Evidence map›Paper›PMID 19891773›Full record

ArticleCritical care (London, England)2009

Association of mannose-binding lectin-2 genotype and serum levels with prognosis of sepsis.

Jin Won Huh, Kyuyoung Song, Jung-Sun Yum, Sang-Bum Hong, Chae-Man Lim, Younsuck Koh

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
0.8field-weighted citation impact, top 27% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Mannose-Binding Lectin Levels in Critically Ill Children With Severe Infections.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017
    Trial
  6. Article
  7. Role ofDiagnostics (Basel, Switzerland) · 2022
    Article
  8. Article
  9. Article
  10. Serial Changes in Mannose-Binding Lectin in Patients with Sepsis.Tuberculosis and respiratory diseases · 2018
    Article
  11. Article
  12. Article
  13. The role of MBL2 gene polymorphism in sepsis incidence.International journal of clinical and experimental pathology · 2015
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Changes in Mannose-Binding Lectin and Collectin Kidney 1 Levels in Sepsis Patients With and Without Disseminated Intravascular Coagulation.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

6 authors at 4 institutions in 1 country.

Jin Won HuhDepartment of Pulmonary and Critical Care Medicine, Inje University Ilsan Paik Hospital, Goyang-si, 411-706, Korea. jwhuh@paik.ac.kr
Kyuyoung Song
Jung-Sun Yum
Sang-Bum Hong
Chae-Man Lim
Younsuck Koh
Asan Medical Center · KRInje University Ilsan Paik Hospital · KRUlsan College · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndividuals deficient in mannose-binding lectin (MBL), an important component of the innate immune system, show increased susceptibility to infection. We investigated whether polymorphisms in the MBL2 gene and the serum level are associated with the severity and prognosis of sepsis.

methodsA total of 266 patients with sepsis and 398 healthy controls were enrolled. We analyzed the three single nucleotide polymorphisms (Gly54Asp, -550, and +4) in the MBL2 gene. Serum samples collected on day 1 were analyzed for the levels of MBL.

resultsPatients who were heterozygous (A/B) or homozygous (B/B) at codon 54 (adjusted odds ratio (OR), 0.370; 95% confidence interval (CI), 0.207-0.661, P = 0.001) and who were heterozygous (H/L) or homozygous (L/L) at -550 (adjusted OR, 0.476; 95% CI, 0.249-0.910, P = 0.025) were less likely to have septic shock in the sepsis group. Using Cox regression analysis for 28-day mortality, an MBL level > or = 1.3 microg/mL showed significantly lower 28-day mortality (P = 0.020; hazard ratio, 0.571; 95% CI, 0.355-0.916) in the septic shock group.

conclusionsHomozygosity at codons 54 (A/A) and -550 (H/H) appears to be associated with the severity, but not the outcome, of sepsis, whereas a low MBL level may be an independent risk factor for mortality. These findings suggest that the genotype and serum level for MBL2 may have different clinical implications.

Indexed as

Polymorphism, Single NucleotideAgedAmino Acid SubstitutionDNA PrimersEnzyme-Linked Immunosorbent AssayFemaleGene FrequencyGenotypeHumansMaleMannose-Binding LectinMiddle AgedPrognosisReference ValuesRetrospective StudiesSepsisDNA PrimersMannose-Binding LectinMBL2 protein, human

Identifiers

PMID19891773
PMCPMC2811900
OpenAlexW2154983952

What OpenQuestion holds

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LicenceCC BY
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.