Evidence map›Paper›PMID 36265882›Full record

ArticleThe European respiratory journal2023

Cystic fibrosis macrophage function and clinical outcomes after elexacaftor/tezacaftor/ivacaftor.

Shuzhong Zhang, Chandra L Shrestha, Frank Robledo-Avila, Devi Jaganathan, Benjamin L Wisniewski, Nevian Brown, Hanh Pham, Katherine Carey, Amal O Amer, Luanne Hall-Stoodley and 4 more

Abstract read
In one paragraph

Article in The European respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. mSphere · 2026
    Article
  4. Article
  5. Phage-Based Approaches to ChronicAntibiotics (Basel, Switzerland) · 2026
    Review
  6. Review
  7. bioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. Article
  10. ENaC contributes to macrophage dysfunction in cystic fibrosis.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Secondhand vape exposure regulation of CFTR and immune function in cystic fibrosis.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  15. CFTR dictates monocyte adhesion by facilitating integrin clustering but not activation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Neutrophil elastase activates macrophage calpain as a mechanism for phagocytic failure.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  17. Article
  18. Wound repair and immune function in theFrontiers in cellular and infection microbiology · 2025
    Review
  19. Review
  20. Cystic fibrosis.Nature reviews. Disease primers · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Shuzhong ZhangCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Chandra L ShresthaCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Frank Robledo-AvilaCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.ORCID 0000-0001-5583-9194
Devi JaganathanCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Benjamin L WisniewskiCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA btkopp@emory.edu.
Nevian BrownCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Hanh PhamDivision of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Katherine CareyCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Amal O AmerDepartment of Microbial Infection and Immunity, The Ohio State University, Columbus, OH, USA.
Luanne Hall-StoodleyDepartment of Microbial Infection and Immunity, The Ohio State University, Columbus, OH, USA.
Karen S McCoyDivision of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Shasha BaiPediatric Biostatistics Core, Emory University School of Medicine, Atlanta, GA, USA.
Santiago Partida-SanchezCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Benjamin T KoppCenter for Microbial Pathogenesis, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Funding

The OSU Center for Clinical and Translational Science: Advancing Today's Discoveries to Improve HealthUL1TR002733 · NCATS · OHIO STATE UNIVERSITY · PI RINGEL, MATTHEW D · 2018 to 2022
$28.9M
Unraveling the role of the CFTR ion channel in susceptibility to SARS-CoV-2 infection and inflammationR01AI124121 · NIAID · OHIO STATE UNIVERSITY · PI AMER, AMAL O, CORMET-BOYAKA, ESTELLE A · 2016 to 2020
$3.7M
THE ROLE OF THE NON-CANONICAL INFLAMMASOME IN INNATE IMMUNITYR01AI159452 · NIAID · OHIO STATE UNIVERSITY · PI AMER, AMAL O, SEVEAU, STEPHANIE M M · 2021 to 2025
$3.7M
The role of CFTR during macrophage-mediated killing of bacteriaR01HL148171 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Emanuela Marina Bruscia, Benjamin T Kopp · 2020 to 2026
$2.7M
Resue of CF phagocyte function with CFTR modulator therapyR01HL158747 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI GUGLANI, LOKESH, KOPP, BENJAMIN T · 2022 to 2025
$2.1M
The role of microRNA-calibrated autophagy in innate immunity and inflammationR01HL127651 · NHLBI · OHIO STATE UNIVERSITY · PI AMER, AMAL O, CORMET-BOYAKA, ESTELLE A · 2015 to 2018
$1.5M
NCATS NIH HHS UL1 TR002733NHLBI NIH HHS R01 HL127651NHLBI NIH HHS R01 HL148171NHLBI NIH HHS R01 HL158747NIAID NIH HHS R01 AI124121NIAID NIH HHS R01 AI159452
6 · The paper itself

Abstract

backgroundAbnormal macrophage function caused by dysfunctional cystic fibrosis transmembrane conductance regulator (CFTR) is a critical contributor to chronic airway infections and inflammation in people with cystic fibrosis (PWCF). Elexacaftor/tezacaftor/ivacaftor (ETI) is a new CFTR modulator therapy for PWCF. Host-pathogen and clinical responses to CFTR modulators are poorly described. We sought to determine how ETI impacts macrophage CFTR function, resulting effector functions and relationships to clinical outcome changes.

methodsClinical information and/or biospecimens were obtained at ETI initiation and 3, 6, 9 and 12 months post-ETI in 56 PWCF and compared with non-CF controls. Peripheral blood monocyte-derived macrophages (MDMs) were isolated and functional assays performed.

resultsETI treatment was associated with increased CF MDM CFTR expression, function and localisation to the plasma membrane. CF MDM phagocytosis, intracellular killing of CF pathogens and efferocytosis of apoptotic neutrophils were partially restored by ETI, but inflammatory cytokine production remained unchanged. Clinical outcomes including increased forced expiratory volume in 1 s (+10%) and body mass index (+1.0 kg·m

conclusionETI is associated with unique changes in innate immune function and clinical outcomes.

Indexed as

Cystic FibrosisAminophenolsBenzodioxolesChloride Channel AgonistsChloridesCystic Fibrosis Transmembrane Conductance RegulatorHumansIndolesMacrophagesMutationPyrazolesPyridinesPyrrolidinesQuinolonesAminophenolsBenzodioxolesChloride Channel AgonistsChloridesCystic Fibrosis Transmembrane Conductance RegulatorelexacaftorIndolesivacaftorPyrazolesPyridinesPyrrolidinesQuinolonestezacaftor

Identifiers

PMID36265882
PMCPMC10066828

What OpenQuestion holds

Textmetadata
LicenceTDM
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.