Evidence map›Paper›PMID 33229573›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Capillary leakage provides nutrients and antioxidants for rapid pneumococcal proliferation in influenza-infected lower airways.

Vicky Sender, Karina Hentrich, Anuj Pathak, Alicia Tan Qian Ler, Bethel Tesfai Embaie, Susanna L Lundström, Massimiliano Gaetani, Jan Bergstrand, Rei Nakamoto, Lok-To Sham and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Bacterial and host factors affecting acquisition ofbioRxiv : the preprint server for biology · 2026
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  15. The oxidative stress response ofFrontiers in microbiology · 2023
    Review
  16. Article
  17. Article
  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

13 authors at 6 institutions in 2 countries.

Vicky SenderDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-17177 Stockholm, Sweden.ORCID 0000-0003-2174-946X
Karina HentrichDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-17177 Stockholm, Sweden.ORCID 0000-0001-6660-7233
Anuj PathakDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-17177 Stockholm, Sweden.
Alicia Tan Qian LerLee Kong Chian School of Medicine and Singapore Centre on Environmental Life Sciences Engineering, Nanyang Technological University, Singapore 639798, Singapore.ORCID 0000-0001-9298-4008
Bethel Tesfai EmbaieDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-17177 Stockholm, Sweden.ORCID 0000-0002-7081-5032
Susanna L LundströmDepartment of Medical Biochemistry and Biophysics, Biomedicum, Karolinska Institutet and SciLifeLab, SE-17177 Stockholm, Sweden.
Massimiliano GaetaniDepartment of Medical Biochemistry and Biophysics, Biomedicum, Karolinska Institutet and SciLifeLab, SE-17177 Stockholm, Sweden.ORCID 0000-0001-5610-0797
Jan BergstrandExperimental Biomolecular Physics, Department Applied Physics, Royal Institute of Technology, SE-10691 Stockholm, Sweden.
Rei NakamotoInfectious Disease Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.ORCID 0000-0001-7807-6548
Lok-To ShamInfectious Disease Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Jerker WidengrenExperimental Biomolecular Physics, Department Applied Physics, Royal Institute of Technology, SE-10691 Stockholm, Sweden.
Staffan NormarkDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-17177 Stockholm, Sweden; staffan.normark@ki.se birgitta.henriques@ki.se.ORCID 0000-0001-7917-3921
Birgitta Henriques-NormarkDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, SE-17177 Stockholm, Sweden; staffan.normark@ki.se birgitta.henriques@ki.se.
Karolinska Institutet · SEKTH Royal Institute of Technology · SENanyang Technological University · SGNational University of Singapore · SGScience for Life Laboratory · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Influenza A virus (IAV)-related mortality is often due to secondary bacterial infections, primarily by pneumococci. Here, we study how IAV-modulated changes in the lungs affect bacterial replication in the lower respiratory tract (LRT). Bronchoalveolar lavages (BALs) from coinfected mice showed rapid bacterial proliferation 4 to 6 h after pneumococcal challenge. Metabolomic and quantitative proteomic analyses demonstrated capillary leakage with efflux of nutrients and antioxidants into the alveolar space. Pneumococcal adaptation to IAV-induced inflammation and redox imbalance increased the expression of the pneumococcal chaperone/protease HtrA. Presence of HtrA resulted in bacterial growth advantage in the IAV-infected LRT and protection from complement-mediated opsonophagocytosis due to capsular production. Absence of HtrA led to growth arrest in vitro that was partially restored by antioxidants. Pneumococcal ability to grow in the IAV-infected LRT depends on the nutrient-rich milieu with increased levels of antioxidants such as ascorbic acid and its ability to adapt to and cope with oxidative damage and immune clearance.

Indexed as

AnimalsAntioxidantsBacterial ProteinsCapillariesGlucoseHumansInflammationInfluenza, HumanMice, Inbred C57BLModels, BiologicalMolecular ChaperonesOrthomyxoviridae InfectionsOxidation-ReductionOxidative StressPhagocytosisPneumococcal InfectionsAntioxidantsBacterial ProteinsGlucoseMolecular Chaperonesantioxidantsinfluenza A viruspneumococciredox imbalanceStreptococcus pneumoniae

Identifiers

PMID33229573
PMCPMC7733805
OpenAlexW3109223898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.