Evidence map›Paper›PMID 25410281›Full record

ArticleCritical care (London, England)2014

Differential expression of the nuclear-encoded mitochondrial transcriptome in pediatric septic shock.

Scott L Weiss, Natalie Z Cvijanovich, Geoffrey L Allen, Neal J Thomas, Robert J Freishtat, Nick Anas, Keith Meyer, Paul A Checchia, Thomas P Shanley, Michael T Bigham and 7 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
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  6. Review
  7. The COVIDome Explorer Researcher Portal.medRxiv : the preprint server for health sciences · 2021
    Article
  8. Article
  9. Observational
  10. Article
  11. Precision medicine in pediatric sepsis.Current opinion in pediatrics · 2019
    Review
  12. Article
  13. Article
  14. Review
  15. Hypofibrinogenemia Is Associated With Poor Outcome and Secondary Hemophagocytic Lymphohistiocytosis/Macrophage Activation Syndrome in Pediatric Severe Sepsis.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018
    Observational
  16. Article
  17. Article
  18. Pathophysiology of Pediatric Multiple Organ Dysfunction Syndrome.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017
    Review
  19. Article
  20. 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

17 authors at 13 institutions in 1 country.

Scott L WeissDivision of Critical Care Medicine, Department of Anesthesia and Critical Care, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA. WeissS@email.chop.edu.
Natalie Z CvijanovichUCSF Benioff Children's Hospital Oakland, 1411 East 31st Street, Oakland, CA, 94602, USA. NCvijanovich@mail.cho.org.
Geoffrey L AllenChildren's Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA. glallen@cmh.edu.
Neal J ThomasPenn State Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA. nthomas@hmc.psu.edu.
Robert J FreishtatChildren's National Medical Center, 111 Michigan Avenue NW, Washington, DC, 20010, USA. RFreishtat@childrensnational.org.
Nick AnasChildren's Hospital of Orange County, 1201 W La Veta Avenue, Orange, CA, 92868, USA. nanas@choc.org.
Keith MeyerMiami Children's Hospital, 3100 SW 62nd Avenue, Miami, FL, 33155, USA. Keith.Meyer@mch.com.
Paul A ChecchiaTexas Children's Hospital, 6621 Fannin Street, Houston, TX, 77030, USA. pachecch@texaschildrens.org.
Thomas P ShanleyCS Mott Children's Hospital at the University of Michigan, 1540 E Hospital Drive, Ann Arbor, MI, 48109, USA. tshanley@med.umich.edu.
Michael T BighamAkron Children's Hospital, 1 Perkins Square, Akron, OH, 44302, USA. mbigham@chmca.org.
Julie FitzgeraldDivision of Critical Care Medicine, Department of Anesthesia and Critical Care, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA. FitzgeraldJ@email.chop.edu.
Sharon BanschbachDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, 3333 Burnet Avenue, MLC 2005, Cincinnati, OH, 45229, USA. sharon.banschbach@cchmc.org.
Eileen BeckmanDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, 3333 Burnet Avenue, MLC 2005, Cincinnati, OH, 45229, USA. eileen.beckman@cchmc.org.
Kelli HowardDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, 3333 Burnet Avenue, MLC 2005, Cincinnati, OH, 45229, USA. kelli.howard@cchmc.org.
Erin FrankDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, 3333 Burnet Avenue, MLC 2005, Cincinnati, OH, 45229, USA. erin.frank@cchmc.org.
Kelli HarmonDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, 3333 Burnet Avenue, MLC 2005, Cincinnati, OH, 45229, USA. kelli.harmon@cchmc.org.
Hector R WongDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, 3333 Burnet Avenue, MLC 2005, Cincinnati, OH, 45229, USA. hector.wong@cchmc.org.
Cincinnati Children's Hospital Medical Center · USAkron Children's Hospital · USChildren's Hospital of Orange County · USChildren's Hospital of Philadelphia · USChildren's Mercy Hospital · USChildren's National · USMiami Children's Hospital · USPenn State Milton S. Hershey Medical Center · USPhiladelphia University · USTexas Children's Hospital · USUCSF Benioff Children's Hospital · USUniversity of Cincinnati Medical Center · USUniversity of Michigan–Ann Arbor · US

Funding

Pediatric Critical Care Scientist Development ProgramK12HD047349 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI HEATHER T. KEENAN, Kevin M Watt · 2004 to 2026
$17.0M
Genomic analysis of pediatric SIRS and septic shockR01GM064619 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI WONG, HECTOR R. · 2003 to 2009
$3.0M
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
Mitochondrial Dysfunction in Pediatric SepsisK23GM110496 · NIGMS · CHILDREN'S HOSP OF PHILADELPHIA · PI WEISS, SCOTT L · 2015 to 2018
$723k
NHLBI NIH HHS RC1 HL100474NHLBI NIH HHS RC1HL100474NICHD NIH HHS K12 HD047349NICHD NIH HHS K12HD047349-10NIGMS NIH HHS K23 GM110496NIGMS NIH HHS L40 GM102883NIGMS NIH HHS R01 GM064619NIGMS NIH HHS R01GM064619NIGMS NIH HHS R01 GM099773NIGMS NIH HHS R01GM099773
6 · The paper itself

Abstract

introductionIncreasing evidence supports a role for mitochondrial dysfunction in organ injury and immune dysregulation in sepsis. Although differential expression of mitochondrial genes in blood cells has been reported for several diseases in which bioenergetic failure is a postulated mechanism, there are no data about the blood cell mitochondrial transcriptome in pediatric sepsis.

methodsWe conducted a focused analysis using a multicenter genome-wide expression database of 180 children ≤ 10 years of age with septic shock and 53 healthy controls. Using total RNA isolated from whole blood within 24 hours of PICU admission for septic shock, we evaluated 296 nuclear-encoded mitochondrial genes using a false discovery rate of 1%. A series of bioinformatic approaches were applied to compare differentially expressed genes across previously validated gene expression-based subclasses (groups A, B, and C) of pediatric septic shock.

resultsIn total, 118 genes were differentially regulated in subjects with septic shock compared to healthy controls, including 48 genes that were upregulated and 70 that were downregulated. The top scoring canonical pathway was oxidative phosphorylation, with general downregulation of the 51 genes corresponding to the electron transport system (ETS). The top two gene networks were composed primarily of mitochondrial ribosomal proteins highly connected to ETS complex I, and genes encoding for ETS complexes I, II, and IV that were highly connected to the peroxisome proliferator activated receptor (PPAR) family. There were 162 mitochondrial genes differentially regulated between groups A, B, and C. Group A, which had the highest maximum number of organ failures and mortality, exhibited a greater downregulation of mitochondrial genes compared to groups B and C.

conclusionsBased on a focused analysis of a pediatric septic shock transcriptomic database, nuclear-encoded mitochondrial genes were differentially regulated early in pediatric septic shock compared to healthy controls, as well as across genotypic and phenotypic distinct pediatric septic shock subclasses. The nuclear genome may be an important mechanism contributing to alterations in mitochondrial bioenergetic function and outcomes in pediatric sepsis.

Indexed as

Gene Expression RegulationCell NucleusChildChild, PreschoolFemaleGene Expression ProfilingGene Regulatory NetworksGenome-Wide Association StudyHumansInfantMaleMitochondriaShock, SepticTranscriptome

Identifiers

PMID25410281
PMCPMC4247726
OpenAlexW2141614474

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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.