Evidence map›Paper›PMID 24747452›Full record

ArticleThe journal of trauma and acute care surgery2014

Mitochondrial damage-associated molecular patterns released by abdominal trauma suppress pulmonary immune responses.

Cong Zhao, Kiyoshi Itagaki, Alok Gupta, Stephen Odom, Nicola Sandler, Carl J Hauser

Abstract readComparative Study
In one paragraph

Article in The journal of trauma and acute care surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.4field-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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Can Neutrophils Prevent Nosocomial Pneumonia after Serious Injury?International journal of molecular sciences · 2023
    Article
  5. Review
  6. Review
  7. Circulating mitochondrialProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  8. Article
  9. Article
  10. Danger signals from mitochondrial DAMPS in trauma and post-injury sepsis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018
    Review
  11. Innate immune responses to trauma.Nature immunology · 2018
    Review
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. The acute respiratory distress syndrome: from mechanism to translation.Journal of immunology (Baltimore, Md. : 1950) · 2015
    Review
  19. 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 1 institution in 1 country.

Cong Zhao
Kiyoshi Itagaki
Alok Gupta
Stephen Odom
Nicola Sandler
Carl J Hauser
Beth Israel Deaconess Medical Center · US

Funding

Mitochondrial DAMPs and Inflammation after injuryR01GM089711 · NIGMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI HAUSER, CARL J · 2010 to 2013
$1.7M
NIGMS NIH HHS R01 GM089711NIGMS NIH HHS R01-GM089711
6 · The paper itself

Abstract

backgroundHistorically, fever, pneumonia, and sepsis after trauma are ascribed to pain and poor pulmonary toilet. No evidence supports that assertion however, and no known biologic mechanisms link injury to infection. Our studies show that injured tissues release mitochondria (MT). Mitochondrial damage-associated molecular patterns (mtDAMPs) however can mimic bacterial pathogen-associated danger molecules and attract neutrophils (PMN). We hypothesized that mtDAMPs from traumatized tissue divert neutrophils from the lung, causing susceptibility to infection.

methodsAnesthetized rats (6-10 per group) underwent pulmonary contusion (PC) by chest percussion. When modeling traumatic MT release, some rats had MT isolated from the liver (equal to 5% liver necrosis) injected intraperitoneally (IPMT). Negative controls had PC plus buffer intraperitoneally. Positive controls underwent PC plus cecal ligation and puncture. At 16 hours, bronchoalveolar and peritoneal lavages were performed. Bronchoalveolar lavage fluid (BALF) and peritoneal lavage fluid were assayed for PMN count, albumin, interleukin β, (IL-β), and CINC-1. Assays were normalized to blood urea nitrogen to calculate absolute concentrations.

resultsPC caused alveolar IL-1β and CINC production and a 34-fold increase in BALF neutrophils. As expected, IPMT increased peritoneal IL-1β and CINC and attracted PMN to the abdomen. However, remarkably, IPMT after PC attenuated BALF cytokine accumulation and decreased BALF PMN. Cecal ligation and puncture had no direct effect on BALF PMNs but, like IPMT, blunted BALF leukocytosis after PC.

conclusionRather than acting as a "second hit" to enhance PMN-mediated lung injury, mtDAMPs from trauma and pathogen-associated danger molecules from peritoneal infection diminish PMN accumulation in a contused lung. This may make the lung susceptible to pneumonia. This paradigm provides a novel mechanistic model of the relationship among blunt tissue trauma, systemic inflammation, and pneumonia that can be studied to improve trauma outcomes.

Indexed as

Abdominal InjuriesAnalysis of VarianceAnimalsBronchoalveolar Lavage FluidChemokinesCytokinesDisease Models, AnimalEnzyme-Linked Immunosorbent AssayImmunity, InnateInflammationLungLung InjuryMaleMitophagyNeutrophilsPeritoneal LavageChemokinesCytokines

Identifiers

PMID24747452
PMCPMC4523560
OpenAlexW1994836204

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.