Evidence map›Paper›PMID 19237912›Full record

ArticleCritical care medicine2009

Effects of aging on the immunopathologic response to sepsis.

Isaiah R Turnbull, Andrew T Clark, Paul E Stromberg, David J Dixon, Cheryl A Woolsey, Christopher G Davis, Richard S Hotchkiss, Timothy G Buchman, Craig M Coopersmith

Open access · greenAbstract read
In one paragraph

Article in Critical care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.

  1. Pooled it
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  18. Transcriptomic responses from improved murine sepsis models can better mimic human surgical sepsis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021
    Article
  19. Aged IRF3-KO Mice are Protected from Sepsis.Journal of inflammation research · 2021
    Article
  20. Article

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

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

9 authors at 1 institution in 1 country.

Isaiah R TurnbullDepartment of Surgery, Washington University School of Medicine, St Louis, MO, USA.
Andrew T Clark
Paul E Stromberg
David J Dixon
Cheryl A Woolsey
Christopher G Davis
Richard S Hotchkiss
Timothy G Buchman
Craig M Coopersmith
Washington University in St. Louis · US

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Prevention of Apoptotic Cell Death in Sepsis by BCL-2R37GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 2003 to 2012
$5.1M
Mechanisms of Intestinal Integrity in Sepsis and ShockR01GM072808 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2005 to 2021
$5.1M
CELLULAR MECHANISMS OF SEPSIS AND ORGAN FAILURER01GM055194 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 1997 to 2012
$4.7M
PREVENTION OF APOPTOTIC CELL DEATH IN SEPSIS BY BCL-2R01GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 1992 to 2017
$2.7M
Gut Epithelial Apoptosis in Shock and SepsisR01GM066202 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2002 to 2010
$2.4M
NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK52574NIGMS NIH HHS GM044118NIGMS NIH HHS GM055194NIGMS NIH HHS GM072808NIGMS NIH HHS GM66202NIGMS NIH HHS R01 GM044118NIGMS NIH HHS R01 GM055194NIGMS NIH HHS R01 GM066202NIGMS NIH HHS R01 GM072808NIGMS NIH HHS R37 GM044118
6 · The paper itself

Abstract

objectiveAging is associated with increased inflammation following sepsis. The purpose of this study was to determine whether this represents a fundamental age-based difference in the host response or is secondary to the increased mortality seen in aged hosts.

designProspective, randomized controlled study.

settingAnimal laboratory in a university medical center. SUBJECTS: Young (6-12 weeks) and aged (20-24 months) FVB/N mice.

interventionsMice were subjected to 2 x 25 or 1 x 30 cecal ligation and puncture (CLP). MEASUREMENTS AND MAIN

resultsSurvival was similar in young mice subjected to 2 x 25 CLP and aged mice subjected to 1 x 30 CLP (p = 0.15). Young mice subjected to 1 x 30 CLP had improved survival compared with the other groups (p < 0.05). When injury was held constant but mortality was greater, both systemic and peritoneal levels of tumor necrosis factor-alpha, interleukin (IL)-6, IL-10, and monocyte chemotactic protein-1 were elevated 24 hours after CLP in aged animals compared with young animals (p < 0.05). When mortality was similar but injury severity was different, there were no significant differences in systemic cytokines between aged mice and young mice. In contrast, peritoneal levels of tumor necrosis factor-alpha, IL-6, and IL-10 were higher in aged mice subjected to 1 x 30 CLP than young mice subjected to 2 x 25 CLP despite their similar mortalities (p < 0.05). There were no significant differences in either bacteremia or peritoneal cultures when animals of different ages sustained similar injuries or had different injuries with similar mortalities.

conclusionsAged mice are more likely to die of sepsis than young mice when subjected to an equivalent insult, and this is associated with increases in both systemic and local inflammation. There is an exaggerated local but not systemic inflammatory response in aged mice compared with young mice when mortality is similar. This suggests that systemic processes that culminate in death may be age independent, but the local inflammatory response may be greater with aging.

Indexed as

Age FactorsAgingAnimalsMiceSepsis

Identifiers

PMID19237912
PMCPMC2760736
OpenAlexW1996021211

What OpenQuestion holds

Textmetadata
LicenceTDM
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.