Evidence map›Paper›PMID 37581936›Full record

ArticleThe Journal of clinical investigation2023

Rescue of alveolar wall liquid secretion blocks fatal lung injury due to influenza-staphylococcal coinfection.

Stephanie Tang, Ana Cassandra De Jesus, Deebly Chavez, Sayahi Suthakaran, Sarah Kl Moore, Keshon Suthakaran, Sonya Homami, Raveen Rathnasinghe, Alison J May, Michael Schotsaert and 3 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Don't Stress: We're One Step Closer to Host-Directed Therapy for Influenza.American journal of respiratory cell and molecular biology · 2026
    Article
  7. Article
  8. CFTR as a therapeutic target for severe lung infection.American journal of physiology. Lung cellular and molecular physiology · 2025
    Review
  9. Stem cells, cell therapies, and bioengineering in lung biology and diseases 2023.American journal of physiology. Lung cellular and molecular physiology · 2024
    Review
  10. Review
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

13 authors at 5 institutions in 2 countries.

Stephanie TangLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Ana Cassandra De JesusLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Deebly ChavezLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Sayahi SuthakaranLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Sarah Kl MooreLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Keshon SuthakaranLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Sonya HomamiLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Raveen RathnasingheGraduate School of Biomedical Sciences.
Alison J MayDepartment of Cell, Developmental and Regenerative Biology.
Michael SchotsaertGlobal Health and Emerging Pathogens Institute, Department of Microbiology.
Clemente J BrittoDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Jahar BhattacharyaDepartments of Medicine and Physiology and Cellular Biophysics, College of Physicians and Surgeons, Columbia University Medical Center, New York, New York, USA.
Jaime L HookLung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine.
Pulmonary and Critical Care Associates · USGlobal Emerging Pathogens Treatment Consortium · GHColumbia University Irving Medical Center · USIcahn School of Medicine at Mount Sinai · USYale University · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
TRAINING PROGRAM: MECHANISMS OF VIRUS-HOST INTERACTIONST32AI007647 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI Domenico Tortorella · 2000 to 2026
$11.5M
MICROPUNCTURE STUDIES OF LUNG, WATER AND SOLUTE EXCHANGER01HL036024 · NHLBI · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI BHATTACHARYA, JAHAR · 1985 to 2025
$7.0M
MICROPUNCTURE STUDIES OF LUNG WATER SOLUTE EXCHANGER37HL036024 · NHLBI · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI BHATTACHARYA, JAHAR · 1998 to 2007
$3.0M
Research Supplement for Alveolar Responses to Viral Lung InfectionR01HL164821 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Jaime Lynn Hook · 2022 to 2026
$2.6M
Mitochondrial dynamics in acute lung injuryR01HL122730 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BHATTACHARYA, JAHAR · 2015 to 2018
$1.8M
SPLUNC1 and Neutrophilic Inflammation in Cystic FibrosisK01HL125514 · NHLBI · YALE UNIVERSITY · PI BRITTO-LEON, CLEMENTE · 2015 to 2021
$905k
A Miniature Pig Model for the Study of Host-Immune Responses Against Influenza A VirusR21AI151229 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RICHT, JUERGEN A, SCHOTSAERT, MICHAEL · 2020 to 2021
$457k
Sputum-Based Profiling to Predict Cystic Fibrosis ExacerbationsR03HL154276 · NHLBI · YALE UNIVERSITY · PI BRITTO-LEON, CLEMENTE · 2020 to 2021
$168k
NCATS NIH HHS UL1 TR001873NHLBI NIH HHS K01 HL125514NHLBI NIH HHS R01 HL036024NHLBI NIH HHS R01 HL122730NHLBI NIH HHS R01 HL164821NHLBI NIH HHS R03 HL154276NHLBI NIH HHS R37 HL036024NIAID NIH HHS R21 AI151229NIAID NIH HHS T32 AI007647
6 · The paper itself

Abstract

Secondary lung infection by inhaled Staphylococcus aureus (SA) is a common and lethal event for individuals infected with influenza A virus (IAV). How IAV disrupts host defense to promote SA infection in lung alveoli, where fatal lung injury occurs, is not known. We addressed this issue using real-time determinations of alveolar responses to IAV in live, intact, perfused lungs. Our findings show that IAV infection blocked defensive alveolar wall liquid (AWL) secretion and induced airspace liquid absorption, thereby reversing normal alveolar liquid dynamics and inhibiting alveolar clearance of inhaled SA. Loss of AWL secretion resulted from inhibition of the cystic fibrosis transmembrane conductance regulator (CFTR) ion channel in the alveolar epithelium, and airspace liquid absorption was caused by stimulation of the alveolar epithelial Na+ channel (ENaC). Loss of AWL secretion promoted alveolar stabilization of inhaled SA, but rescue of AWL secretion protected against alveolar SA stabilization and fatal SA-induced lung injury in IAV-infected mice. These findings reveal a central role for AWL secretion in alveolar defense against inhaled SA and identify AWL inhibition as a critical mechanism of IAV lung pathogenesis. AWL rescue may represent a new therapeutic approach for IAV-SA coinfection.

Indexed as

CoinfectionInfluenza A virusInfluenza, HumanLung InjuryAnimalsHumansLungMicePulmonary AlveoliEpithelial transport of ions and waterInfluenzaInnate immunityPulmonology

Identifiers

PMID37581936
PMCPMC10541650
OpenAlexW4385835375

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.