Evidence map›Paper›PMID 24848949›Full record

ArticleJournal of critical care2014

Performance of interleukin-27 as a sepsis diagnostic biomarker in critically ill adults.

Hector R Wong, Kathleen D Liu, Kirsten N Kangelaris, Patrick Lahni, Carolyn S Calfee

Open access · greenAbstract read
In one paragraph

Article in Journal of critical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. IL-27 regulates macrophage ferroptosis by inhibiting the Nrf2/HO1 signaling pathway in sepsis-induced ARDS.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Biomarkers of sepsis: time for a reappraisal.Critical care (London, England) · 2020
    Review
  10. Sepsis Biomarkers.Journal of pediatric intensive care · 2019
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. 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

5 authors at 3 institutions in 1 country.

Hector R WongDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Hospital Research Foundation, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Electronic address: hector.wong@cchmc.org.
Kathleen D LiuDepartments of Medicine and Anesthesia, University of California, San Francisco, San Francisco, CA, USA.
Kirsten N KangelarisDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Patrick LahniDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Hospital Research Foundation, Cincinnati, OH, USA.
Carolyn S CalfeeDepartments of Medicine and Anesthesia, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USCincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Novel diagnostic and stratification tools for septic shockR01GM108025 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI WONG, HECTOR R. · 2014 to 2017
$2.3M
Stratification of pediatric septic shockR01GM099773 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI WONG, HECTOR R. · 2012 to 2015
$1.5M
THE PEDIATRIC SEPSIS BIOMARKER RISK MODELRC1HL100474 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI WONG, HECTOR R. · 2009 to 2010
$1000k
Chemokine-related acute lung injury pathogenesis in African-American patientsK23HL116800 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANGELARIS, KIRSTEN NEUDOERFFER · 2013 to 2017
$876k
NCATS NIH HHS KL2 TR000143NHLBI NIH HHS K23 HL116800NHLBI NIH HHS RC1 HL100474NIGMS NIH HHS R01 GM099773NIGMS NIH HHS R01 GM108025
6 · The paper itself

Abstract

purposeWe recently identified interleukin-27 (IL-27) as a sepsis diagnostic biomarker in children. Here we assess IL-27 as a sepsis diagnostic biomarker in critically ill adults with systemic inflammatory response syndrome and sepsis.

methodsIL-27 and procalcitonin (PCT) were measured from plasma samples in three groups: no sepsis (n = 78), pulmonary source of sepsis (n = 66), and non-pulmonary source of sepsis (n = 43). Receiver operating characteristic curves and classification and regression tree methodology were used to evaluate biomarker performance.

resultsIL-27 did not discriminate effectively between sepsis and sterile systemic inflammatory response syndrome in unselected patients. The highest area under the curve (AUC) was 0.70 (95% C.I. 0.60 - 0.80) for IL-27 in subjects with a non-pulmonary source of sepsis. A decision tree incorporating IL-27, PCT, and age had an AUC of 0.79 (0.71-0.87) in subjects with a non-pulmonary source of sepsis. Compared to children with sepsis, adults with sepsis express less IL-27.

conclusionsIL-27 performed overall poorly in this cohort as a sepsis diagnostic biomarker. Combining IL-27, PCT, and age reasonably estimated the risk of sepsis in subjects with a non-pulmonary source of sepsis. IL-27 may be a more reliable sepsis diagnostic biomarker in children than in adults.

Indexed as

AgedAged, 80 and overAge FactorsArea Under CurveBiomarkersCalcitoninCalcitonin Gene-Related PeptideCritical IllnessDecision TreesDiagnosis, DifferentialFemaleHumansInterleukin-27MaleMiddle AgedProtein PrecursorsBiomarkersCALCA protein, humanCalcitoninCalcitonin Gene-Related PeptideInterleukin-27Protein PrecursorsBiomarkersDiagnosisInfectionInterleukin 27ProcalcitoninSepsis

Identifiers

PMID24848949
PMCPMC4141017
OpenAlexW2083359410

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.