Evidence map›Paper›PMID 36920308›Full record

ArticleThe Journal of experimental medicine2023

Spatial mapping reveals granuloma diversity and histopathological superstructure in human tuberculosis.

Andrew J Sawyer, Ellis Patrick, Jarem Edwards, James S Wilmott, Timothy Fielder, Qianting Yang, Daniel L Barber, Joel D Ernst, Warwick J Britton, Umaimainthan Palendira and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 63 citations in OpenAlex.

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  9. bioRxiv : the preprint server for biology · 2026
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  14. CD8Nature communications · 2026
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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

12 authors at 6 institutions in 3 countries.

Andrew J SawyerSchool of Medical Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney, Australia.ORCID 0000-0003-0943-9792
Ellis PatrickSchool of Mathematics and Statistics, Faculty of Science, The University of Sydney , Sydney, Australia.ORCID 0000-0002-5253-4747
Jarem EdwardsSchool of Medical Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney, Australia.ORCID 0000-0002-1038-615X
James S WilmottSchool of Medical Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney, Australia.ORCID 0000-0002-6750-5244
Timothy FielderDepartment of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital , Camperdown, Australia.ORCID 0000-0002-8014-6143
Qianting YangGuangdong Key Lab for Diagnosis and Treatment of Emerging Infectious Diseases, Shenzhen, Third People's Hospital, Shenzhen , Shenzhen, China.ORCID 0000-0003-2816-0076
Daniel L BarberLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases , National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0001-7008-7509
Joel D ErnstDivision of Experimental Medicine, Department of Medicine, University of California San Francisco , San Francisco, CA, USA.ORCID 0000-0001-9951-6207
Warwick J BrittonCentenary Institute, The University of Sydney , Sydney, Australia.ORCID 0000-0001-6721-9646
Umaimainthan PalendiraSchool of Medical Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney, Australia.ORCID 0000-0002-1113-3306
Xinchun ChenGuangdong Key Laboratory of Regional Immunity and Diseases, Department of Pathogen Biology, Shenzhen University School of Medicine , Shenzhen, China.ORCID 0000-0002-2101-9013
Carl G FengSchool of Medical Sciences, Faculty of Medicine and Health, The University of Sydney , Sydney, Australia.ORCID 0000-0003-4301-4640
The University of Sydney · AUNational Institutes of Health · USRoyal Prince Alfred Hospital · AUShenzhen Third People’s Hospital · CNShenzhen University · CNUniversity of California, San Francisco · US

Funding

Immune Regulation in Mycobacterial InfectionsZIAAI001171 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI BARBER, DANIEL · 2012 to 2025
$16.7M
Functional dynamics of TB granuloma architecture - Diversity Supplement for Kelley J. MartinezU01AI166309 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joel D. Ernst · 2022 to 2026
$3.2M
NIAID NIH HHS U01 AI166309
6 · The paper itself

Abstract

The hallmark of tuberculosis (TB) is the formation of immune cell-enriched aggregates called granulomas. While granulomas are pathologically diverse, their tissue-wide heterogeneity has not been spatially resolved at the single-cell level in human tissues. By spatially mapping individual immune cells in every lesion across entire tissue sections, we report that in addition to necrotizing granulomas, the human TB lung contains abundant non-necrotizing leukocyte aggregates surrounding areas of necrotizing tissue. These cellular lesions were more diverse in composition than necrotizing lesions and could be stratified into four general classes based on cellular composition and spatial distribution of B cells and macrophages. The cellular composition of non-necrotizing structures also correlates with their proximity to necrotizing lesions, indicating these are foci of distinct immune reactions adjacent to necrotizing granulomas. Together, we show that during TB, diseased lung tissue develops a histopathological superstructure comprising at least four different types of non-necrotizing cellular aggregates organized as satellites of necrotizing granulomas.

Indexed as

Mycobacterium tuberculosisTuberculosisGranulomaHumansLungMacrophages

Identifiers

PMID36920308
PMCPMC10035589
OpenAlexW4324304898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.