Evidence map›Paper›PMID 23890799›Full record

ArticleMedical hypotheses2013

Mitochondrial-derived N-formyl peptides: novel links between trauma, vascular collapse and sepsis.

C F Wenceslau, C G McCarthy, S Goulopoulou, T Szasz, E G NeSmith, R C Webb

Open access · greenAbstract read
In one paragraph

Article in Medical hypotheses, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

33 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Review
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  4. Mechanisms of mitochondrial damage-associated molecular patterns associated with inflammatory response in cardiovascular diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Traumatic hemorrhage and chain of survival.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    Review
  9. Article
  10. Review
  11. Stem cell therapy for COVID-19 pneumonia.Molecular biomedicine · 2022
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Cells · 2020
    Review
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  19. 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

6 authors at 2 institutions in 1 country.

C F WenceslauDepartment of Physiology, Georgia Regents University, Augusta, GA, USA. Electronic address: camillawenceslau@hotmail.com.
C G McCarthy
S Goulopoulou
T Szasz
E G NeSmith
R C Webb
Augusta University · USAugusta University Health · US

Funding

TNF-alpha: a key player in erectile (dys)functionR01DK083685 · NIDDK · AUGUSTA UNIVERSITY · PI WEBB, R CLINTON · 2009 to 2012
$1.4M
NIDDK NIH HHS R01 DK083685
6 · The paper itself

Abstract

Sepsis is a major cause of mortality and morbidity in trauma patients despite aggressive treatment. Traumatic injury may trigger infective or non-infective systemic inflammatory response syndrome (SIRS) and sepsis. Sepsis and SIRS are accompanied by an inability to regulate the inflammatory response but the cause of this perturbation is still unknown. The major pathophysiological characteristic of sepsis is the vascular collapse (i.e., loss of control of vascular tone); however, at the cellular level the final mediator of extreme vasodilatation has yet to be identified. After trauma, cellular injury releases endogenous damage-associated molecular patterns (DAMPs) that activate the innate immune system. Mitochondrial DAMPs express at least two molecular signatures, N-formyl peptides and mitochondrial DNA that act on formyl peptide receptors (FPRs) and Toll-like receptor 9, respectively. N-Formyl peptides are potent immunocyte activators and, once released in the circulation, they induce modulation of vascular tone by cellular mechanisms that are not completely understood. We have observed that N-formyl peptides from bacterial (FMLP) and mitochondrial (FMIT) sources induce FPR-mediated vasodilatation in resistance arteries. Accordingly, we propose that tissue and cellular trauma induces the release of N-formyl peptides from mitochondria triggering inflammation and vascular collapse via activation of FPR and contributing to the development of sepsis. The proposed hypothesis provides clinically significant information linking trauma, mitochondrial N-formyl peptides and inflammation to vascular collapse and sepsis. If our hypothesis is true, it may lead to new strategies in the management of sepsis that can help clinicians effectively manage non-infectious and infectious inflammatory responses.

Indexed as

HumansImmunity, InnateMitochondrial ProteinsModels, BiologicalReceptors, Formyl PeptideSepsisToll-Like Receptor 9Vascular DiseasesVasodilationWounds and InjuriesMitochondrial ProteinsReceptors, Formyl PeptideToll-Like Receptor 9

Identifiers

PMID23890799
PMCPMC9316415
OpenAlexW2120044665

What OpenQuestion holds

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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.