Evidence map›Paper›PMID 24349222›Full record

ArticlePloS one2013

Soluble tumor necrosis factor related apoptosis inducing ligand level as a predictor of severity of sepsis and the risk of mortality in septic patients.

Ye Tian, Tianzhu Tao, Jiali Zhu, Yun Zou, Jiafeng Wang, Jinbao Li, Lulong Bo, Xiaoming Deng

Open access · goldAbstract 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. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.9field-weighted citation impact, top 26% 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, 29 citations in OpenAlex.

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  13. Impact of sepsis on CD4 T cell immunity.Journal of leukocyte biology · 2014
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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

8 authors at 2 institutions in 1 country.

Ye TianDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China ; Department of Anesthesiology, Naval General Hospital, Beijing, China.
Tianzhu TaoDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Jiali ZhuDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Yun ZouDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Jiafeng WangDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Jinbao LiDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Lulong BoDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Xiaoming DengDepartment of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, China.
Second Military Medical University · CNChanghai Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTumor necrosis factor related apoptosis inducing ligand (TRAIL) as a member of the TNF gene superfamily induces apoptosis primarily in tumor cells. TRAIL also plays an important role in the modulation of inflammatory responses, especially in the process of immune paralysis. The aim of the present study was to examine soluble TRAIL (sTRAIL) levels in septic patients in an attempt to explore the association between sTRAIL level and the risk of mortality.

methodsPlasma sTRAIL levels were detected by ELISA in 50 septic patients and 20 healthy volunteers. HLA-DR expression in monocytes was detected by flow cytometry. Selective biochemical parameters were recorded, and patients were monitored in a 28-day period for mortality.

resultsThe mean plasma sTRAIL level in septic patients was significantly lower than that in healthy controls (16.9±8.3 vs. 68.3±8.6 pg/ml, P<0.01), and was significantly higher in 28-day survivors than those in non-survivors (19.4±9.8 vs. 13.9±4.7 pg/ml, P<0.05). Univariate analysis indicated that plasma sTRAIL level was positively correlated with monocyte and lymphocyte counts and HLA-DR expression level (r = 0.5, P<0.01; r = 0.3, P<0.05; r = 0.43, P<0.01, respectively). STRAIL level was negatively correlated with APACHE II score, BUN and age (r = -0.48, P<0.01; r = -0.29, P<0.05; r = -0.45, P<0.01, respectively). Multiple linear regression analysis indicated that the predictor of plasma soluble TRAIL level was HLA-DR expression (P<0.01).

conclusionLow plasma sTRAIL levels were associated with immune paralysis and a high risk of mortality in patients with septic shock. sTRAIL may prove to be a potential biomarker of immune function and predict the survival of septic patients.

Indexed as

Severity of Illness IndexAgedCase-Control StudiesFemaleHLA-DR AntigensHumansMaleMiddle AgedMonocytesMultivariate AnalysisRegression AnalysisRisk FactorsSepsisSolubilitySurvival AnalysisTNF-Related Apoptosis-Inducing LigandHLA-DR AntigensTNF-Related Apoptosis-Inducing Ligand

Identifiers

PMID24349222
PMCPMC3861352
OpenAlexW2070682207

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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.