Evidence map›Paper›PMID 24166672›Full record

ArticleClinical chemistry and laboratory medicine2014

Increased plasma arginase activity in human sepsis: association with increased circulating neutrophils.

Christabelle J Darcy, Tonia Woodberry, Joshua S Davis, Kim A Piera, Yvette R McNeil, Youwei Chen, Tsin W Yeo, J Brice Weinberg, Nicholas M Anstey

Open access · greenAbstract read
In one paragraph

Article in Clinical chemistry and laboratory medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Neutrophil degranulation and myocardial infarction.Cell communication and signaling : CCS · 2022
    Review
  4. Article
  5. Neutrophils inhibit CD8World journal of emergency medicine · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. Metabolic Regulation of Immune Responses toFrontiers in immunology · 2020
    Review
  10. Review
  11. Endothelial Nitric Oxide Pathways in the Pathophysiology of Dengue: A Prospective Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Observational
  12. Article
  13. Article
  14. Article
  15. Review
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

9 authors at 4 institutions in 2 countries.

Christabelle J Darcy
Tonia Woodberry
Joshua S Davis
Kim A Piera
Yvette R McNeil
Youwei Chen
Tsin W Yeo
J Brice Weinberg
Nicholas M Anstey
Charles Darwin University · AUDuke University · USDurham VA Medical Center · USMenzies School of Health Research · AU

Funding

NITRIC OXIDE AND SEVERE MALARIAR01AI041764 · NIAID · DUKE UNIVERSITY · PI WEINBERG, JOE BRICE · 1997 to 2012
$6.3M
Nitric Oxide and Severe MalariaR21AI041764 · NIAID · DUKE UNIVERSITY · PI WEINBERG, JOE BRICE · 2002 to 2002
$490k
NIAID NIH HHS R01 AI041764NIAID NIH HHS R01- AI041764NIAID NIH HHS R21 AI041764
6 · The paper itself

Abstract

backgroundThe pathophysiology of sepsis is incompletely understood. Impaired bioavailability of L-arginine, the substrate for NO synthesis, is linked to sepsis severity, and plasma arginase has been linked to hypoargininemia in other disease states. Circulating neutrophils are increased in sepsis and constitutively express arginase. We investigated whether plasma arginase activity is increased in human sepsis and whether this is associated with neutrophil numbers and activation.

methodsWe used HPLC and a radiometric assay to evaluate plasma amino acid concentrations and plasma arginase activity. The relationships between plasma arginase activity, neutrophil count, neutrophil activity and plasma L-arginine and arginine metabolites were evaluated in 44 sepsis patients and 25 controls.

resultsPlasma arginase activity was increased in sepsis patients, correlated with neutrophil count (r=0.44; p=0.003), but was independent of sepsis severity (SOFA or APACHE II score). Plasma HNP1-3 correlated with neutrophil count (r=0.31; p=0.04), was elevated in shock (median 180 ng/mL vs. 83 ng/mL sepsis without shock, p=0.0006) and correlated with SOFA score. Sepsis patients with high neutrophil counts had significantly higher plasma HNP1-3 and arginase activity and lower plasma L-arginine concentrations than those with lower neutrophil counts and controls.

conclusionsPlasma arginase activity, potentially derived in part from neutrophil activation, is elevated in sepsis, and may contribute to impaired bioavailability of L-arginine in sepsis.

Indexed as

AdultAmino AcidsArginaseArginineChromatography, High Pressure LiquidEnzyme ActivationFemaleHumansMaleMiddle AgedNeutrophilsRadiometrySepsisAmino AcidsArginaseArginine

Identifiers

PMID24166672
PMCPMC4431981
OpenAlexW2000608082

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.