Evidence map›Paper›PMID 25407756›Full record

Observational studyCritical care (London, England)2014

Increased plasma levels of endozepines, endogenous ligands of benzodiazepine receptors, during systemic inflammation: a prospective observational study.

Thomas Clavier, Marie-Christine Tonon, Anne Foutel, Emmanuel Besnier, Antoine Lefevre-Scelles, Fabrice Morin, Pierrick Gandolfo, Jean-Jacques Tuech, Muriel Quillard, Benoit Veber and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Critical care (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
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  3. Article
  4. Article
  5. Review
  6. Article
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  9. Review
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  11. Review
  12. Article
  13. Article
  14. Endozepine-4 levels are increased in hepatic coma.World journal of gastroenterology · 2015
    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

13 authors.

Thomas ClavierInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. thomas.clavier@chu-rouen.fr.
Marie-Christine TononInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. marie-christine.tonon@univ-rouen.fr.
Anne FoutelDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rue de Germont, 76000, Rouen, France. anne.foutel@chu-rouen.fr.
Emmanuel BesnierInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. emmanuel.besnier@chu-rouen.fr.
Antoine Lefevre-ScellesDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rue de Germont, 76000, Rouen, France. antoine.lefevre-scelles@chu-rouen.fr.
Fabrice MorinInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. fabrice.morin@univ-rouen.fr.
Pierrick GandolfoInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. pierrick.gandolfo@univ-rouen.fr.
Jean-Jacques TuechDepartment of Digestive Surgery, Rouen University Hospital, Rue de Germont, 76000, Rouen, France. jean-jacques.tuech@chu-rouen.fr.
Muriel QuillardDepartment of Medical Biochemistry, Institute of Clinical Biology, Rouen University Hospital, 76000, Rouen, France. muriel.quillard@chu-rouen.fr.
Benoit VeberDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rue de Germont, 76000, Rouen, France. benoit.veber@chu-rouen.fr.
Bertrand DureuilDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rue de Germont, 76000, Rouen, France. bertrand.dureuil@chu-rouen.fr.
Hélène CastelInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. helene.castel@univ-rouen.fr.
Vincent CompèreInstitut National de la Santé et de la Recherche Médicale (Inserm), U982, Place Emile Blondel, 76130, Mont-Saint-Aignan, France. vincent.compere@chu-rouen.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent work has shown that benzodiazepines interact with the immune system and exhibit anti-inflammatory effects. By using in vitro models, researchers in several studies have shown that the peptidergic endogenous ligands of benzodiazepine receptors, named endozepines, are involved in the immune response. All endozepines identified so far derive from diazepam-binding inhibitor (DBI), which generates several biologically active fragments. The aim of the present study was to measure plasma levels of DBI-like immunoreactivity (DBI-LI) in a rat model of sepsis and in patients with systemic inflammation from septic or non-septic origin.

methodsCecal ligation and puncture (CLP) or sham surgery was performed in rats. Blood samples were taken from animals, patients hospitalized for digestive surgery with inflammatory diseases, and healthy volunteers. Measurements of plasma DBI-related peptides were carried out by radioimmunoassay in animal and human samples.

resultsIn the rats, CLP provoked an increase of plasma DBI-LI (+37%) 6 hours postsurgery. In humans, DBI-LI levels were significantly higher in the systemic inflammation group than in the healthy volunteer group (48.6 (32.7 to 77.7) pg/ml versus 11.1 (5.9 to 35.3) pg/ml, P <  .001). We found a positive correlation between endozepine levels and Acute Physiology and Chronic Health Evaluation II score (r s = 0.33 (0.026 to 0.58), P < 0.05) and tumor necrosis factor α levels (r s = 0.43 (0.14 to 0.65), P < 0.01). The area under the receiver operating characteristic curve for endozepines was 0.842 (95% CI (0.717 to 0.966), P < 0.0001) for discriminating patients with inflammation from healthy volunteers.

conclusionsEndozepines might be involved in the inflammatory response in patients with systemic inflammation.

Indexed as

AdultAnimalsDiazepam Binding InhibitorFemaleHumansInflammationInflammation MediatorsLigandsMaleMiddle AgedProspective StudiesRatsRats, Sprague-DawleyReceptors, GABA-ASpecies SpecificitySystemic Inflammatory Response SyndromeDiazepam Binding InhibitorInflammation MediatorsLigandsReceptors, GABA-A

Identifiers

PMID25407756
PMCPMC4326502

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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.