Evidence map›Paper›PMID 30374129›Full record

Trial reportNature immunology2018

Inflammation induced by influenza virus impairs human innate immune control of pneumococcus.

Simon P Jochems, Fernando Marcon, Beatriz F Carniel, Mark Holloway, Elena Mitsi, Emma Smith, Jenna F Gritzfeld, Carla Solórzano, Jesús Reiné, Sherin Pojar and 14 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 3 pooled it
14.6field-weighted citation impact, top 1% of its field
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

99 citing papers in PubMed, 3 syntheses or guidelines pooled it, 194 citations in OpenAlex.

  1. Pooled it
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  12. Review
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  14. Bacterial and host factors affecting acquisition ofbioRxiv : the preprint server for biology · 2026
    Article
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  20. (Inter)feron the Reaper: New Insights on an Old Cytokine in Secondary Bacterial Pneumonia.American journal of respiratory cell and molecular biology · 2025
    Article

39 more citing papers are in PubMed but not listed here.

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

24 authors at 4 institutions in 4 countries.

Simon P JochemsDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. simon.jochems@lstmed.ac.uk.ORCID http://orcid.org/0000-0002-4835-1032
Fernando MarconDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo, São Paolo, Brazil.
Beatriz F CarnielDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Mark HollowayDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Elena MitsiDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Emma SmithDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Jenna F GritzfeldDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Carla SolórzanoDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Jesús ReinéDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Sherin PojarDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Elissavet NikolaouDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Esther L GermanDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Angie Hyder-WrightDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Helen HillDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Caz HalesDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID http://orcid.org/0000-0002-3197-1657
Wouter A A de Steenhuijsen PitersCentre for Inflammation Research, University of Edinburgh, Edinburgh, UK.
Debby BogaertCentre for Inflammation Research, University of Edinburgh, Edinburgh, UK.
Hugh AdlerDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID http://orcid.org/0000-0003-4437-2298
Seher ZaidiDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Victoria ConnorDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Stephen B GordonDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Jamie RylanceDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID http://orcid.org/0000-0002-2323-3611
Helder I NakayaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo, São Paolo, Brazil. hnakaya@usp.br.ORCID http://orcid.org/0000-0001-5297-9108
Daniela M FerreiraDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. daniela.ferreira@lstmed.ac.uk.ORCID http://orcid.org/0000-0002-0594-0902
Liverpool School of Tropical Medicine · GBUniversidade de São Paulo · BRUniversity Medical Center Utrecht · NLUniversity of Liverpool · GB

Funding

Chief Scientist Office SCAF/16/03Medical Research Council MR/M011569/1Wellcome Trust
6 · The paper itself

Abstract

Colonization of the upper respiratory tract by pneumococcus is important both as a determinant of disease and for transmission into the population. The immunological mechanisms that contain pneumococcus during colonization are well studied in mice but remain unclear in humans. Loss of this control of pneumococcus following infection with influenza virus is associated with secondary bacterial pneumonia. We used a human challenge model with type 6B pneumococcus to show that acquisition of pneumococcus induced early degranulation of resident neutrophils and recruitment of monocytes to the nose. Monocyte function was associated with the clearance of pneumococcus. Prior nasal infection with live attenuated influenza virus induced inflammation, impaired innate immune function and altered genome-wide nasal gene responses to the carriage of pneumococcus. Levels of the cytokine CXCL10, promoted by viral infection, at the time pneumococcus was encountered were positively associated with bacterial load.

Indexed as

Chemokine CXCL10Chemotaxis, LeukocyteCoinfectionDouble-Blind MethodHumansImmunity, InnateInflammationInfluenza, HumanMonocytesNasal MucosaNeutrophilsPneumococcal InfectionsStreptococcus pneumoniaeChemokine CXCL10CXCL10 protein, human

Identifiers

PMID30374129
PMCPMC6241853
OpenAlexW2897306773

What Socratic holds

Textmetadata
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 Socratic graph.