Evidence map›Paper›PMID 23145105›Full record

ArticlePloS one2012

Intestine-specific Mttp deletion decreases mortality and prevents sepsis-induced intestinal injury in a murine model of Pseudomonas aeruginosa pneumonia.

Jessica A Dominguez, Yan Xie, W Michael Dunne, Benyam P Yoseph, Eileen M Burd, Craig M Coopersmith, Nicholas O Davidson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The intestinal microenvironment in sepsis.Biochimica et biophysica acta. Molecular basis of disease · 2017
    Review
  5. Review
  6. Pathophysiology of the Gut and the Microbiome in the Host Response.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017
    Review
  7. Article
  8. Pathophysiology of septic shock: From bench to bedside.Presse medicale (Paris, France : 1983) · 2016
    Review
  9. Review
  10. Article
  11. Article
  12. Redefining the gut as the motor of critical illness.Trends in molecular medicine · 2014
    Review
  13. Article
  14. Article
  15. Article
  16. 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 2 institutions in 1 country.

Jessica A DominguezDepartment of Surgery, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Yan Xie
W Michael Dunne
Benyam P Yoseph
Eileen M Burd
Craig M Coopersmith
Nicholas O Davidson
Washington University in St. Louis · USEmory University · US

Funding

Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
HEPATIC SYNTHESIS AND SECRETION OF APOLIPOPROTEIN (A)R01DK056260 · NIDDK · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O. · 1999 to 2017
$5.9M
ENTEROHEPATIC LIPID FLUX AND APOPROTEIN BIOSYNTHESIS.R37HL038180 · NHLBI · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O. · 2000 to 2009
$5.1M
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
ENTEROHEPATIC LIPID FLUX AND APOPROTEIN BIOSYNTHESISR01HL038180 · NHLBI · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O. · 1986 to 2018
$3.8M
Gut Epithelial Apoptosis in Shock and SepsisR01GM066202 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2002 to 2010
$2.4M
The Role of Epidermal Growth Factor in SepsisF32GM082008 · NIGMS · WASHINGTON UNIVERSITY · PI DOMINGUEZ RIEG, JESSICA A · 2008 to 2009
$57k
NHLBI NIH HHS HL38180NHLBI NIH HHS R01 HL038180NHLBI NIH HHS R37 HL038180NIDDK NIH HHS DK56260NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK52574NIDDK NIH HHS R01 DK056260NIGMS NIH HHS F32 GM082008NIGMS NIH HHS GM072808NIGMS NIH HHS GM082008NIGMS NIH HHS GM095442NIGMS NIH HHS GM66202NIGMS NIH HHS R01 GM066202NIGMS NIH HHS R01 GM072808NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

backgroundThe small intestine plays a crucial role in the pathophysiology of sepsis and has been referred to as the "motor" of the systemic inflammatory response. One proposed mechanism is that toxic gut-derived lipid factors, transported in mesenteric lymph, induce systemic injury and distant organ failure. However, the pathways involved are yet to be defined and the role of intestinal chylomicron assembly and secretion in transporting these lipid factors is unknown. Here we studied the outcome of sepsis in mice with conditional, intestine-specific deletion of microsomal triglyceride transfer protein (Mttp-IKO), which exhibit a block in chylomicron assembly together with lipid malabsorption. METHODOLOGY/PRINCIPAL

findingsMttp-IKO mice and controls underwent intratracheal injection with either Pseudomonas aeruginosa or sterile saline. Mttp-IKO mice exhibited decreased seven-day mortality, with 0/20 (0%) dying compared to 5/17 (29%) control mice (p<0.05). This survival advantage in Mttp-IKO mice, however, was not associated with improvements in pulmonary bacterial clearance or neutrophil infiltration. Rather, Mttp-IKO mice exhibited protection against sepsis-associated decreases in villus length and intestinal proliferation and were also protected against increased intestinal apoptosis, both central features in control septic mice. Serum IL-6 levels, a major predictor of mortality in human and mouse models of sepsis, were elevated 8-fold in septic control mice but remained unaltered in septic Mttp-IKO mice. Serum high density lipoprotein (HDL) levels were reduced in septic control mice but were increased in septic Mttp-IKO mice. The decreased levels of HDL were associated with decreased hepatic expression of apolipoprotein A1 in septic control mice. CONCLUSIONS/SIGNIFICANCE: These studies suggest that strategies directed at blocking intestinal chylomicron secretion may attenuate the progression and improve the outcome of sepsis through effects mediated by metabolic and physiological adaptations in both intestinal and hepatic lipid flux.

Indexed as

Intestinal DiseasesPneumoniaPseudomonas aeruginosaAnimalsApoptosisCarrier ProteinsChylomicron RemnantsDisease Models, AnimalFemaleGene DeletionHumansIntestinal MucosaIntestinesMaleMiceSepsisCarrier ProteinsChylomicron Remnantsmicrosomal triglyceride transfer protein

Identifiers

PMID23145105
PMCPMC3493497
OpenAlexW2037728745

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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.