Evidence map›Paper›PMID 22576002›Full record

ArticleShock (Augusta, Ga.)2012

Procalcitonin as a predictive biomarker for total body irradiation-induced bacterial load and lethality in mice.

Prabath G Biju, Sarita Garg, Wenze Wang, Mashkoor A Choudhry, Elizabeth J Kovacs, Louis M Fink, Martin Hauer-Jensen

Open access · greenAbstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Procalcitonin to guide antibiotic administration in COPD exacerbations: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2017
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. The pathogenesis of mucositis: updated perspectives and emerging targets.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Sepsis induced by Staphylococcus aureus: participation of biomarkers in a murine model.Medical science monitor : international medical journal of experimental and clinical research · 2015
    Article
  18. 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

7 authors at 4 institutions in 1 country.

Prabath G BijuDepartment of Pharmaceutical Sciences, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Sarita Garg
Wenze Wang
Mashkoor A Choudhry
Elizabeth J Kovacs
Louis M Fink
Martin Hauer-Jensen
University of Arkansas for Medical Sciences · USLoyola University Chicago · USCentral Arkansas Veterans Healthcare System · USDesert Research Institute · US

Funding

Somatostatin analogues as countermeasures against intestinal radiation toxicityU19AI067798 · NIAID · DUKE UNIVERSITY · PI CHAO, NELSON J. · 2005 to 2024
$82.1M
Alcohol Intoxication and Postburn Intestinal ImmunityR01AA015731 · NIAAA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHOUDHRY, MASHKOOR A · 2007 to 2017
$3.8M
Inflammatory response after combined insult of radiation and burn injuryR33AI080528 · NIAID · LOYOLA UNIVERSITY CHICAGO · PI KOVACS, ELIZABETH J. · 2010 to 2012
$1.1M
NIAAA NIH HHS R01 AA015731NIAID NIH HHS R33 AI080528NIAID NIH HHS U19 AI067798NIAID NIH HHS U19 AI67798
6 · The paper itself

Abstract

Sepsis is the leading cause of mortality in intensive care units. Early detection and intervention are critical to prevent death. The acute radiation syndrome is characterized by damage of the gastrointestinal and hematopoietic systems. Translocation of intestinal microflora combined with immune system compromise may lead to septicemia and death. This work examined the utility of procalcitonin, a clinical sepsis biomarker, in a mouse model of radiation toxicity. C57/BL6 mice were exposed to total body irradiation (TBI). Intestinal mucosal permeability was measured in vivo, and liver bacterial load and plasma levels of procalcitonin (PCT), lipopolysaccharide (LPS), and LPS-binding protein were measured at baseline and at 3.5, 7, and 10 days after TBI. The value of early PCT in predicting subsequent lethality was determined by receiver operating characteristic analysis. Four days after TBI, a dose-dependent increase in permeability of the intestinal mucosa was observed, whereas bacterial translocation was present from day 7 onward. There was a high positive correlation between bacterial translocation and all sepsis biomarkers, with PCT exhibiting the strongest correlation. Moreover, plasma PCT levels were elevated already from day 3.5 onward, whereas LPS was elevated from day 7 and LPS-binding protein only 10 days after TBI. Receiver operating characteristic analysis revealed that PCT levels measured 3.5 days after TBI predicted lethality at 10 days. These data demonstrate the value of PCT as an early biomarker in radiation-induced bacteremia for mouse studies and suggest that clinical results from other septic conditions may apply to postradiation septicemia in humans.

Indexed as

Bacterial LoadAcute-Phase ProteinsAnimalsBacteremiaBacterial TranslocationBiomarkersCalcitoninCalcitonin Gene-Related PeptideCarrier ProteinsEnzyme-Linked Immunosorbent AssayFluorescenceIntestinal MucosaLipopolysaccharide-Binding ProteinLipopolysaccharidesLiverLiver DiseasesAcute-Phase ProteinsBiomarkersCALCA protein, humanCalca protein, mouseCalcitoninCalcitonin Gene-Related PeptideCarrier ProteinsLipopolysaccharide-Binding ProteinLipopolysaccharidesMembrane GlycoproteinsProtein Precursors

Identifiers

PMID22576002
PMCPMC3399035
OpenAlexW2006815098

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.