Evidence map›Paper›PMID 33468116›Full record

ArticleBMC pulmonary medicine2021

Therapeutic effects of pentoxifylline on invasive pulmonary aspergillosis in immunosuppressed mice.

Chunlai Feng, Ming Zhang, Sujuan Zhang, Jun Zhang, Chong Li, Jun Zhou

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Nitroxoline exerts potent anti-Antimicrobial agents and chemotherapy · 2026
    Article
  2. The therapeutic effect of 5-nitro-8-hydroxyquinoline onFrontiers in cellular and infection microbiology · 2026
    Article
  3. Article
  4. Roles of theJournal of fungi (Basel, Switzerland) · 2025
    Article
  5. Efficacy of sodium new houttuyfonate againstFrontiers in pharmacology · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. TheMicrobiology spectrum · 2022
    Article
  13. 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

6 authors at 1 institution in 1 country.

Chunlai FengDepartment of Respiratory Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China. chunlai_feng@126.com.ORCID http://orcid.org/0000-0003-4442-668X
Ming ZhangDepartment of Respiratory Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China.
Sujuan ZhangDepartment of Respiratory Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China.
Jun ZhangComprehensive Laboratory, The Third Affiliated Hospital of Soochow University, Changzhou, China.
Chong LiDepartment of Respiratory Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China.
Jun ZhouDepartment of Respiratory Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213003, China.
Soochow University · CN

Funding

Foundation of Municipal Health and Family Planning Commission in Changzhou ZD201603
6 · The paper itself

Abstract

backgroundThe most common and severe infection of Aspergillus fumigatus is invasive pulmonary aspergillosis (IPA), which is usually seen in immunocompromised patients. Neutropenia is the primary risk factor implicated in IPA; however, IPA also occurs in patients without neutropenia, namely, those who are immunosuppressed owing to long-term corticosteroid use. With IPA-associated mortality as high as 51-79%, novel and effective treatment strategies are urgently needed. Pentoxifylline (PTX) has been shown to competitively inhibit the family 18 chitinases in fungi, which may be an new antifungal therapy. Hence, the aim of our study was to compare neutropenic and non-neutropenic IPA mouse models, and to evaluate the effect of PTX on IPA in immunosuppressed mice.

methodsC57BL/6J mice were pre-treated with cyclophosphamide and hydrocortisone. Neutropenic model IPA mice (CTX-IPA) and non-neutropenic IPA mice (HC-IPA) were established by intranasal administration of Aspergillus fumigatus spore suspension. A subset of each group was injected with PTX post-infection. Among these groups, we compared overall survival, pulmonary fungal burden, lung hispathology, and myeloperoxidase (MPO), interleukin 8 (IL-8), and mammalian chitinase concentration in the bronchoalveolar lavage fluid (BALF).

resultsThe survival rate of the HC-IPA group was higher than that of the CTX-IPA group, and pulmonary fungal burden was also lower (p < 0.05). The CTX-IPA group showed infiltration of alveolae and blood vessels by numerous hyphae of A. fumigatus. The HC-IPA group exhibited destruction of bronchi, expansion of alveolar septa, increased macrophages aggregation, significant neutrophil infiltration and a few hyphae in peribronchial areas. After PTX treatment, improvement was observed in survival duration and pulmonary fungal burden in HC-IPA mice. MPO and IL-8 levels were lower in the HC-IPA + PTX group compared to the corresponding levels in the HC-IP group. Chitotriosidase (CHIT1) and Chitinase 3-like 1 (CHI3L1) expression in the HC-IPA group was decreased after PTX treatment (p < 0.05).

conclusionPTX was found to exert a therapeutic effect in a non-neutropenic mouse model of IPA, which may lead to the development of novel strategies for IPA treatment.

Indexed as

Immunosuppression TherapyAnimalsAntifungal AgentsAspergillus fumigatusBronchoalveolar Lavage FluidChitinasesDisease Models, AnimalFemaleInvasive Pulmonary AspergillosisLungMiceMice, Inbred C57BLNeutropeniaPentoxifyllineAntifungal AgentsChitinasesPentoxifyllineChitinasesImmunosuppressionInterleukin 8Invasive pulmonary aspergillosisMouseMyeloperoxidasePathologyPentoxifylline

Identifiers

PMID33468116
PMCPMC7814429
OpenAlexW3125346374

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.