Evidence map›Paper›PMID 22693226›Full record

ArticleThe Journal of infectious diseases2012

Interleukin-7 ameliorates immune dysfunction and improves survival in a 2-hit model of fungal sepsis.

Jacqueline Unsinger, Carey-Ann D Burnham, Jacquelyn McDonough, Michel Morre, Priya S Prakash, Charles C Caldwell, W Michael Dunne, Richard S Hotchkiss

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02640807 (A Multicenter, Randomized, Double-blinded, Placebo-controlled Study of Two Dosing Frequencies of Recombinant Interleukin-7), which is not on this map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
5.3field-weighted citation impact, top 3% 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.

NCT02640807 phase2completednot on this mapstarted 2016, after this paper: background citation

A Multicenter, Randomized, Double-blinded, Placebo-controlled Study of Two Dosing Frequencies of Recombinant Interleukin-7 (CYT107) Treatment to Restore Absolute Lymphocyte Counts in Sepsis Patients.

TypeinterventionalSponsorRevimmuneRan2016 to 2018Enrolled27ConditionsSevere Sepsis With Septic ShockArmsInterleukin-7, Placebo
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 130 citations in OpenAlex.

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20 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

8 authors at 4 institutions in 1 country.

Jacqueline UnsingerDepartment of Anesthesiology, Washington University School of Medicine, St Louis, MO 63110, USA.
Carey-Ann D Burnham
Jacquelyn McDonough
Michel Morre
Priya S Prakash
Charles C Caldwell
W Michael Dunne
Richard S Hotchkiss
Washington University in St. Louis · USUniversity of Cincinnati Medical Center · USCytel (United States) · USUniversity of Washington · US

Funding

Prevention of Apoptotic Cell Death in Sepsis by BCL-2R37GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 2003 to 2012
$5.1M
CELLULAR MECHANISMS OF SEPSIS AND ORGAN FAILURER01GM055194 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 1997 to 2012
$4.7M
PREVENTION OF APOPTOTIC CELL DEATH IN SEPSIS BY BCL-2R01GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 1992 to 2017
$2.7M
NIGMS NIH HHS GM 44118NIGMS NIH HHS GM 55194NIGMS NIH HHS R01 GM044118NIGMS NIH HHS R01 GM055194NIGMS NIH HHS R37 GM044118
6 · The paper itself

Abstract

backgroundSecondary hospital-acquired fungal infections are common in critically-ill patients and mortality remains high despite antimicrobial therapy. Interleukin-7 (IL-7) is a potent immunotherapeutic agent that improves host immunity and has shown efficacy in bacterial and viral models of infection. This study examined the ability of IL-7, which is currently in multiple clinical trials (including hepatitis and human immunodeficiency virus), to improve survival in a clinically relevant 2-hit model of fungal sepsis.

methodsMice underwent cecal ligation and puncture to induce peritonitis. Four days later, surviving mice had intravenous injection with Candida albicans. Following Candida infection, mice were treated with IL-7 or saline control. The effect of IL-7 on host immunity and survival was recorded.

resultsIL-7 ameliorated the loss of immune effector cells and increased lymphocyte functions, including activation, proliferation, expression of adhesion molecules, and interferon-γ production. These beneficial effects of IL-7 were associated with an increase in global immunity as reflected by an enhanced delayed type hypersensitivity response and a 1.7-fold improvement in survival.

conclusionsThe present findings showing that IL-7 improves survival in fungal sepsis, together with its previously reported efficacy in bacterial and viral infectious models, further supports its use as a novel immunotherapeutic in sepsis.

Indexed as

AnimalsCandida albicansCandidemiaDisease Models, AnimalImmunologic FactorsInterleukin-7MaleMiceMice, Inbred C57BLSepsisSurvival AnalysisTreatment OutcomeImmunologic FactorsInterleukin-7

Identifiers

PMID22693226
PMCPMC3491749
OpenAlexW2123701604

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.