Evidence map›Paper›PMID 25243181›Full record

ArticleBioMed research international2014

Early response roles for prolactin cortisol and circulating and cellular levels of heat shock proteins 72 and 90α in severe sepsis and SIRS.

K Vardas, K Apostolou, E Briassouli, D Goukos, K Psarra, E Botoula, S Tsagarakis, E Magira, C Routsi, S Nanas and 1 more

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.1field-weighted citation impact, top 28% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

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  9. Damage-associated molecular patterns in trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
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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

11 authors at 4 institutions in 1 country.

K VardasFirst Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, Ipsilantou 45, 10676 Athens, Greece.
K ApostolouFirst Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, Ipsilantou 45, 10676 Athens, Greece.
E Briassouli1st Department of Propaedeutic Internal Medicine, Laiko University General Hospital, University of Athens, 17 Agiou Thoma, 115 27 Athens, Greece.
D Goukos1st Department of Propaedeutic Internal Medicine, Laiko University General Hospital, University of Athens, 17 Agiou Thoma, 115 27 Athens, Greece.
K PsarraImmunology-Histocompatibility Department, Evangelismos Hospital, Ipsilantou 45, 10676 Athens, Greece.
E BotoulaDepartment of Endocrinology and Diabetes, Evangelismos Hospital, Ipsilantou 45, 10676 Athens, Greece.
S TsagarakisDepartment of Endocrinology and Diabetes, Evangelismos Hospital, Ipsilantou 45, 10676 Athens, Greece.
E MagiraFirst Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, Ipsilantou 45, 10676 Athens, Greece.
C RoutsiFirst Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, Ipsilantou 45, 10676 Athens, Greece.
S NanasFirst Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, Ipsilantou 45, 10676 Athens, Greece.
G BriassoulisPediatric Intensive Care Unit, School of Health Sciences, University Hospital, University of Crete, 71110 Heraklion, Greece.
Evangelismos Hospital · GRNational and Kapodistrian University of Athens · GRLaiko General Hospital of Athens · GRUniversity Hospital of Heraklion · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the early heat shock protein (HSP) and hormonal stress response of intensive care unit (ICU) patients with severe sepsis/septic shock (SS) or systemic inflammatory response syndrome (SIRS) compared to healthy subjects (H).

methodsPatients with early (first 48 hrs) SS (n = 29) or SIRS (n = 29) admitted to a university ICU and 16 H were enrolled in the study. Serum prolactin, cortisol, and plasma ACTH were determined using immunoassay analyzers. ELISA was used to evaluate extracellular HSPs (eHSP90α, eHSP72) and interleukins. Mean fluorescence intensity (MFI) values for intracellular HSPs (iHSP72, iHSP90α) were measured using 4-colour flow-cytometry.

resultsProlactin, cortisol, and eHSP90α levels were significantly increased in SS patients compared to SIRS and H (P < 0.003). ACTH and eHSP72 were significantly higher in SS and SIRS compared to H (P < 0.005). SS monocytes expressed lower iHSP72 MFI levels compared to H (P = 0.03). Prolactin was related with SAPS III and APACHE II scores and cortisol with eHSP90α, IL-6, and lactate (P < 0.05). In SS and SIRS eHSP90α was related with eHSP72, IL-6, and IL-10.

conclusionProlactin, apart from cortisol, may have a role in the acute stress response in severe sepsis. In this early-onset inflammatory process, cortisol relates to eHSP90α, monocytes suppress iHSP72, and plasma eHSP72 increases.

Indexed as

Adrenocorticotropic HormoneAdultCase-Control StudiesFemaleHSP72 Heat-Shock ProteinsHSP90 Heat-Shock ProteinsHumansHydrocortisoneMaleMiddle AgedProlactinSepsisStress, PhysiologicalSystemic Inflammatory Response SyndromeAdrenocorticotropic HormoneHSP72 Heat-Shock ProteinsHSP90AA2P protein, humanHSP90 Heat-Shock ProteinsHydrocortisoneProlactin

Identifiers

PMID25243181
PMCPMC4160647
OpenAlexW2170283355

What OpenQuestion holds

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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.