Evidence map›Paper›PMID 23717394›Full record

ArticlePloS one2013

Chronic alcohol ingestion increases mortality and organ injury in a murine model of septic peritonitis.

Benyam P Yoseph, Elise Breed, Christian E Overgaard, Christina J Ward, Zhe Liang, Maylene E Wagener, Daniel R Lexcen, Elizabeth R Lusczek, Greg J Beilman, Eileen M Burd and 5 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Ethanol Exposure Attenuates Immune Response in Sepsis via Sirtuin 2 Expression.Alcoholism, clinical and experimental research · 2021
    Article
  11. Forensic NMR metabolomics: one more arrow in the quiver.Metabolomics : Official journal of the Metabolomic Society · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Gut-liver axis signaling in portal hypertension.World journal of gastroenterology · 2019
    Review
  17. Review
  18. Article
  19. Gut integrity in critical illness.Journal of intensive care · 2019
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Benyam P YosephDepartment of Surgery and Emory Center for Critical Care, Emory University School of Medicine, Atlanta, Georgia, USA.
Elise Breed
Christian E Overgaard
Christina J Ward
Zhe Liang
Maylene E Wagener
Daniel R Lexcen
Elizabeth R Lusczek
Greg J Beilman
Eileen M Burd
Alton B Farris
David M Guidot
Michael Koval
Mandy L Ford
Craig M Coopersmith

Funding

THE ROLE OF TGFB IN ETHANOL MEDIATED LUNG INJURYP50AA013757 · NIAAA · EMORY UNIVERSITY · PI GUIDOT, DAVID MARSHALL · 2003 to 2013
$15.7M
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
Determinants of T Cell Fate in Transplantation ToleranceR01AI073707 · NIAID · EMORY UNIVERSITY · PI FORD, MANDY L · 2008 to 2021
$4.0M
Institutional Training Grant in Alcohol ResearchT32AA013528 · NIAAA · EMORY UNIVERSITY · PI GUIDOT, DAVID MARSHALL · 2002 to 2011
$3.2M
Molecular determinants of lung barrier functionR01HL083120 · NHLBI · EMORY UNIVERSITY · PI KOVAL, MICHAEL H. · 2006 to 2009
$1.4M
Zinc deficiency in the alcoholic lungR01AA017627 · NIAAA · EMORY UNIVERSITY · PI GUIDOT, DAVID MARSHALL, JOSHI, PRATIBHA C · 2010 to 2014
$1.3M
NHLBI NIH HHS R01 HL083120NHLBI NIH HHS R01HL083120NIAAA NIH HHS P50 AA013757NIAAA NIH HHS P50AA013757NIAAA NIH HHS R01 AA017627NIAAA NIH HHS R01AA017627NIAAA NIH HHS T32 AA013528NIAAA NIH HHS T32AA013528NIAID NIH HHS R01 AI073707NIAID NIH HHS R01AI073707NIGMS NIH HHS R01 GM072808NIGMS NIH HHS R01GM072808NIGMS NIH HHS T32 GM095442NIGMS NIH HHS T32GM095442
6 · The paper itself

Abstract

backgroundPatients admitted to the intensive care unit with alcohol use disorders have increased morbidity and mortality. The purpose of this study was to determine how chronic alcohol ingestion alters the host response to sepsis in mice.

methodsMice were randomized to receive either alcohol or water for 12 weeks and then subjected to cecal ligation and puncture. Mice were sacrificed 24 hours post-operatively or followed seven days for survival.

resultsSeptic alcohol-fed mice had a significantly higher mortality than septic water-fed mice (74% vs. 41%, p = 0.01). This was associated with worsened gut integrity in alcohol-fed mice with elevated intestinal epithelial apoptosis, decreased crypt proliferation and shortened villus length. Further, alcohol-fed mice had higher intestinal permeability with decreased ZO-1 and occludin protein expression in the intestinal tight junction. The frequency of splenic and bone marrow CD4+ T cells was similar between groups; however, splenic CD4+ T cells in septic alcohol-fed mice had a marked increase in both TNF and IFN-γ production following ex vivo stimulation. Neither the frequency nor function of CD8+ T cells differed between alcohol-fed and water-fed septic mice. NK cells were decreased in both the spleen and bone marrow of alcohol-fed septic mice. Pulmonary myeloperoxidase levels and BAL levels of G-CSF and TFG-β were higher in alcohol-fed mice. Pancreatic metabolomics demonstrated increased acetate, adenosine, xanthine, acetoacetate, 3-hydroxybutyrate and betaine in alcohol-fed mice and decreased cytidine, uracil, fumarate, creatine phosphate, creatine, and choline. Serum and peritoneal cytokines were generally similar between alcohol-fed and water-fed mice, and there were no differences in bacteremia, lung wet to dry weight, or pulmonary, liver or splenic histology.

conclusionsWhen subjected to the same septic insult, mice with chronic alcohol ingestion have increased mortality. Alterations in intestinal integrity, the host immune response, and pancreatic metabolomics may help explain this differential response.

Indexed as

Alcohol DrinkingAnimalsApoptosisCytokinesEthanolImmunityIntestinal MucosaIntestinesLiverMaleMetabolomicsMiceOccludinPancreasPeritonitisPermeabilityCytokinesEthanolOccludinOcln protein, mousePeroxidaseTjp1 protein, mouseZonula Occludens-1 Protein

Identifiers

PMID23717394
PMCPMC3661585

What OpenQuestion holds

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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.