Evidence map›Paper›PMID 23042193›Full record

ArticleShock (Augusta, Ga.)2012

The endogenous bacteria alter gut epithelial apoptosis and decrease mortality following Pseudomonas aeruginosa pneumonia.

Amy C Fox, Kevin W McConnell, Benyam P Yoseph, Elise Breed, Zhe Liang, Andrew T Clark, David O'Donnell, Brendan Zee-Cheng, Enjae Jung, Jessica A Dominguez and 3 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 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. HS-AssociatedMicroorganisms · 2025
    Article
  4. Microbiota and Immunity during Respiratory Infections: Lung and Gut Affair.International journal of molecular sciences · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Gut Microbiome in Sepsis.Surgical infections · 2023
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Lung microbiome - a modern knowledge.Central-European journal of immunology · 2020
    Review
  18. Article
  19. Article
  20. The gut microbiome alters immunophenotype and survival from sepsis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    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

13 authors at 3 institutions in 1 country.

Amy C FoxDepartment of Surgery, Washington University School of Medicine, St Louis, MO, USA.
Kevin W McConnell
Benyam P Yoseph
Elise Breed
Zhe Liang
Andrew T Clark
David O'Donnell
Brendan Zee-Cheng
Enjae Jung
Jessica A Dominguez
W Michael Dunne
Eileen M Burd
Craig M Coopersmith
Washington University in St. Louis · USEmory University · USEmory Healthcare · US

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
Mechanisms of Intestinal Integrity in Sepsis and ShockR01GM072808 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2005 to 2021
$5.1M
Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
Gut Epithelial Apoptosis in Shock and SepsisR01GM066202 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2002 to 2010
$2.4M
POSTDOCTORAL TRAINING PROGRAM IN CRITICAL CARET32GM008795 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 2001 to 2010
$1.6M
NIDDK NIH HHS DK52574NIDDK NIH HHS P30 DK052574NIGMS NIH HHS GM008795NIGMS NIH HHS GM072808NIGMS NIH HHS GM095442NIGMS NIH HHS GM66202NIGMS NIH HHS R01 GM066202NIGMS NIH HHS R01 GM072808NIGMS NIH HHS T32 GM008795NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

The endogenous bacteria have been hypothesized to play a significant role in the pathophysiology of critical illness, although their role in sepsis is poorly understood. The purpose of this study was to determine how commensal bacteria alter the host response to sepsis. Conventional and germ-free (GF) C57Bl/6 mice were subjected to Pseudomonas aeruginosa pneumonia. All GF mice died within 2 days, whereas 44% of conventional mice survived for 7 days (P = 0.001). Diluting the dose of bacteria 10-fold in GF mice led to similar survival in GF and conventional mice. When animals with similar mortality were assayed for intestinal integrity, GF mice had lower levels of intestinal epithelial apoptosis but similar levels of proliferation and intestinal permeability. Germ-free mice had significantly lower levels of tumor necrosis factor and interleukin 1β in bronchoalveolar lavage fluid compared with conventional mice without changes in systemic cytokine production. Under conventional conditions, sepsis unmasks lymphocyte control of intestinal epithelial apoptosis, because sepsis induces a greater increase in gut apoptosis in Rag-1 mice than in wild-type mice. However, in a separate set of experiments, gut apoptosis was similar between septic GF Rag-1 mice and septic GF wild-type mice. These data demonstrate that the endogenous bacteria play a protective role in mediating mortality from pneumonia-induced sepsis, potentially mediated through altered intestinal apoptosis and the local proinflammatory response. In addition, sepsis-induced lymphocyte-dependent increases in gut epithelial apoptosis appear to be mediated by the endogenous bacteria.

Indexed as

ApoptosisGerm-Free LifePseudomonas aeruginosaAnimalsIntestinal MucosaMiceMice, KnockoutPneumonia, BacterialPseudomonas InfectionsSepsis

Identifiers

PMID23042193
PMCPMC3475731
OpenAlexW2071022292

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.