Evidence map›Paper›PMID 17989345›Full record

ArticleAmerican journal of respiratory and critical care medicine2008

CD40 and CD80/86 act synergistically to regulate inflammation and mortality in polymicrobial sepsis.

Anna Nolan, Michael Weiden, Ann Kelly, Yoshihiko Hoshino, Satomi Hoshino, Nehal Mehta, Jeffrey A Gold

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

58 citing papers in PubMed, 99 citations in OpenAlex.

  1. Trial
  2. TheBioMed research international · 2018
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  11. CD8Frontiers in immunology · 2024
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  17. Point-of-critical-care diagnostics for sepsis enabled by multiplexed micro and nanosensing technologies.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology · 2021
    Review
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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

7 authors at 2 institutions in 1 country.

Anna NolanOregon Health and Science University, Division of Pulmonary and Critical Care, Mail Code UHN67, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Michael Weiden
Ann Kelly
Yoshihiko Hoshino
Satomi Hoshino
Nehal Mehta
Jeffrey A Gold
Pulmonary and Critical Care Associates · USOregon Health & Science University · US

Funding

HIV/TB INTERACTION IN THE LUNGR01HL057879 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WEIDEN, MICHAEL D. · 1999 to 2008
$3.8M
Role of Macrophage Costimulatory Molecules in Polymicrobial SepsisR01AI067522 · NIAID · OREGON HEALTH & SCIENCE UNIVERSITY · PI GOLD, JEFFREY A. · 2007 to 2011
$1.9M
CD80 and CD86 mediated innate immune response in sepsisK23HL084191 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NOLAN, ANNA · 2008 to 2013
$955k
Role of CD40 in Sepsis-Induced Lung InjuryK08HL070710 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI GOLD, JEFFREY ALLEN · 2002 to 2006
$657k
NHLBI NIH HHS K08 HL070710NHLBI NIH HHS K23 HL084191NHLBI NIH HHS R01 HL57879NIAID NIH HHS R01 AI067522
6 · The paper itself

Abstract

rationaleCostimulatory molecules, including the CD40-CD154 and CD80/86-CD28 dyads, play a prominent role in regulating inflammation in the adaptive immune response. Studies from our group and others suggest a potentially important role for these costimulatory cascades in innate immunity as well.

objectivesTo determine the role of CD80/86 alone and in combination with CD40 in lethal polymicrobial sepsis in mice and humans.

methodsThe murine cecal ligation and puncture (CLP) model was used to determine the role of CD80/86 alone and in combination with CD40 using wild-type mice, CD80/86(-/-) mice, and novel CD40/80/86(-/-) mice. Expression of cell-bound and soluble costimulatory molecules was assessed in humans via ELISA and flow cytometry. MEASUREMENTS AND MAIN

resultsLethal CLP was associated with up-regulation of CD40 and CD80/86 and their respective ligands CD28 and CD154 on innate effector cells. Blockade or deletion of CD80/86 attenuated mortality and inflammatory cytokine production during CLP. CD40/80/86(-/-) mice exhibited further reductions in mortality, lung injury, and inflammatory cytokine production compared with CD80/86(-/-) mice. Finally, humans with sepsis had increased monocyte expression of CD40 and CD80 compared with healthy control subjects; with higher levels in subjects requiring vasopressor support. Levels of soluble CD28 and CD154 were significantly higher in patients who died compared with those who lived.

conclusionsThese data demonstrate a central role for CD40 and CD80/86 in the innate immune response and suggest that combined inhibition of CD40 and CD80/86 may improve mortality in sepsis. Expression of costimulatory molecules may serve as biomarkers for outcome in septic patients.

Indexed as

Up-RegulationAnimalsB7-1 AntigenB7-2 AntigenBiomarkersCase-Control StudiesCD40 AntigensDisease Models, AnimalEnzyme-Linked Immunosorbent AssayFemaleHumansImmunity, InnateInflammationKaplan-Meier EstimateMaleMiceB7-1 AntigenB7-2 AntigenBiomarkersCD40 Antigens

Identifiers

PMID17989345
PMCPMC2218847
OpenAlexW1972364434

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.