Evidence map›Paper›PMID 16568325›Full record

ArticleLangenbeck's archives of surgery2006

The vagal nerve as a link between the nervous and immune system in the instance of polymicrobial sepsis.

Wolfram Kessler, Tobias Traeger, Alexandra Westerholt, Friederike Neher, Marlene Mikulcak, Antje Müller, Stefan Maier, Claus-Dieter Heidecke

Abstract read
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.7field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Article
  5. Article
  6. Neural pathways involved in infection-induced inflammation: recent insights and clinical implications.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2018
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. The alpha 7 nicotinic receptor agonist PHA-543613 hydrochloride inhibits Porphyromonas gingivalis-induced expression of interleukin-8 by oral keratinocytes.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2014
    Article
  12. Article
  13. Article
  14. Review
  15. Neural reflexes in inflammation and immunity.The Journal of experimental medicine · 2012
    Review
  16. Review
  17. Article
  18. Reflex principles of immunological homeostasis.Annual review of immunology · 2012
    Review
  19. Immunonutrition with long-chain fatty acids prevents activation of macrophages in the gut wall.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011
    Article
  20. Review
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

8 authors at 2 institutions in 1 country.

Wolfram KesslerDepartment of Surgery, Abteilung für Allgemeine Chirurgie, Visceral-Thorax- und Gefässchirurgie, Universitätsklinikum Greifswald der Ernst-Moritz-Arndt-Universität, Friedrich-Loeffler-Strasse 23b, 17475, Greifswald, Germany. wkessler@uni-greifswald.de
Tobias Traeger
Alexandra Westerholt
Friederike Neher
Marlene Mikulcak
Antje Müller
Stefan Maier
Claus-Dieter Heidecke
Universität Greifswald · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of the vagal nerve in the autonomic nervous system is widely well known. Recently, an additional function was revealed serving as a connector between the nervous and immune system. This connection is called the "cholinergic inflammatory pathway." Through stimulation of the acetylcholine receptors located upon the macrophages, the "unspecific" immune system can be directly influenced.

methodsThe vagal nerve was completely transected directly posterior to its passage through the diaphragm. The effect of complete vagotomy was analyzed using a murine model of polymicrobial peritonitis (colon ascendens stent peritonitis, CASP). Survival and clinical course of vagotomized or sham-operated mice were analyzed in the CASP model.

resultsAfter CASP surgery, vagotomy led to a significantly increased mortality (64.7%) in comparison to sham-vagotomized animals (34%). No difference in the bacterial load of various tissues (lung, liver, spleen, blood, lavage fluid, and kidney) from septic animals with or without vagotomy was observed. Vagotomized animals reveal elevated serum cytokine levels (TNF, IL-6, IL-10, and MCP-1) 20 h after the induction of polymicrobial peritonitis.

conclusionThe vagal nerve is therefore an important modulator of the immune system.

Indexed as

VagotomyAnimalsChemokine CCL2Colonic DiseasesDisease Models, AnimalFemaleImmune SystemInterleukin-10Interleukin-6Intestinal PerforationMiceMice, Inbred C57BLPeritonitisSepsisSurvival AnalysisTumor Necrosis Factor-alphaCCL2 protein, humanChemokine CCL2Interleukin-10Interleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID16568325
OpenAlexW2087003809

What OpenQuestion 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 OpenQuestion graph.