Evidence map›Paper›PMID 20466856›Full record

ArticleBlood2010

Complement inhibition decreases the procoagulant response and confers organ protection in a baboon model of Escherichia coli sepsis.

Robert Silasi-Mansat, Hua Zhu, Narcis I Popescu, Glenn Peer, Georgia Sfyroera, Paola Magotti, Lacramioara Ivanciu, Cristina Lupu, Tom E Mollnes, Fletcher B Taylor and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

117 citing papers in PubMed, 181 citations in OpenAlex.

  1. Trial
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  12. Dysregulation of Host-Pathogen Interactions in Sepsis: Host-Related Factors.Seminars in respiratory and critical care medicine · 2024
    Review
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  19. Complement System Inhibitory Drugs in a Zebrafish (International journal of molecular sciences · 2023
    Article
  20. Sepsis: network pathophysiology and implications for early diagnosis.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Review

57 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

13 authors at 5 institutions in 2 countries.

Robert Silasi-MansatCardiovascular Biology Research Program, Oklahoma Medical Research Foundation, 825 NE 13th Street, Oklahoma City, OK 73104, USA.
Hua Zhu
Narcis I Popescu
Glenn Peer
Georgia Sfyroera
Paola Magotti
Lacramioara Ivanciu
Cristina Lupu
Tom E Mollnes
Fletcher B Taylor
Gary Kinasewitz
John D Lambris
Florea Lupu
Oklahoma Medical Research Foundation · USUniversity of Pennsylvania · USNordland Hospital · NOOU HealthUniversity of Oklahoma Health Sciences Center · US

Funding

Role of complement in kidney disorders: from hemodialysis to transportationP01AI068730 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2007 to 2018
$16.0M
CORE--BABOON RESEARCH RESOURCE PROGRAMP40RR012317 · NCRR · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI WHITE, GARY L · 1998 to 2011
$13.0M
STRUCTURAL-FUNCTIONAL ANALYSIS OF COMPSTATINR01GM062134 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2001 to 2010
$2.5M
SUPPRESSION OF ANTICOAGULANT FACTORSR01GM037704 · NIGMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI LUPU, FLOREA · 1987 to 2009
$2.5M
Validation of extracellular histones as biomarker and therapeutic target in sepsiRC1GM091739 · NIGMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI ESMON, CHARLES T, KINASEWITZ, GARY · 2009 to 2010
$1.0M
NCRR NIH HHS P40 RR012317NIAID NIH HHS AI068730NIAID NIH HHS P01 AI068730NIGMS NIH HHS 1RC1GM09739-01NIGMS NIH HHS GM037704-19NIGMS NIH HHS GM062134NIGMS NIH HHS R01 GM037704NIGMS NIH HHS R01 GM062134NIGMS NIH HHS RC1 GM091739
6 · The paper itself

Abstract

Severe sepsis leads to massive activation of coagulation and complement cascades that could contribute to multiple organ failure and death. To investigate the role of the complement and its crosstalk with the hemostatic system in the pathophysiology and therapeutics of sepsis, we have used a potent inhibitor (compstatin) administered early or late after Escherichia coli challenge in a baboon model of sepsis-induced multiple organ failure. Compstatin infusion inhibited sepsis-induced blood and tissue biomarkers of complement activation, reduced leucopenia and thrombocytopenia, and lowered the accumulation of macrophages and platelets in organs. Compstatin decreased the coagulopathic response by down-regulating tissue factor and PAI-1, diminished global blood coagulation markers (fibrinogen, fibrin-degradation products, APTT), and preserved the endothelial anticoagulant properties. Compstatin treatment also improved cardiac function and the biochemical markers of kidney and liver damage. Histologic analysis of vital organs collected from animals euthanized after 24 hours showed decreased microvascular thrombosis, improved vascular barrier function, and less leukocyte infiltration and cell death, all consistent with attenuated organ injury. We conclude that complement-coagulation interplay contributes to the progression of severe sepsis and blocking the harmful effects of complement activation products, especially during the organ failure stage of severe sepsis is a potentially important therapeutic strategy.

Indexed as

Escherichia coli InfectionsSepsisAnimalsBiomarkersBlood CoagulationBlood PressureComplement ActivationComplement Inactivator ProteinsCytokinesDisease Models, AnimalMultiple Organ FailurePapioPeptides, CyclicBiomarkersComplement Inactivator ProteinscompstatinCytokinesPeptides, Cyclic

Identifiers

PMID20466856
PMCPMC2924221
OpenAlexW1993580673

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.