Evidence map›Paper›PMID 23478521›Full record

ArticleAnnals of surgery2014

Toll-like receptor 1 polymorphisms and associated outcomes in sepsis after traumatic injury: a candidate gene association study.

Callie M Thompson, Tarah D Holden, Gail Rona, Balaji Laxmanan, R Anthony Black, Grant E OʼKeefe, Mark M Wurfel

Abstract read
In one paragraph

Article in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
6.3field-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.

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, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Single Nucleotide Polymorphisms and Post-operative Complications Following Major Gastrointestinal Surgery: a Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Pooled it
  2. LBP rs2232618 polymorphism contributes to risk of sepsis after trauma.World journal of emergency surgery : WJES · 2018
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Precision medicine in trauma: a transformational frontier in patient care, education, and research.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Review
  8. Review
  9. Article
  10. Article
  11. Immune Intervention in Sepsis.Frontiers in pharmacology · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Frontiers in genetics · 2019
    Article
  18. Biochemical Markers of Nutrition Support in Critically Ill Trauma Victims.JPEN. Journal of parenteral and enteral nutrition · 2018
    Article
  19. Article
  20. Oncotarget · 2018
    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 1 institution in 1 country.

Callie M Thompson*Department of Surgery †Division of Pulmonary and Critical Care Medicine, University of Washington, Harborview Medical Center, Seattle, WA.
Tarah D Holden
Gail Rona
Balaji Laxmanan
R Anthony Black
Grant E OʼKeefe
Mark M Wurfel
Harborview Medical Center · US

Funding

Variation in Human Innate ImmunityU54AI057141 · NIAID · UNIVERSITY OF WASHINGTON · PI COOKSON, BRAD T · 2003 to 2013
$102.3M
TRAUMA AND BURNST32GM007037 · NIGMS · UNIVERSITY OF WASHINGTON · PI O'KEEFE, GRANT E · 1985 to 2014
$3.3M
Gene Polymorphisms, Inflammation and Outcome from TraumaR01GM066946 · NIGMS · UNIVERSITY OF WASHINGTON · PI O'KEEFE, GRANT E · 2003 to 2007
$1.6M
NIAID NIH HHS AI57141NIAID NIH HHS U54 AI057141NIGMS NIH HHS 1R01 GM066946-01NIGMS NIH HHS R01 GM066946NIGMS NIH HHS T32 GM007037NIGMS NIH HHS T32 GM00737
6 · The paper itself

Abstract

objectiveTo determine whether single nucleotide polymorphisms (SNPs) in TLR1 are associated with mortality, specifically sepsis-associated mortality, in a traumatically injured population.

backgroundInnate immune responses mediated by toll-like receptors (TLRs) induce early inflammatory responses to pathogen and damage-associated molecular patterns. Genetic variation in TLRs has been associated with susceptibility and outcomes in a number of infectious and noninfectious disease states.

methodsPatients admitted to the trauma intensive care unit at a level 1 trauma center serving 4 states were enrolled and followed for development of infection, sepsis, and death. Genomic DNA was genotyped and logistic regression analysis was performed to determine associations between TLR1 SNPs and mortality. We further examined for associations between TLR1 SNPs and mortality in subgroups on the basis of the presence of sepsis and the type of sepsis-associated organism.

resultsWe enrolled 1961 patients. TLR1-7202G (rs5743551) was associated with increased mortality after traumatic injury and this association was primarily observed in the subset of patients who developed sepsis [adjusted odds ratio (OR): 3.16; 95% confidence interval (CI): 1.43-6.97, P=0.004]. This association persisted after further restriction to gram-positive sepsis. TLR1(742A/G(Asn248Ser)) (rs4833095), a coding SNP in LD with TLR1-7202G, was also associated with mortality in gram-positive sepsis (adjusted OR: 4.16; 95% CI: 1.22-14.19, P=0.023).

conclusionsGenetic variation in TLR1 is associated with increased mortality in patients with sepsis after traumatic injury and may represent a novel marker of risk for death in critically injured patients.

Indexed as

Polymorphism, Single NucleotideAdultFemaleGenetic Predisposition to DiseaseHumansImmunity, InnateMaleMiddle AgedSepsisToll-Like Receptor 1Wounds and InjuriesYoung AdultToll-Like Receptor 1

Identifiers

PMID23478521
PMCPMC3686843
OpenAlexW1989464452

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.