endothelial cells causes lung injury.Experimental biology and medicine (Maywood, N.J.) · 2023
    Article
  7. Article
  8. Tight Junctions, the Key Factor in Virus-Related Disease.Pathogens (Basel, Switzerland) · 2022
    Review
  9. Article
  10. Article
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.

Werner Jd OuwendijkDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Henk-Jan van den HamDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Mark W DelanyDepartment of Pathobiology, Faculty of Veterinary Science, Utrecht University, Utrecht, Netherlands.
Jeroen Ja van KampenDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Gijsbert P van NieropDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Tamana MehrabanDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Fatiha Zaaraoui-BoutaharDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Wilfred Fj van IJckenCenter for Biomics, Erasmus MC, Rotterdam, Netherlands.
Judith Ma van den BrandDepartment of Pathobiology, Faculty of Veterinary Science, Utrecht University, Utrecht, Netherlands.
Rory D de VriesDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Arno C AndewegDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Georges Mgm VerjansDepartment of Viroscience, Erasmus MC, Rotterdam, Netherlands.
Erasmus MC · NLUtrecht University · NL

Funding

VARICELLA ZOSTER VIRUS VASCULOPATHY: CHANGING CLINICAL PRACTICEP01AG032958 · NIA · UNIVERSITY OF COLORADO DENVER · PI NAGEL, MARIA ACENA · 2009 to 2023
$30.3M
NIA NIH HHS P01 AG032958
6 · The paper itself

Abstract

Primary varicella-zoster virus (VZV) infection in adults is often complicated by severe pneumonia, which is difficult to treat and is associated with high morbidity and mortality. Here, the simian varicella virus (SVV) nonhuman primate (NHP) model was used to investigate the pathogenesis of varicella pneumonia. SVV infection resulted in transient fever, viremia, and robust virus replication in alveolar pneumocytes and bronchus-associated lymphoid tissue. Clearance of infectious virus from lungs coincided with robust innate immune responses, leading to recruitment of inflammatory cells, mainly neutrophils and lymphocytes, and finally severe acute lung injury. SVV infection caused neutrophil activation and formation of neutrophil extracellular traps (NETs) in vitro and in vivo. Notably, NETs were also detected in lung and blood specimens of varicella pneumonia patients. Lung pathology in the SVV NHP model was associated with dysregulated expression of alveolar epithelial cell tight junction proteins (claudin-2, claudin-10, and claudin-18) and alveolar endothelial adherens junction protein VE-cadherin. Importantly, factors released by activated neutrophils, including NETs, were sufficient to reduce claudin-18 and VE-cadherin expression in NHP lung slice cultures. Collectively, the data indicate that alveolar barrier disruption in varicella pneumonia is associated with NET formation.

Indexed as

Disease Models, AnimalVirus ReplicationAcute Lung InjuryAnimalsCase-Control StudiesExtracellular TrapsFemaleHerpesvirus 3, HumanHumansImmunity, InnateMacaca mulattaMaleVaricella Zoster Virus InfectionViral LoadInnate immunityMolecular pathologyNeutrophilsPulmonologyVirology

Identifiers

PMID33021967
PMCPMC7710321
OpenAlexW3091969066

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.