Evidence map›Paper›PMID 19221037›Full record

ArticleBlood2009

Impaired neutrophil extracellular trap (NET) formation: a novel innate immune deficiency of human neonates.

Christian C Yost, Mark J Cody, Estelle S Harris, Nathan L Thornton, Alison M McInturff, Mark L Martinez, Nancy B Chandler, Christopher K Rodesch, Kurt H Albertine, Cathy A Petti and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 185 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 3 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT01735565 completednot on this mapstarted 2012, after this paper: background citation

Neutrophil Extracellular Trap Formation in Patients Undergoing Bone Marrow Transplant

TypeobservationalSponsorUniversity of UtahRan2012 to 2016Enrolled23ConditionsBone Marrow Transplant
NCT02554630 completednot on this mapstarted 2016, after this paper: background citation

Novel Mechanisms and Approaches to Treat Neonatal Sepsis: Adjuvant Therapies, Host Microbiome, and Genomic Expression and Functional Capacity of Innate Immune Cells

TypeobservationalSponsorUniversity of FloridaRan2016 to 2022Enrolled142ConditionsComplication of Prematurity, Immunologic Deficiency SyndromesArmsAdjuvant, Blood Collection
3 · Its place in the literature

Who cites it

185 citing papers in PubMed, 3 syntheses or guidelines pooled it, 348 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Immune development in early life.Nature immunology · 2026
    Review
  10. Circulating DNA and Neutrophil-Derived Biomarkers in Neonatal Sepsis.International journal of molecular sciences · 2026
    Observational
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Christian C YostDepartment of Pediatrics/Neonatology, University of Utah, Salt Lake City, USA. christian.yost@hmbg.utah.edu
Mark J Cody
Estelle S Harris
Nathan L Thornton
Alison M McInturff
Mark L Martinez
Nancy B Chandler
Christopher K Rodesch
Kurt H Albertine
Cathy A Petti
Andrew S Weyrich
Guy A Zimmerman
Fluor (United States) · USUniversity of Utah · US

Funding

TRANSLATIONAL EVENTS IN PLATELETSR01HL066277 · NHLBI · UNIVERSITY OF UTAH · PI WEYRICH, ANDREW S · 2001 to 2012
$3.8M
Molecular Interactions of Myeloid Cells with EndotheliumR37HL044525 · NHLBI · UNIVERSITY OF UTAH · PI ZIMMERMAN, GUY A. · 2004 to 2013
$3.5M
Translational Regulation of Gene Expression in Neonatal PMNsK08HD049699 · NICHD · UNIVERSITY OF UTAH · PI YOST, CHRISTIAN CON · 2006 to 2010
$673k
NHLBI NIH HHS 5R01 HL066277-07NHLBI NIH HHS 5R37 HL044525-20NHLBI NIH HHS R01 HL066277NHLBI NIH HHS R37 HL044525NICHD NIH HHS K08 HD049699
6 · The paper itself

Abstract

Neutrophils are highly specialized innate effector cells that have evolved for killing of pathogens. Human neonates have a common multifactorial syndrome of neutrophil dysfunction that is incompletely characterized and contributes to sepsis and other severe infectious complications. We identified a novel defect in the antibacterial defenses of neonates: inability to form neutrophil extracellular traps (NETs). NETs are lattices of extracellular DNA, chromatin, and antibacterial proteins that mediate extracellular killing of microorganisms and are thought to form via a unique death pathway signaled by nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-generated reactive oxygen species (ROS). We found that neutrophils from term and preterm infants fail to form NETs when activated by inflammatory agonists-in contrast to leukocytes from healthy adults. The deficiency in NET formation is paralleled by a previously unrecognized deficit in extracellular bacterial killing. Generation of ROSs did not complement the defect in NET formation by neonatal neutrophils, as it did in adult cells with inactivated NADPH oxidase, demonstrating that ROSs are necessary but not sufficient signaling intermediaries and identifying a deficiency in linked or downstream pathways in neonatal leukocytes. Impaired NET formation may be a critical facet of a common developmental immunodeficiency that predisposes newborn infants to infection.

Indexed as

Blood Bactericidal ActivityAdultAgingChromatinDisease SusceptibilityDNAExtracellular SpaceFetal BloodHumansInfant, NewbornInfant, PrematureInfectionsLipopolysaccharidesMacromolecular SubstancesNeutrophilsPlatelet Activating FactorChromatinDNAlipopolysaccharide, Escherichia coli O111 B4LipopolysaccharidesMacromolecular SubstancesPlatelet Activating Factorplatelet activating factor receptorPlatelet Membrane GlycoproteinsReceptors, G-Protein-CoupledRNA, MessengerTLR4 protein, humanToll-Like Receptor 4

Identifiers

PMID19221037
PMCPMC2710935
OpenAlexW2030207450

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.