Evidence map›Paper›PMID 19047409›Full record

ArticleInfection and immunity2009

Inhibition of complement and CD14 attenuates the Escherichia coli-induced inflammatory response in porcine whole blood.

Ebbe Billmann Thorgersen, Anne Pharo, Karin Haverson, Anne K Axelsen, Peter Gaustad, Girish J Kotwal, Georgia Sfyroera, Tom Eirik Mollnes

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Article
  8. Inhibition of complement C5 protects against organ failure and reduces mortality in a baboon model ofProceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  9. Article
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  11. Review
  12. Article
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  15. Article
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  17. Article
  18. CD14 inhibition efficiently attenuates early inflammatory and hemostatic responses in Escherichia coli sepsis in pigs.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2010
    Article
  19. Therapeutic potential of complement modulation.Nature reviews. Drug discovery · 2010
    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 5 institutions in 4 countries.

Ebbe Billmann ThorgersenInstitute of Immunology, Rikshospitalet University Hospital, University of Oslo, Oslo, Norway. ebbtho@rr-research.no
Anne Pharo
Karin Haverson
Anne K Axelsen
Peter Gaustad
Girish J Kotwal
Georgia Sfyroera
Tom Eirik Mollnes
University of Oslo · NOOslo University Hospital · NOUniversity of Bristol · GBUniversity of Cape Town · ZAUniversity of Pennsylvania · US

Funding

Biomaterial-induced complement activationR01EB003968 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2005 to 2008
$1.0M
NIBIB NIH HHS R01 EB003968NIBIB NIH HHS R01 EB003968-01A1
6 · The paper itself

Abstract

The innate immune response is a double-edged sword in systemic inflammation and sepsis. Uncontrolled or inappropriate activation can damage and be lethal to the host. Several studies have investigated inhibition of downstream mediators, including tumor necrosis factor alpha (TNF-alpha) and interleukin-1beta (IL-1beta). Emerging evidence indicates that upstream inhibition is a better therapeutic approach for attenuating damaging immune activation. Therefore, we investigated inhibition of two central innate immune pathways, those of complement and CD14/Toll-like receptor 4 (TLR4)/myeloid differentiation protein 2 (MD-2), in a porcine in vitro model of Escherichia coli-induced inflammation. Porcine whole blood anticoagulated with lepuridin, which did not interfere with the complement system, was incubated with E. coli lipopolysaccharide (LPS) or whole bacteria. Inhibitors of complement and CD14 and thus the LPS CD14/TLR4/MD-2 receptor complex were tested to investigate the effect on the inflammatory response. A broad range of inflammatory readouts were used to monitor the effect. Anti-CD14 was found to saturate the CD14 molecule on granulocytes and completely inhibited LPS-induced proinflammatory cytokines in a dose-dependent manner. Anti-CD14 significantly reduced the levels of the E. coli-induced proinflammatory cytokines TNF-alpha and IL-1beta, but not IL-8, in a dose-dependent manner. No effect on bacterial clearance was seen. Vaccinia complement control protein and smallpox inhibitor of complement enzymes, two Orthopoxvirus-encoded complement inhibitors, completely inhibited complement activation. Furthermore, these agents almost completely inhibited the expression of wCD11R3, which is associated with CD18 as a beta2 integrin, on porcine granulocytes and decreased IL-8 levels significantly in a dose-dependent manner. As expected, complement inhibition reduced bacterial clearance. We conclude that inhibition of complement and CD14 attenuates E. coli-induced inflammation and might be used as a therapeutic regimen in gram-negative sepsis along with appropriate treatment with antibiotics.

Indexed as

AnimalsAntibodies, MonoclonalCD11 AntigensComplement System ProteinsCytokinesEscherichia coliGene Expression RegulationGranulocytesImmunity, InnateInflammationLipopolysaccharide ReceptorsLipopolysaccharidesSwineViral Matrix ProteinsAntibodies, MonoclonalCD11 AntigensComplement System ProteinsCytokinesLipopolysaccharide ReceptorsLipopolysaccharidesSPICE protein, variola virusViral Matrix Proteins

Identifiers

PMID19047409
PMCPMC2632024
OpenAlexW2145285544

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.