Evidence map›Paper›PMID 34343135›Full record

ArticleThe Journal of clinical investigation2021

Basal epithelial stem cells cross an alarmin checkpoint for postviral lung disease.

Kangyun Wu, Kenji Kamimoto, Yong Zhang, Kuangying Yang, Shamus P Keeler, Benjamin J Gerovac, Eugene V Agapov, Stephen P Austin, Jennifer Yantis, Kelly A Gissy and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

43 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. RelA Signaling inInternational journal of molecular sciences · 2026
    Article
  3. Airway epithelial heterogeneity and mucus plugging in asthmatic bronchioles.American journal of respiratory and critical care medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Tolerogenic lung allograft microenvironment suppresses pathogenic tissue remodeling following respiratory virus infection in mice.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  9. Review
  10. Advances in Single-Cell Sequencing for Infectious Diseases: Progress and Perspectives.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Innovation through imitation: IL-33 decoys show promise in pulmonary fibrosis.The Journal of pharmacology and experimental therapeutics · 2025
    Article
  15. Article
  16. Review
  17. The post-viral GPNMBmedRxiv : the preprint server for health sciences · 2024
    Article
  18. Article
  19. IL-33: Friend or foe in transplantation?The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Kangyun WuPulmonary and Critical Care Medicine, Department of Medicine.
Kenji KamimotoDepartment of Genetics.
Yong ZhangPulmonary and Critical Care Medicine, Department of Medicine.
Kuangying YangPulmonary and Critical Care Medicine, Department of Medicine.
Shamus P KeelerPulmonary and Critical Care Medicine, Department of Medicine.
Benjamin J GerovacPulmonary and Critical Care Medicine, Department of Medicine.
Eugene V AgapovPulmonary and Critical Care Medicine, Department of Medicine.
Stephen P AustinPulmonary and Critical Care Medicine, Department of Medicine.
Jennifer YantisPulmonary and Critical Care Medicine, Department of Medicine.
Kelly A GissyPulmonary and Critical Care Medicine, Department of Medicine.
Derek E ByersPulmonary and Critical Care Medicine, Department of Medicine.
Jennifer Alexander-BrettPulmonary and Critical Care Medicine, Department of Medicine.
Christy M HoffmannPulmonary and Critical Care Medicine, Department of Medicine.
Matthew WallacePulmonary and Critical Care Medicine, Department of Medicine.
Michael E HughesPulmonary and Critical Care Medicine, Department of Medicine.
Erika C CrouchDepartment of Pathology and Immunology.
Samantha A MorrisDepartment of Genetics.
Michael J HoltzmanPulmonary and Critical Care Medicine, Department of Medicine.
Pulmonary and Critical Care Associates · USCancer Research And Biostatistics · USWashington University in St. Louis · US

Funding

Defining and Controlling Airway DiseaseR35HL145242 · NHLBI · WASHINGTON UNIVERSITY · PI HOLTZMAN, MICHAEL J · 2019 to 2025
$6.6M
PARP9-DTX3L Control Of Viral Infection and Airway DiseaseR01AI130591 · NIAID · WASHINGTON UNIVERSITY · PI HOLTZMAN, MICHAEL J · 2017 to 2021
$3.0M
Non-Classical Cytokine Secretion in Chronic Airway DiseaseR01HL152245 · NHLBI · WASHINGTON UNIVERSITY · PI ALEXANDER-BRETT, JENNIFER · 2020 to 2024
$2.8M
NHLBI NIH HHS R01 HL152245NHLBI NIH HHS R35 HL145242NIAID NIH HHS R01 AI130591
6 · The paper itself

Abstract

Epithelial cells are charged with protection at barrier sites, but whether this normally beneficial response might sometimes become dysfunctional still needs definition. Here, we recognized a pattern of imbalance marked by basal epithelial cell growth and differentiation that replaced normal airspaces in a mouse model of progressive postviral lung disease due to the Sendai virus. Single-cell and lineage-tracing technologies identified a distinct subset of basal epithelial stem cells (basal ESCs) that extended into gas-exchange tissue to form long-term bronchiolar-alveolar remodeling regions. Moreover, this cell subset was selectively expanded by crossing a cell-growth and survival checkpoint linked to the nuclear-localized alarmin IL-33 that was independent of IL-33 receptor signaling and instead connected to autocrine chromatin accessibility. This mechanism creates an activated stem-progenitor cell lineage with potential for physiological or pathological function. Thus, conditional loss of Il33 gene function in basal epithelial cells disrupted the homeostasis of the epithelial barrier at skin and gut sites but also markedly attenuated postviral disease in the lung based on the downregulation of remodeling and inflammation. Thus, we define a basal ESC strategy to deploy innate immune machinery that appears to overshoot the primordial goal of self-defense. Our findings reveal new targets to stratify and correct chronic and often deadly postviral disease.

Indexed as

Sendai virusAlarminsAnimalsCell DifferentiationEpithelial CellsInterleukin-33Lung DiseasesMiceRespirovirus InfectionsSingle-Cell AnalysisStem CellsAlarminsInterleukin-33AsthmaInnate immunityMacrophagesPulmonology

Identifiers

PMID34343135
PMCPMC8483760
OpenAlexW3191753790

What OpenQuestion holds

Textmetadata
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.