Evidence map›Paper›PMID 21886795›Full record

ArticlePloS one2011

Modulation of syndecan-1 shedding after hemorrhagic shock and resuscitation.

Ricky J Haywood-Watson, John B Holcomb, Ernest A Gonzalez, Zhanglong Peng, Shibani Pati, Pyong Woo Park, WeiWei Wang, Ana Maria Zaske, Tyler Menge, Rosemary A Kozar

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed
5.0field-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

106 citing papers in PubMed, 214 citations in OpenAlex.

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  11. Research Advances in the Pathogenesis of Sepsis-Associated Encephalopathy.International journal of molecular sciences · 2026
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46 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

10 authors at 3 institutions in 1 country.

Ricky J Haywood-WatsonDepartment of Surgery, The University of Texas Health Science Center at Houston, Houston, Texas, United States of America.
John B Holcomb
Ernest A Gonzalez
Zhanglong Peng
Shibani Pati
Pyong Woo Park
WeiWei Wang
Ana Maria Zaske
Tyler Menge
Rosemary A Kozar
The University of Texas Health Science Center at Houston · USHarvard University · USThe University of Texas at Austin · US

Funding

U OF TEXAS HLTH SCI CTR HOUSTON CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR024148 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2006 to 2010
$27.9M
SUMS)P50GM038529 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MERCER, DAVID W · 1988 to 2008
$11.7M
ROLE OF THE GUT IN POST INJURY MULTIPLE ORGAN FAILURET32GM008792 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Charles S Cox · 2001 to 2026
$5.2M
Syndecan shedding after trauma and hemorrhagic shockR01GM107482 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KOZAR, ROSEMARY A · 2013 to 2016
$1.2M
NCRR NIH HHS UL1 RR024148NIGMS NIH HHS P50 GM038529NIGMS NIH HHS P-50 GM38529NIGMS NIH HHS R01 GM107482NIGMS NIH HHS T-32 GM008792NIGMS NIH HHS T32 GM008792
6 · The paper itself

Abstract

The early use of fresh frozen plasma as a resuscitative agent after hemorrhagic shock has been associated with improved survival, but the mechanism of protection is unknown. Hemorrhagic shock causes endothelial cell dysfunction and we hypothesized that fresh frozen plasma would restore endothelial integrity and reduce syndecan-1 shedding after hemorrhagic shock. A prospective, observational study in severely injured patients in hemorrhagic shock demonstrated significantly elevated levels of syndecan-1 (554±93 ng/ml) after injury, which decreased with resuscitation (187±36 ng/ml) but was elevated compared to normal donors (27±1 ng/ml). Three pro-inflammatory cytokines, interferon-γ, fractalkine, and interleukin-1β, negatively correlated while one anti-inflammatory cytokine, IL-10, positively correlated with shed syndecan-1. These cytokines all play an important role in maintaining endothelial integrity. An in vitro model of endothelial injury then specifically examined endothelial permeability after treatment with fresh frozen plasma orlactated Ringers. Shock or endothelial injury disrupted junctional integrity and increased permeability, which was improved with fresh frozen plasma, but not lactated Ringers. Changes in endothelial cell permeability correlated with syndecan-1 shedding. These data suggest that plasma based resuscitation preserved endothelial syndecan-1 and maintained endothelial integrity, and may help to explain the protective effects of fresh frozen plasma after hemorrhagic shock.

Indexed as

ResuscitationAdultAntigens, CDCadherin 5CadherinsCell MembraneCohort StudiesCytokinesEndotheliumFemaleHumansImmunohistochemistryMaleModels, BiologicalPlasmaShock, HemorrhagicAntigens, CDCadherin 5CadherinsCytokinesSyndecan-1

Identifiers

PMID21886795
PMCPMC3158765
OpenAlexW2023000147

What OpenQuestion holds

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Registered trials

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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.