Evidence map›Paper›PMID 40267147›Full record

ArticlePLoS pathogens2025

Neuregulin-1 prevents death from a normally lethal respiratory viral infection.

Syed-Rehan A Hussain, Michelle Rohlfing, Jennifer Santoro, Phylip Chen, Kaushik Muralidharan, Matthew S Bochter, Mark E Peeples, Mitchell H Grayson

Abstract read
In one paragraph

Article in PLoS pathogens, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

8 authors.

Syed-Rehan A HussainDivision of Allergy and Immunology, Nationwide Children's Hospital - The Ohio State University College of Medicine, Columbus, Ohio, United States of America.ORCID 0000-0002-2530-7303
Michelle RohlfingDivision of Allergy and Immunology, Nationwide Children's Hospital - The Ohio State University College of Medicine, Columbus, Ohio, United States of America.
Jennifer SantoroDivision of Allergy and Immunology, Nationwide Children's Hospital - The Ohio State University College of Medicine, Columbus, Ohio, United States of America.
Phylip ChenCenter for Vaccines and Immunity, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States of America.
Kaushik MuralidharanCenter for Clinical and Translational Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States of America.
Matthew S BochterDivision of Allergy and Immunology, Nationwide Children's Hospital - The Ohio State University College of Medicine, Columbus, Ohio, United States of America.
Mark E PeeplesCenter for Vaccines and Immunity, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States of America.
Mitchell H GraysonDivision of Allergy and Immunology, Nationwide Children's Hospital - The Ohio State University College of Medicine, Columbus, Ohio, United States of America.ORCID 0000-0002-4673-2122

Funding

Mechanisms of Atopic Disease Development in the LungR01HL087778 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI GRAYSON, MITCHELL H · 2008 to 2018
$3.7M
Pre-Existing Atopy and Respiratory Viral InfectionsR01AI171027 · NIAID · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Mitchell H Grayson · 2023 to 2026
$2.8M
NHLBI NIH HHS R01 HL087778NIAID NIH HHS R01 AI171027
6 · The paper itself

Abstract

Respiratory infections with RNA viruses such as respiratory syncytial virus (RSV) and influenza lead to significant morbidity and mortality. Using a natural rodent pathogen, Sendai virus (SeV), which is similar to RSV, mice made atopic with house dust mite survived a normally lethal SeV infection. One protein that we found markedly elevated in the lungs and bronchoalveolar lavage fluid of atopic mice was neuregulin-1 (NRG1). Administration of NRG1 protected naïve (non-atopic) mice from death with both SeV and mouse adapted influenza A virus (IAV). Survival was associated with reduced alveolar epithelium permeability and reduced phosphorylation of mixed lineage kinase domain-like (MLKL) protein indicating inhibition of necroptosis. In vitro, treatment of mouse lung epithelial cells with NRG1 inhibited SeV induced necroptosis, and NRG1 administration to differentiated human bronchial epithelial cells infected with RSV reduced transepithelial fluid leak and expression of necroptosis associated genes RIPK3 and MLKL, while regulating genes associated with homeostatic maintenance, suggesting stabilized epithelial integrity. In conclusion, our data demonstrate a unique function of NRG1 in respiratory viral infections by reducing alveolar leak, inhibiting epithelial necroptosis, and promoting homeostatic regulation of airway epithelium, all of which associate with markedly reduced mortality to the respiratory viral insult.

Indexed as

Neuregulin-1Orthomyxoviridae InfectionsRespiratory Tract InfectionsRespirovirus InfectionsAnimalsFemaleHumansInfluenza A virusMiceNecroptosisRespiratory Syncytial Virus InfectionsSendai virusNeuregulin-1

Identifiers

PMID40267147
PMCPMC12052188

What OpenQuestion holds

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LicenceCC BY
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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.