Evidence map›Paper›PMID 21263075›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2011

Distinct different contributions of the alternative and classical complement activation pathway for the innate host response during sepsis.

Katja Dahlke, Christiane D Wrann, Oliver Sommerfeld, Maik Sossdorf, Peter Recknagel, Svea Sachse, Sebastian W Winter, Andreas Klos, Gregory L Stahl, Yuanyuan Xu Ma and 4 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Bacterial and host interactions inFrontiers in microbiology · 2025
    Review
  5. Article
  6. Review
  7. Article
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  13. Review
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  18. Article
  19. OPSI threat in hematological patients.Translational medicine @ UniSa · 2013
    Article
  20. 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

14 authors at 5 institutions in 2 countries.

Katja DahlkeDepartment of Anesthesiology and Intensive Care Therapy, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany.
Christiane D Wrann
Oliver Sommerfeld
Maik Sossdorf
Peter Recknagel
Svea Sachse
Sebastian W Winter
Andreas Klos
Gregory L Stahl
Yuanyuan Xu Ma
Ralf A Claus
Konrad Reinhart
Michael Bauer
Niels C Riedemann
Friedrich Schiller University Jena · DEJena University Hospital · DEMedizinische Hochschule Hannover · DEHarvard University · USUniversity of Alabama at Birmingham · US

Funding

MECHANISMS OF COMPLEMENT INDUCED ENDOTHELIAL DYSFUNCTIONR01HL056086 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STAHL, GREGORY L · 1996 to 2014
$5.0M
Innate Immunity and Cardiovascular FunctionR01AI089781 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI STAHL, GREGORY L · 2012 to 2016
$2.8M
INNATE IMMUNITY AND MYOCARDIAL INJURYR01HL063927 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STAHL, GREGORY L · 2000 to 2003
$1.7M
Innate Immunity, Biomarkers and Myocardial InfarctionRC1HL099130 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STAHL, GREGORY L · 2009 to 2010
$992k
Innate Immunity and Cardiovascular FunctionR56AI089781 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI STAHL, GREGORY L · 2010 to 2010
$556k
Mechanisms of complement induced endothelial dysfunctionR56HL056086 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STAHL, GREGORY L · 2009 to 2009
$445k
NHLBI NIH HHS R01 HL056086NHLBI NIH HHS R01 HL063927NHLBI NIH HHS R56 HL056086NHLBI NIH HHS RC1 HL099130NIAID NIH HHS R01 AI089781NIAID NIH HHS R56 AI089781
6 · The paper itself

Abstract

Complement activation represents a crucial innate defense mechanism to invading microorganisms, but there is an eminent lack of understanding of the separate contribution of the different complement activation pathways to the host response during sepsis. We therefore investigated different innate host immune responses during cecal ligation and puncture (CLP)-induced sepsis in mice lacking either the alternative (fD(-/-)) or classical (C1q(-/-)) complement activation pathway. Both knockout mice strains showed a significantly reduced survival and increased organ dysfunction when compared with control mice. Surprisingly, fD(-/-) mice demonstrated a compensated bacterial clearance capacity as control mice at 6 h post CLP, whereas C1q(-/-) mice were already overwhelmed by bacterial growth at this time point. Interestingly, at 24 h after CLP, fD(-/-) mice failed to clear bacteria in a way comparable to control mice. However, both knockout mice strains showed compromised C3 cleavage during sepsis. Investigating potential causes for this discrepancy, we were able to demonstrate that despite normal bacterial clearance capacity early during the onset of sepsis, fD(-/-) mice displayed increased inflammatory cytokine generation and neutrophil recruitment into lungs and blood when compared with both control- and C1q(-/-) mice, indicating a potential loss of control over these immune responses. Further in vitro experiments revealed a strongly increased Nf-κB activation capacity in isolated neutrophils from fD(-/-) mice, supporting this hypothesis. Our results provide evidence for the new concept that the alternative complement activation pathway exerts a distinctly different contribution to the innate host response during sepsis when compared with the classical pathway.

Indexed as

AnimalsBacterial LoadCecumComplement ActivationComplement C1qComplement Factor DComplement Pathway, AlternativeComplement Pathway, ClassicalImmunity, InnateKidneyLigationLiverLungMiceMice, Inbred C57BLMice, KnockoutComplement C1qComplement Factor D

Identifiers

PMID21263075
PMCPMC3512104
OpenAlexW2117028746

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.