Evidence map›Paper›PMID 42161310›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2026

Tracheal aspirates of mechanically ventilated preterm infants possess cytopathic tau variants: a prospective exploratory study.

Kalsang Dolma, Saminathan Anbalagan, Linn Ayers, Althea deWeever, Brian W Fouty, Jonathon P Audia, Chung-Sik Choi, Mike T Lin, Manimaran Ramani, Troy Stevens

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Article in American journal of physiology. Lung cellular and molecular physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kalsang DolmaDivision of Neonatology, Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, Alabama, United States.ORCID 0000-0003-4157-6148
Saminathan AnbalaganDivision of Neonatology, Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, Alabama, United States.
Linn AyersDepartment of Physiology and Cell Biology, College of Medicine, University of South Alabama, Mobile, Alabama, United States.
Althea deWeeverDivision of Neonatology, Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, Alabama, United States.ORCID 0000-0002-6168-0076
Brian W FoutyDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, College of Medicine, University of South Alabama, Mobile, Alabama, United States.
Jonathon P AudiaCenter for Lung Biology, College of Medicine, University of South Alabama, Mobile, Alabama, United States.
Chung-Sik ChoiDepartment of Physiology and Cell Biology, College of Medicine, University of South Alabama, Mobile, Alabama, United States.ORCID 0000-0002-8426-4681
Mike T LinDepartment of Physiology and Cell Biology, College of Medicine, University of South Alabama, Mobile, Alabama, United States.
Manimaran RamaniDivision of Neonatology, Department of Pediatrics, College of Medicine, University of South Alabama, Mobile, Alabama, United States.
Troy StevensDepartment of Physiology and Cell Biology, College of Medicine, University of South Alabama, Mobile, Alabama, United States.ORCID 0000-0001-9689-929X

Funding

Nosocomial pneumonias impair cognitive functionR01HL140182 · NHLBI · UNIVERSITY OF SOUTH ALABAMA · PI Mike Lin · 2018 to 2026
$4.9M
Soluble adenylyl cyclases in lung endothelial tauopathyR01HL167997 · NHLBI · UNIVERSITY OF SOUTH ALABAMA · PI Troy Stevens · 2023 to 2026
$1.9M
Lung Endothelial Aß in infectious proteinopathyR01HL148069 · NHLBI · UNIVERSITY OF SOUTH ALABAMA · PI STEVENS, TROY · 2020 to 2023
$1.5M
HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL140182HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL148069HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL167997NHLBI NIH HHS R01 HL140182NHLBI NIH HHS R01 HL148069NHLBI NIH HHS R01 HL167997
6 · The paper itself

Abstract

Tau protein, a microtubule-associated protein expressed in lung capillary endothelium, is detectable early in lung development and has been implicated in systemic dysfunction during adult respiratory infections. Its role in neonatal lung injury, however, remains undefined. In this study, we analyzed tracheal aspirates from 67 mechanically ventilated infants (51 preterm and 16 term) and compared them with 20 cord blood samples and five healthy adult plasma samples. Preterm infants were further stratified by histological chorioamnionitis status and severity of bronchopulmonary dysplasia (BPD) at 36-wk postmenstrual age (Jensen's 2019 criteria). Total tau concentrations were measured using a Meso Scale Discovery assay, and neuronal tau seeding assays assessed the presence of cytopathic tau variants. Tau was detected in all samples, with significantly higher concentrations in neonatal tracheal aspirates and cord blood compared with adult plasma. In both cord blood and tracheal aspirates, preterm infants exhibited elevated total tau levels relative to term infants. The tau protein present in preterm tracheal aspirates induced neuronal tau aggregation across gestational ages. Although total tau concentrations did not differ, the cytopathic activity of tracheal aspirates was increased in infants with chorioamnionitis. Neither total tau nor seeding activity correlated with BPD severity. Our study findings demonstrate that tau is abundant in the airways of mechanically ventilated preterm infants and exhibits cytopathic properties, suggesting a potential role in both neonatal lung injury and development. Further studies are needed to clarify the mechanistic contribution of tau to lung pathology in this highly vulnerable population.

Indexed as

Bronchopulmonary DysplasiaInfant, PrematureRespiration, Artificialtau ProteinsTracheaAdultChorioamnionitisFemaleFetal BloodGestational AgeHumansInfant, NewbornMalePregnancyProspective Studiestau Proteinsbronchopulmonary dysplasiacytopathic tauhistologic chorioamnionitispretermtau protein

Identifiers

PMID42161310
PMCPMC13308501

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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.