Evidence map›Paper›PMID 37325657›Full record

ArticleFrontiers in immunology2023

Involvement of CD40-CD40L and ICOS-ICOSL in the development of chronic rhinosinusitis by targeting eosinophils.

Aina Zhou, Chenxi Shi, Yuhui Fan, Yushuang Zheng, Jue Wang, Zhichen Liu, Huanxia Xie, Jisheng Liu, Qingqing Jiao

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Moniezia benedeni infection promoting ICOSBMC veterinary research · 2025
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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

9 authors at 2 institutions in 1 country.

Aina ZhouDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China.
Chenxi ShiDepartment of Pathology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yuhui FanDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yushuang ZhengDepartment of Pathology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jue WangDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China.
Zhichen LiuDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China.
Huanxia XieDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jisheng LiuDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China.
Qingqing JiaoDepartment of Dermatology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Soochow University · CNFirst Affiliated Hospital of Soochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic rhinosinusitis (CRS), whose prevalence and pathogenesis are age-related, is characterized by nasal tissue eosinophil infiltration. CD40-CD40 ligand (CD40L) pathway involves in the eosinophil-mediated inflammation, and inducible co-stimulator (ICOS)-ICOS ligand (ICOSL) signal can strengthen CD40-CD40L interaction. Whether CD40-CD40L and ICOS-ICOSL have a role in the development of CRS remains unknown. Objectives: The aim of this study is to investigate the association of CD40-CD40L and ICOS-ICOSL expression with CRS and underlying mechanisms. Methods: Immunohistology detected the expression of CD40, CD40L, ICOS, and ICOSL. Immunofluorescence was performed to evaluate the co-localizations of CD40 or ICOSL with eosinophils. Correlations between CD40-CD40L and ICOS-ICOSL as well as clinical parameters were analyzed. Flow cytometry was used to explore the activation of eosinophils by CD69 expression and the CD40 and ICOSL expression on eosinophils. Results: Compared with the non-eCRS subset, ECRS (eosinophilic CRS) subset showed significantly increased CD40, ICOS, and ICOSL expression. The CD40, CD40L, ICOS, and ICOSL expressions were all positively correlated with eosinophil infiltration in nasal tissues. CD40 and ICOSL were mainly expressed on eosinophils. ICOS expression was significantly correlated with the expression of CD40-CD40L, whereas ICOSL expression was correlated with CD40 expression. ICOS-ICOSL expression positively correlated with blood eosinophils count and disease severity. rhCD40L and rhICOS significantly enhanced the activation of eosinophils from patients with ECRS. Tumor necrosis factor-α (TNF-α) and interleukin-5 (IL-5) obviously upregulated CD40 expression on eosinophils, which was significantly inhibited by the p38 mitogen-activated protein kinase (MAPK) inhibitor. Conclusions: Increased CD40-CD40L and ICOS-ICOSL expressions in nasal tissues are linked to eosinophils infiltration and disease severity of CRS. CD40-CD40L and ICOS-ICOSL signals enhance eosinophils activation of ECRS. TNF-α and IL-5 regulate eosinophils function by increasing CD40 expression partly

Indexed as

CD40 LigandEosinophiliaCD40 AntigensEosinophilsHumansInducible T-Cell Co-Stimulator ProteinInterleukin-2Interleukin-5Tumor Necrosis Factor-alphaCD40 AntigensCD40 LigandICOS protein, humanInducible T-Cell Co-Stimulator ProteinInterleukin-2Interleukin-5Tumor Necrosis Factor-alphaCD40-CD40Lchronic rhinosinusitiseosinophilsICOS-ICOSLIL-5p38 MAPKTNF-α

Identifiers

PMID37325657
PMCPMC10267736
OpenAlexW4379054786

What OpenQuestion holds

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Registered trials

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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.