Evidence map›Paper›PMID 23042189›Full record

ArticleShock (Augusta, Ga.)2012

Inducible nitric oxide synthase contributes to immune dysfunction following trauma.

Sophie S Darwiche, Roman Pfeifer, Christoph Menzel, Xiangcai Ruan, Marcus Hoffman, Changchun Cai, R Savanh Chanthaphavong, Patricia Loughran, Bruce R Pitt, Rosemary Hoffman and 2 more

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. A Large-Scale Single-Cell Atlas Reveals the Peripheral Immune Panorama of Bacterial Pneumonia.American journal of respiratory and critical care medicine · 2025
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  9. Ethyl Acetate Extract of Artemisia anomala S. Moore Displays Potent Anti-Inflammatory Effect.Evidence-based complementary and alternative medicine : eCAM · 2014
    Article
  10. Article
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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

12 authors at 4 institutions in 3 countries.

Sophie S DarwicheDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Roman Pfeifer
Christoph Menzel
Xiangcai Ruan
Marcus Hoffman
Changchun Cai
R Savanh Chanthaphavong
Patricia Loughran
Bruce R Pitt
Rosemary Hoffman
Hans-Christoph Pape
Timothy R Billiar
University of Pittsburgh Medical Center · USGuangzhou First People's Hospital · CNFH Aachen · DEUniversity of Pittsburgh · US

Funding

Nitric Oxide and Hepatic Function in Sepsis and TraumaR37GM044100 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BILLIAR, TIMOTHY R · 2003 to 2012
$3.1M
NIGMS NIH HHS R37 GM044100
6 · The paper itself

Abstract

Trauma results in a persistent depression in adaptive immunity, which contributes to patient morbidity and mortality. This state of immune paralysis following trauma is characterized by a change in cell-mediated immunity, specifically a depression in T-cell function and a shift toward TH2 T-cell phenotype. Upregulation of inducible nitric oxide synthase (iNOS) is well recognized after injury and contributes to the inflammatory response and organ damage early after trauma. However, it is unknown whether iNOS plays a role in adaptive immune dysfunction after trauma. This study utilized a murine model of severe peripheral tissue injury to show that iNOS is rapidly upregulated in macrophages and a (Gr-1-CD11b) myeloid-derived suppressor cell subpopulation in the spleen. Through the use of iNOS knockout mice, a specific iNOS inhibitor, and a nitric oxide (NO) scavenger, this study demonstrates that iNOS-derived NO is required for the depression in T-lymphocyte proliferation, interferon γ, and interleukin 2 production within the spleen at 48 h after trauma. These findings support the hypothesis that iNOS regulates immune suppression following trauma and suggest that targeting the sustained production of NO by iNOS may attenuate posttraumatic immune depression.

Indexed as

Immunity, CellularAnimalsGene Expression Regulation, EnzymologicImmune ToleranceInterferon-gammaInterleukin-2MacrophagesMiceMice, KnockoutNitric OxideNitric Oxide Synthase Type IISpleenTh2 CellsUp-RegulationWounds and InjuriesInterferon-gammaInterleukin-2Nitric OxideNitric Oxide Synthase Type IINos2 protein, mouse

Identifiers

PMID23042189
PMCPMC3475737
OpenAlexW1995537251

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.