Evidence map›Paper›PMID 23359590›Full record

ArticleThe Journal of infectious diseases2013

The Toll-like receptor 9 ligand, CpG oligodeoxynucleotide, attenuates cardiac dysfunction in polymicrobial sepsis, involving activation of both phosphoinositide 3 kinase/Akt and extracellular-signal-related kinase signaling.

Ming Gao, Tuanzhu Ha, Xia Zhang, Xiaohui Wang, Li Liu, John Kalbfleisch, Krishna Singh, David Williams, Chuanfu Li

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03267160 (An Observation Study of Exosome Proteomics Released From Cardiopulmonary Organs and Hemodynamic Parameters in Sepsis), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.0field-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.

NCT03267160 completednot on this mapstarted 2017, after this paper: background citation

An Observation Study of Exosome Proteomics Released From Cardiopulmonary Organs and Hemodynamic Parameters in Sepsis

TypeobservationalSponsorTaipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationRan2017 to 2020Enrolled30ConditionsHemodynamic Instability, AutophagyArmsHemodynamic parameters
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Polyglycerol-Amine Covered Nanosheets Target Cell-Free DNA to Attenuate Acute Kidney Injury.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Article
  4. Article
  5. mTOR pathway mediates endoplasmic reticulum stress-induced CD4Apoptosis : an international journal on programmed cell death · 2022
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. HExperimental and therapeutic medicine · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Role of microRNAs in sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2017
    Review
  20. 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

9 authors at 3 institutions in 3 countries.

Ming GaoDepartment of Surgery, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614-0575, USA.
Tuanzhu Ha
Xia Zhang
Xiaohui Wang
Li Liu
John Kalbfleisch
Krishna Singh
David Williams
Chuanfu Li
East Tennessee State University · USNanjing Medical University · CNZimmer Biomet (Netherlands) · NL

Funding

Role of Toll-Like Receptor Signaling in Cardiac IschemiaR01HL071837 · NHLBI · EAST TENNESSEE STATE UNIVERSITY · PI LI, CHUANFU · 2003 to 2022
$6.1M
Innate Immunity and Cardiovascular Function in SepsisR01GM083016 · NIGMS · EAST TENNESSEE STATE UNIVERSITY · PI LI, CHUANFU, WILLIAMS, DAVID L. · 2009 to 2021
$3.8M
AMELIORATION OF SEPSIS BY MACROPHAGE ACTIVATIONR01GM053522 · NIGMS · EAST TENNESSEE STATE UNIVERSITY · PI WILLIAMS, DAVID L. · 1996 to 2015
$3.4M
Extracellular ubiquitin: role in myocyte apoptosis and myocardial remodelingR21HL092459 · NHLBI · EAST TENNESSEE STATE UNIVERSITY · PI SINGH, KRISHNA · 2009 to 2010
$392k
Role of ATM in Cardiac Myocyte Loss and Myocardial RemodelingR21HL091405 · NHLBI · EAST TENNESSEE STATE UNIVERSITY · PI SINGH, KRISHNA · 2008 to 2009
$391k
NHLBI NIH HHS HL071837NHLBI NIH HHS HL091405NHLBI NIH HHS HL092459NHLBI NIH HHS R01 HL071837NHLBI NIH HHS R21 HL091405NHLBI NIH HHS R21 HL092459NIGMS NIH HHS GM083016NIGMS NIH HHS GM53522NIGMS NIH HHS R01 GM053522NIGMS NIH HHS R01 GM083016
6 · The paper itself

Abstract

backgroundToll-like receptors (TLRs) play a role in the pathophysiology of sepsis and multiple organ failure. This study examined the effect of CpG oligodeoxynucleotide (CpG-ODN), the TLR9 ligand, on polymicrobial sepsis-induced cardiac dysfunction.

methodsMale C57BL/6 mice were treated with CpG-ODN, control CpG-ODN (control-ODN), or inhibitory CpG-ODN (iCpG-ODN) 1 hour prior to cecal ligation and puncture (CLP)-induced sepsis. Mice that underwent sham surgery served as sham controls. Cardiac function was examined by echocardiography before and 6 hours after CLP.

resultsCardiac function was significantly decreased 6 hours after CLP. CpG-ODN prevented CLP-induced cardiac dysfunction, as evidenced by maintenance of the ejection fraction and fractional shortening. Control-ODN or iCpG-ODN did not alter CLP-induced cardiac dysfunction. CpG-ODN significantly attenuated CLP-induced myocardial apoptosis and increased myocardial Akt and extracellular-signal-related kinase (ERK) phosphorylation levels following CLP. In vitro experiments demonstrated that CpG-ODN promotes an association between TLR9 and Ras, resulting in Akt and ERK phosphorylation. Inhibition of phosphoinositide 3-kinase (PI3K) by Ly294002 or inhibition of ERK by U0126 in vivo abolished CpG-ODN attenuation of CLP-induced cardiac dysfunction.

conclusionsCpG-ODN prevents CLP-induced cardiac dysfunction, in part through activation of PI3K/Akt and ERK signaling. Modulation of TLR9 could be an effective approach for treatment of cardiovascular dysfunction in patients with sepsis or septic shock.

Indexed as

AnimalsCardiovascular AgentsEchocardiographyHeartHeart FailureMaleMiceMice, Inbred C57BLOligodeoxyribonucleotidesSepsisTreatment OutcomeCardiovascular AgentsCPG-oligonucleotideOligodeoxyribonucleotides

Identifiers

PMID23359590
PMCPMC3693590
OpenAlexW2113936762

What OpenQuestion holds

Textmetadata
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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.