Evidence map›Paper›PMID 19136373›Full record

ArticleAmerican journal of respiratory and critical care medicine2009

Sepsis alters the megakaryocyte-platelet transcriptional axis resulting in granzyme B-mediated lymphotoxicity.

Robert J Freishtat, Joanne Natale, Angela S Benton, Joanna Cohen, Matthew Sharron, Andrew A Wiles, Wai-Man Ngor, Bahar Mojgani, Margaret Bradbury, Andrew Degnan and 7 more

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

34 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
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  13. Megakaryocyte and Platelet Transcriptomics for Discoveries in Human Health and Disease.Arteriosclerosis, thrombosis, and vascular biology · 2020
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Consumptive coagulopathy is associated with organ dysfunction during PICS.American journal of physiology. Lung cellular and molecular physiology · 2019
    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

17 authors at 4 institutions in 1 country.

Robert J FreishtatDivision of Emergency Medicine, Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC 20010, USA. rfreishtat@cnmcresearch.org
Joanne Natale
Angela S Benton
Joanna Cohen
Matthew Sharron
Andrew A Wiles
Wai-Man Ngor
Bahar Mojgani
Margaret Bradbury
Andrew Degnan
Reecha Sachdeva
Lindsay M Debiase
Svetlana Ghimbovschi
Matthew Chow
Clarice Bunag
Ervand Kristosturyan
Eric P Hoffman
Children's National · USGeorge Washington University · USUniversity of California, Davis · USUniversity of California Davis Medical Center · US

Funding

ZAP-70 EXPRESSION, CD38 EXPRESSION AND PROGNOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIAM01RR020359 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI HINDS, PAMELA S · 2005 to 2010
$13.8M
NCMRR-DC Core Molecular & Functional Outcome Measures in Rehabilitation MedicineR24HD050846 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI KNOBLACH, SUSAN M · 2005 to 2014
$8.6M
MENTORED PATIENT-ORIENTED RESEARCH CAREEER DEVELOPMENT AWARDK23RR020069 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI FREISHTAT, ROBERT J · 2005 to 2009
$623k
NCRR NIH HHS K23 RR020069NCRR NIH HHS K23RR020069NCRR NIH HHS M01 RR020359NCRR NIH HHS M01RR020359-010049NHLBI NIH HHS L40 HL074778NICHD NIH HHS R24HD050846
6 · The paper itself

Abstract

rationaleSepsis-related mortality results in part from immunodeficiency secondary to profound lymphoid apoptosis. The biological mechanisms responsible are not understood.

objectivesBecause recent evidence shows that platelets are involved in microvascular inflammation and that they accumulate in lymphoid microvasculature in sepsis, we hypothesized a direct role for platelets in sepsis-related lymphoid apoptosis.

methodsWe studied megakaryocytes and platelets from a murine-induced sepsis model, with validation in septic children, which showed induction of the cytotoxic serine protease granzyme B. MEASUREMENTS AND MAIN

resultsPlatelets from septic mice induced marked apoptosis of healthy splenocytes ex vivo. Platelets from septic granzyme B null (-/-) mice showed no lymphotoxicity.

conclusionsOur findings establish a conceptual advance in sepsis: Septic megakaryocytes produce platelets with acutely altered mRNA profiles, and these platelets mediate lymphotoxicity via granzyme B. Given the contribution of lymphoid apoptosis to sepsis-related mortality, modulation of platelet granzyme B becomes an important new target for investigation and therapy.

Indexed as

ApoptosisAdolescentAnimalsBlood PlateletsChildChild, PreschoolFemaleGranzymesHumansInfantMaleMegakaryocytesMiceRNA, MessengerSepsisSeverity of Illness IndexGranzymesGZMA protein, humanGZMB protein, humanRNA, Messenger

Identifiers

PMID19136373
PMCPMC2654976
OpenAlexW2052720355

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.