Evidence map›Paper›PMID 23737601›Full record

ArticleThe Journal of infectious diseases2013

Bacillus anthracis cell wall peptidoglycan but not lethal or edema toxins produces changes consistent with disseminated intravascular coagulation in a rat model.

Ping Qiu, Yan Li, Joseph Shiloach, Xizhong Cui, Junfeng Sun, Loc Trinh, Joanna Kubler-Kielb, Evgeny Vinogradov, Haresh Mani, Mariam Al-Hamad and 2 more

Open access · bronzeAbstract readComparative Study
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. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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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

12 authors at 6 institutions in 1 country.

Ping QiuCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
Yan Li
Joseph Shiloach
Xizhong Cui
Junfeng Sun
Loc Trinh
Joanna Kubler-Kielb
Evgeny Vinogradov
Haresh Mani
Mariam Al-Hamad
Yvonne Fitz
Peter Q Eichacker
Center for Clinical Research (United States) · USNational Institute of Diabetes and Digestive and Kidney Diseases · USInova Fairfax Hospital · USNational Academies of Sciences, Engineering, and Medicine · USNational Institutes of Health · USNational Institutes of Health Clinical Center · US

Funding

The Effects of Anthrax Toxins and Cell Wall on Coagulation and ThrombosisZIACL090023 · CLC · CLINICAL CENTER · PI EICHACKER, PETER · 2010 to 2020
$0k
6 · The paper itself

Abstract

backgroundDisseminated intravascular coagulation (DIC) appears to be important in the pathogenesis of Bacillus anthracis infection, but its causes are unclear. Although lethal toxin (LT) and edema toxin (ET) could contribute, B. anthracis cell wall peptidoglycan (PGN), not the toxins, stimulates inflammatory responses associated with DIC. METHODS AND

resultsTo better understand the pathogenesis of DIC during anthrax, we compared the effects of 24-hour infusions of PGN, LT, ET, or diluent (control) on coagulation measures 6, 24, or 48 hours after infusion initiation in 135 rats. No control recipient died. Lethality rates (approximately 30%) did not differ among PGN, LT, and ET recipients (P = .78). Thirty-three of 35 deaths (94%) occurred between 6 and 24 hours after the start of challenge. Among challenge components, PGN most consistently altered coagulation measures. Compared with control at 6 hours, PGN decreased platelet and fibrinogen levels and increased prothrombin and activated partial thromboplastin times and tissue factor, tissue factor pathway inhibitor, protein C, plasminogen activator inhibitor (PAI), and thrombin-antithrombin complex levels, whereas LT and ET only decreased the fibrinogen level or increased the PAI level (P ≤ .05). Nearly all effects associated with PGN infusion significantly differed from changes associated with toxin infusion (P ≤ .05 for all comparisons except for PAI level).

conclusionDIC during B. anthracis infection may be related more to components such as PGN than to LT or ET.

Indexed as

AnimalsAnthraxAntigens, BacterialAntithrombin IIIBacillus anthracisBacterial ToxinsBlood CoagulationCell WallDisseminated Intravascular CoagulationFibrinogenNitric OxidePartial Thromboplastin TimePeptide HydrolasesPeptidoglycanPlasminogen InactivatorsProtein Canthrax toxinAntigens, BacterialAntithrombin IIIantithrombin III-protease complexBacterial ToxinsFibrinogenNitric OxidePeptide HydrolasesPeptidoglycanPlasminogen InactivatorsProtein CProthrombinThromboplastinanthrax infectionBacillus anthraciscoagulopathydisseminated intravascular coagulationedema toxinlethal toxinpeptidoglycansepsisthrombocytopenia

Identifiers

PMID23737601
PMCPMC3749004
OpenAlexW2098557986

What OpenQuestion holds

Textmetadata
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.