Evidence map›Paper›PMID 40987954›Full record

ArticleNature biomedical engineering2026

An immune-competent lung-on-a-chip for modelling the human severe influenza infection response.

Rachel Ringquist, Eshant Bhatia, Paramita Chatterjee, Drishti Maniar, Zhou Fang, Page Franz, Liana Kramer, Delta Ghoshal, Neha Sonthi, Emma Downey and 8 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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  9. Investigating human lung resilience, its evolutionary history and its relation to COPD.American journal of physiology. Lung cellular and molecular physiology · 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

18 authors.

Rachel RingquistSchool of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, USA.ORCID http://orcid.org/0009-0006-6112-8325
Eshant BhatiaWoodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Paramita ChatterjeeMarcus Center for Therapeutic Cell Characterization and Manufacturing (MC3M), Georgia Institute of Technology, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-9761-2289
Drishti ManiarCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Zhou FangCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Page FranzCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Liana KramerCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Delta GhoshalCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Neha SonthiSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, USA.
Emma DowneyCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Joshua CanlasCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Abigail OchalSchool of Chemistry and Biochemistry, Georgia Institute of Technology, Atlanta, GA, USA.
Savi AgarwalCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Valeria CuéllarCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Grace HarriganCoulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Ahmet F CoskunParker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-5797-1524
Ankur SinghWoodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, USA. ankur.singh@gatech.edu.ORCID http://orcid.org/0000-0002-3501-2277
Krishnendu RoyMarcus Center for Therapeutic Cell Characterization and Manufacturing (MC3M), Georgia Institute of Technology, Atlanta, GA, USA. krish.roy@vanderbilt.edu.ORCID http://orcid.org/0000-0002-9972-0950

Funding

Hydrogel-based lymphoid tissues for generation of activated human B cells and delivery in vivoR01AI186314 · NIAID · GEORGIA INSTITUTE OF TECHNOLOGY · PI Ankur Singh · 2024 to 2026
$2.3M
Hydrogel-Based Aged Immune Organoids to Study Epigenetics and Trajectory of B CellsR01AI181282 · NIAID · GEORGIA INSTITUTE OF TECHNOLOGY · PI Ankur Singh · 2024 to 2026
$2.2M
NIAID NIH HHS R01 AI181282NIAID NIH HHS R01 AI186314Wellcome Trust (Wellcome) GR00009530Wellcome Trust (Wellcome) GR00009596
6 · The paper itself

Abstract

Severe influenza affects 3-5 million people worldwide each year, resulting in more than 300,000 deaths annually. However, standard-of-care antiviral therapeutics have limited effectiveness in these patients. Current preclinical models of severe influenza fail to accurately recapitulate the human immune response to severe viral infection. Here we develop an immune-competent, microvascularized, human lung-on-a-chip device to model the small airways, successfully demonstrating the cytokine storm, immune cell activation, epithelial cell damage, and other cellular- and tissue-level human immune responses to severe H1N1 infection. We find that interleukin-1β and tumour necrosis factor-α play opposing roles in the initiation and regulation of the cytokine storm associated with severe influenza. Furthermore, we discover the critical stromal-immune CXCL12-CXCR4 interaction and its role in immune response to infection. Our results underscore the importance of stromal cells and immune cells in microphysiological models of severe lung disease, describing a scalable model for severe influenza research. We expect the immune-competent human lung-on-a-chip device to enable critical discoveries in respiratory host-pathogen interactions, therapeutic side effects, vaccine potency evaluation, and crosstalk between systemic and mucosal immunity in human lung.

Indexed as

Influenza, HumanLab-On-A-Chip DevicesLungChemokine CXCL12CytokinesHumansInfluenza A Virus, H1N1 SubtypeInterleukin-1betaReceptors, CXCR4Tumor Necrosis Factor-alphaChemokine CXCL12CXCR4 protein, humanCytokinesInterleukin-1betaReceptors, CXCR4Tumor Necrosis Factor-alpha

Identifiers

PMID40987954
PMCPMC12969995

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.