Evidence map›Paper›PMID 40736456›Full record

ArticleThe Journal of experimental medicine2025

Early and opposing neutrophil and CD4 T cell responses shape pulmonary tuberculosis pathology.

Benjamin H Gern, Josepha M Klas, Kimberly A Foster, Molly E Kanagy, Sara B Cohen, Courtney R Plumlee, Fergal J Duffy, Maxwell L Neal, Mehnaz Halima, Andrew T Gustin and 8 more

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The lung tissue environment inbioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Review
  8. Modulation of Ferroptosis During EarlybioRxiv : the preprint server for biology · 2026
    Article
  9. HowVaccines · 2026
    Review
  10. Article
  11. CD8Nature communications · 2026
    Article
  12. Article
  13. Article
  14. Circulating antibody signatures againstFrontiers in immunology · 2026
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Benjamin H GernCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0002-0142-5970
Josepha M KlasCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0009-0009-9780-6687
Kimberly A FosterCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0009-0003-2262-6856
Molly E KanagyCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0001-9743-9914
Sara B CohenCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0001-9650-7591
Courtney R PlumleeCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0001-7142-4394
Fergal J DuffyCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0002-4675-0937
Maxwell L NealCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0002-2390-6572
Mehnaz HalimaCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0001-8632-7589
Andrew T GustinDepartment of Immunology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-8760-8320
Sylvia M StullCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0002-9999-1531
Jasmine J WilsonDepartment of Immunology, University of Washington, Seattle, WA, USA.ORCID 0000-0003-0750-5610
Alan H DiercksCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0002-5236-6130
Alan AderemCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0003-4031-5499
Michael GaleDepartment of Immunology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-6332-7436
John D AitchisonCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0002-9153-6497
Michael Y GernerDepartment of Immunology, University of Washington, Seattle, WA, USA.ORCID 0000-0001-5406-8308
Kevin B UrdahlCenter for Global Infectious Disease Research, Seattle Children's Research Institute , Seattle, WA, USA.ORCID 0000-0003-0088-1066

Funding

IMMUNE MECHANISMS OF PROTECTION AGAINST MYCOBACTERIUM TUBERCULOSIS CENTER (IMPAC-TB) - SARS-CoV-2 RELATED RESEARCH75N93019C00070 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI URDAHL, KEVIN · 2019 to 2025
$86.6M
Systems Biology, Bioinformatics, & Data IntegrationU19AI162583 · NIAID · UNIVERSITY OF WASHINGTON · PI DUNSTAN, SARAH JANE · 2021 to 2025
$13.0M
Dissecting the molecular regulation of T cell localization and function within the Mycobacterium tuberculosis granulomaK08AI166072 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI Benjamin Henry Gern · 2022 to 2026
$929k
NIAID NIH HHS 75N93019C00070NIAID NIH HHS K08 AI166072NIAID NIH HHS U19 AI162583NIH HHS 1U19AI162583NIH HHS 5K08AI166072NIH HHS 75N93019C00070
6 · The paper itself

Abstract

Pulmonary Mycobacterium tuberculosis (Mtb) infection results in a variety of heterogeneous lesion structures, from necrotic granulomas to alveolitis, but the mechanisms regulating their development remain unclear. Using a mouse model of concomitant immunity and subsequent aerosol infection, we demonstrate that counter regulation between neutrophils and CD4 T cells occurs very early during infection and governs these distinct pathologies. In primary Mtb infection, a dysregulated feed-forward circuit of neutrophil recruitment occurs, in which neutrophils hinder CD4 T cell interactions with infected macrophages, cause granuloma necrosis, and establish a replicative niche that drives a two-log increase in lung bacterial burden. Conversely, the rapid recruitment and activation of T cells due to concomitant immunity promotes local macrophage activation and dampens detrimental neutrophil responses. Together, these studies uncover fundamental determinants of tuberculosis lung pathology, which have important implications for new strategies to prevent or treat tuberculosis.

Indexed as

CD4-Positive T-LymphocytesMycobacterium tuberculosisNeutrophilsTuberculosis, PulmonaryAnimalsDisease Models, AnimalGranulomaLungMacrophage ActivationMacrophagesMiceMice, Inbred C57BLNeutrophil Infiltration

Identifiers

PMID40736456
PMCPMC12309470

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.