Evidence map›Paper›PMID 19756496›Full record

ArticleIntensive care medicine2010

Bacillus anthracis cell wall produces injurious inflammation but paradoxically decreases the lethality of anthrax lethal toxin in a rat model.

Xizhong Cui, Junwu Su, Yan Li, Joseph Shiloach, Steven Solomon, Jeanne B Kaufman, Haresh Mani, Yvonne Fitz, Jia Weng, Laith Altaweel and 2 more

Abstract readEvaluation Study
In one paragraph

Article in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Molecular determinants for a cardiovascular collapse in anthrax.Frontiers in bioscience (Elite edition) · 2014
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Anthrax infection.American journal of respiratory and critical care medicine · 2011
    Review
  14. Review
  15. Review
  16. Article
  17. Article
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

12 authors at 3 institutions in 1 country.

Xizhong CuiCritical Care Medicine Department, Clinical Center, National Institutes of Health, Building 10, Room 2C148, Bethesda, MD 20892, USA.
Junwu Su
Yan Li
Joseph Shiloach
Steven Solomon
Jeanne B Kaufman
Haresh Mani
Yvonne Fitz
Jia Weng
Laith Altaweel
Virginia Besch
Peter Q Eichacker
National Institutes of Health · USNational Institutes of Health Clinical Center · USNational Cancer Institute · US

Funding

Production and purification of biological compoundsZICDK015500 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI SHILOACH, JOSEPH · 2009 to 2022
$7.2M
Production , purification and preparation of various candidiate vaccines ZICDK070011 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI SHILOACH, JOSEPH · 2010 to 2016
$1.9M
The Effects of B. anthracis Cell Wall in a Small Animal ModelZIACL008091 · CLC · CLINICAL CENTER · PI EICHACKER, PETER · 2009 to 2009
$0k
Intramural NIH HHS ZIA CL008091
6 · The paper itself

Abstract

objectivesThe in vivo inflammatory effects of the Bacillus anthracis cell wall are unknown. We therefore investigated these effects in rats and, for comparison, those of known inflammatory stimulants, Staphylococcus aureus cell wall or lipopolysaccharide (LPS). METHOD AND

resultsSprague-Dawley rats (n = 103) were challenged with increasing B. anthracis cell wall doses (10, 20, 40, 80, or 160 mg/kg) or diluent (control) as a bolus or 24-h infusion. The three highest bolus doses were lethal (20-64% lethality rates) as were the two highest infused doses (13% with each). Comparisons among lethal or nonlethal doses on other measured parameters were not significantly different, and these were combined for analysis. Over the 24 h after challenge initiation with lethal bolus or infusion, compared to controls, ten inflammatory cytokines and NO levels were increased and circulating neutrophils and platelets decreased (P <or= 0.05). Changes with lethal doses were greater than changes with nonlethal doses (P <or= 0.01). Lethal bolus or infusion doses produced hypotension or hypoxemia, respectively (P <or= 0.05). The effects with B. anthracis cell wall were similar to those of S. aureus cell wall or LPS. However, paradoxically administration of B. anthracis cell wall or LPS decreased the lethality of concurrently administered B. anthracis lethal toxin (P < 0.0001 and 0.04, respectively).

conclusionB. anthracis cell wall has the potential to produce inflammatory injury during anthrax infection clinically. However, understanding why cell wall or LPS paradoxically reduced lethality with lethal toxin may help understand this toxin's pathogenic effects.

Indexed as

AnimalsBacillus anthracisBacterial InfectionsBacterial ToxinsBlood PlateletsCell WallDisease Models, AnimalKaplan-Meier EstimateLymphocytesNeutrophilsRandom AllocationRatsRats, Sprague-DawleyStaphylococcus aureusTime FactorsBacterial Toxins

Identifiers

PMID19756496
PMCPMC3401931
OpenAlexW1979178039

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.