Evidence map›Paper›PMID 41286000›Full record

ArticleScientific reports2025

High-resolution multimodal imaging reveals spatial and temporal heterogeneity of airway mucus plugging in mice with muco-obstructive lung disease.

Claudia V Benke, Julia Duerr, Annika Engel, Christian Dullin, Wolfram Stiller, Heinz Horstmann, Claudia Redenbach, Maximilian Ackermann, Hans-Ulrich Kauczor, Thomas Kuner and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

13 authors.

Claudia V Benke *Department of Diagnostic and Interventional Radiology (DIR), Heidelberg University Hospital, Heidelberg, Germany. Claudia.Benke@med.uni-heidelberg.de.ORCID https://orcid.org/0009-0000-6614-0848
Julia Duerr *Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität, Berlin, Germany.
Annika EngelDepartment of Mathematics, Technical University of Kaiserslautern (now part of RPTU University Kaiserslautern-Landau), Kaiserslautern, Germany.
Christian DullinDepartment of Diagnostic and Interventional Radiology (DIR), Heidelberg University Hospital, Heidelberg, Germany.
Wolfram StillerDepartment of Diagnostic and Interventional Radiology (DIR), Heidelberg University Hospital, Heidelberg, Germany.
Heinz HorstmannDepartment of Functional Neuroanatomy, Institute of Anatomy and Cell Biology, Heidelberg University, Heidelberg, Germany.
Claudia RedenbachDepartment of Mathematics, RPTU University Kaiserslautern-Landau, Kaiserslautern, Germany.
Maximilian AckermannInstitute of Pathology, University Clinics of RWTH University, Aachen, Germany.
Hans-Ulrich KauczorDepartment of Diagnostic and Interventional Radiology (DIR), Heidelberg University Hospital, Heidelberg, Germany.
Thomas KunerTranslational Lung Research Center (TLRC), German Center for Lung Research (DZL), University Heidelberg, Heidelberg, Germany.
Mark O WielpützDepartment of Diagnostic and Interventional Radiology (DIR), Heidelberg University Hospital, Heidelberg, Germany.
Marcus A Mall *Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität, Berlin, Germany.
Willi L Wagner *Department of Diagnostic and Interventional Radiology (DIR), Heidelberg University Hospital, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucus plugging is a hallmark of muco-obstructive lung diseases; however, the spatiotemporal dynamics of plug formation remain poorly understood. We used a multimodal high-resolution imaging approach to study mucus plugging in newborn (0-1 days), juvenile (13-16 days), and adult (49-59 days) βENaC-transgenic mice (βENaC-tg, n = 24), a model of muco-obstructive lung disease, in comparison to age-matched wild-type mice (n = 28). Micro-computed tomography (µCT) enabled whole lung mucus scoring on a scale from 0 (no obstruction) to 2 (> 50% obstruction) using an extended murine airway tree nomenclature. A subset of βENaC-tg lungs (5 juvenile, 5 adult) underwent localised synchrotron radiation-based computed tomography (SRCT) for segmentation-based calculation of mucus area and contact ratios as indicators of luminal obstruction and airway wall adherence. µCT-guided scanning electron microscopy (SEM) provided nanoscale visualisation of mucus plugs on selected βENaC-tg lung samples (3 juvenile). µCT revealed age-dependent, heterogeneous mucus plug formation, with significantly increased mucus scores in juvenile (0.45 ± 0.26) and adult (0.30 ± 0.17) βENaC-tg compared to wild-type mice (0.01 ± 0.02 with P < 0.01, and 0.01 ± 0.02 with P < 0.05, respectively). SRCT analysis showed a strong positive correlation between mucus area and contact ratios (r ≥ 0.80), while SEM revealed the mucus plug ultrastructure. This multimodal imaging approach highlights the spatiotemporal heterogeneity of mucus plugging, forming a basis for future research on targeted therapeutic strategies for muco-obstructive lung diseases.

Indexed as

LungLung Diseases, ObstructiveMucusMultimodal ImagingAnimalsDisease Models, AnimalEpithelial Sodium ChannelsMiceMice, TransgenicMicroscopy, Electron, ScanningX-Ray MicrotomographyEpithelial Sodium ChannelsAirway obstructionCystic fibrosisENaCMicro-CTMucus pluggingSynchrotron tomography

Identifiers

PMID41286000
PMCPMC12647124

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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.