Evidence map›Paper›PMID 23935244›Full record

Observational studyMediators of inflammation2013

Characterising cytokine gene expression signatures in patients with severe sepsis.

Robert Grealy, Mary White, Patrick Stordeur, Dermot Kelleher, Derek G Doherty, Ross McManus, Thomas Ryan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Mediators of inflammation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.4field-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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Prolonged Transcriptional Consequences in Survivors of Sepsis.International journal of molecular sciences · 2021
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. 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 3 institutions in 2 countries.

Robert GrealyDepartment of Clinical Medicine, Institute of Molecular Medicine, Trinity College Dublin, St James's Hospital, Dublin 8, Ireland.
Mary White
Patrick Stordeur
Dermot Kelleher
Derek G Doherty
Ross McManus
Thomas Ryan
St. James's Hospital · IETrinity College Dublin · IEErasmus Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSevere sepsis in humans may be related to an underlying profound immune suppressive state. We investigated the link between gene expression of immune regulatory cytokines and the range of illness severity in patients with infection and severe sepsis.

methodsA prospective observational study included 54 ICU patients with severe sepsis, 53 patients with infection without organ failure, and 20 healthy controls. Gene expression in peripheral blood mononuclear cells (PBMC) was measured using real-time polymerase chain reaction.

resultsInfection differed from health by decreased expression of the IL2, and IL23 and greater expression of IL10 and IL27. Severe sepsis differed from infection by having decreased IL7, IL23, IFN γ , and TNF α gene expression. An algorithm utilising mRNA copy number for TNF α , IFN γ , IL7, IL10, and IL23 accurately distinguished sepsis from severe sepsis with a receiver operator characteristic value of 0.88. Gene expression was similar with gram-positive and gram-negative infection and was similar following medical and surgical severe sepsis. Severity of organ failure was associated with serum IL6 protein levels but not with any index of cytokine gene expression in PBMCs.

conclusionsImmune regulatory cytokine gene expression in PBMC provides a robust method of modelling patients' response to infection.

Indexed as

Gene Expression ProfilingAdultAgedAlgorithmsCritical CareCytokinesFemaleGene ExpressionHumansIntensive Care UnitsInterleukinsLeukocytes, MononuclearMaleMiddle AgedPatient AdmissionProspective StudiesCytokinesInterleukinsRNA, Messenger

Identifiers

PMID23935244
PMCPMC3713593
OpenAlexW2018633542

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.