Evidence map›Paper›PMID 33879129›Full record

ArticleRespiratory research2021

Defective monocyte-derived macrophage phagocytosis is associated with exacerbation frequency in COPD.

R Singh, K B R Belchamber, P S Fenwick, K Chana, G Donaldson, J A Wedzicha, P J Barnes, L E Donnelly, COPDMAP consortium

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
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  4. Senotherapy for chronic lung disease.Pharmacological reviews · 2025
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  7. Macrophage Polarization: Learning to Manage It 3.0.International journal of molecular sciences · 2025
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  10. Macrophages and the microbiome in chronic obstructive pulmonary disease.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  11. Article
  12. Review
  13. Macrophage Dysfunction in Respiratory Disease.Results and problems in cell differentiation · 2024
    Review
  14. Lung microbiota: implications and interactions in chronic pulmonary diseases.Frontiers in cellular and infection microbiology · 2024
    Review
  15. How inhaled corticosteroids target inflammation in COPD.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  16. Article
  17. Article
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  20. 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

9 authors at 2 institutions in 2 countries.

R Singh *National Heart and Lung Institute, Imperial College London, London, UK.
K B R Belchamber *National Heart and Lung Institute, Imperial College London, London, UK.
P S FenwickNational Heart and Lung Institute, Imperial College London, London, UK.
K ChanaNational Heart and Lung Institute, Imperial College London, London, UK.
G DonaldsonNational Heart and Lung Institute, Imperial College London, London, UK.
J A WedzichaNational Heart and Lung Institute, Imperial College London, London, UK.
P J BarnesNational Heart and Lung Institute, Imperial College London, London, UK.
L E DonnellyNational Heart and Lung Institute, Imperial College London, London, UK. l.donnelly@imperial.ac.uk.ORCID http://orcid.org/0000-0002-0753-5425
COPDMAP consortium
Imperial College London · GBLung Institute · US

Funding

Medical Research Council G1001367/1Medical Research Council G1001372
6 · The paper itself

Abstract

backgroundLower airway bacterial colonisation (LABC) in COPD patients is associated with increased exacerbation frequency and faster lung function decline. Defective macrophage phagocytosis in COPD drives inflammation, but how defective macrophage function contributes to exacerbations is not clear. This study investigated the association between macrophage phagocytosis and exacerbation frequency, LABC and clinical parameters.

methodsMonocyte-derived macrophages (MDM) were generated from 92 stable COPD patients, and at the onset of exacerbation in 39 patients. Macrophages were exposed to fluorescently labelled Haemophilus influenzae or Streptococcus pneumoniae for 4 h, then phagocytosis measured by fluorimetry and cytokine release by ELISA. Sputum bacterial colonisation was measured by PCR.

resultsPhagocytosis of H. influenzae was negatively correlated with exacerbation frequency (r = 0.440, p < 0.01), and was significantly reduced in frequent vs. infrequent exacerbators (1.9 × 10

conclusionImpaired COPD macrophage phagocytosis of H. influenzae, but not S. pneumoniae is associated with exacerbation frequency, resulting in pro-inflammatory macrophages that may contribute to disease progression. Targeting these frequent exacerbators with drugs that improve macrophage phagocytosis may prove beneficial.

Indexed as

PhagocytosisAgedCase-Control StudiesCells, CulturedDisease ProgressionFemaleHaemophilus influenzaeHumansInflammation MediatorsInterleukin-8LungMacrophagesMalePhenotypePulmonary Disease, Chronic ObstructiveStreptococcus pneumoniaeCXCL8 protein, humanInflammation MediatorsInterleukin-8TNF protein, humanTumor Necrosis Factor-alphaCOPDExacerbationLower airway bacterial colonisationMacrophage

Identifiers

PMID33879129
PMCPMC8059282
OpenAlexW3155030960

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.