Evidence map›Paper›PMID 25475180›Full record

ReviewCurrent heart failure reports2015

Pathophysiology of sepsis-related cardiac dysfunction: driven by inflammation, energy mismanagement, or both?

Konstantinos Drosatos, Anastasios Lymperopoulos, Peter Johannes Kennel, Nina Pollak, P Christian Schulze, Ira J Goldberg

Registry-linked trialAbstract readReview
In one paragraph

Review in Current heart failure reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05202938 (Energy MEtabolism of Septic Heart.), which is not on this map. Cited by 122 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT05202938 unknown statusnot on this mapstarted 2022, after this paper: background citation

Energy MEtabolism of Septic Heart.

TypeobservationalSponsorCentre de recherche du Centre hospitalier universitaire de SherbrookeRan2022 to 2024Enrolled32ConditionsSeptic Shock, Chronic Heart FailureArmsultrasound cardiography, FDG PET scan, Palmitate PET scan, Acetate PET scan, Blood sampling
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 2 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  13. FermentedNutrients · 2025
    Article
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  17. Immunopharmacological Insights intoCurrent pharmaceutical design · 2025
    Review
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62 more citing papers are in PubMed but not listed here.

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 6 institutions in 4 countries.

Konstantinos DrosatosMetabolic Biology Laboratory, Center for Translational Medicine, Department of Pharmacology, Temple University School of Medicine, 3500 N. Broad Street, MERB-951, Philadelphia, PA, 19140, USA, drosatos@temple.edu.
Anastasios Lymperopoulos
Peter Johannes Kennel
Nina Pollak
P Christian Schulze
Ira J Goldberg
Columbia College · CAColumbia University · USNew York University · USNova Southeastern University · USTemple College · USUniversity of Graz · AT

Funding

Pathways of Tissue Lipid UptakeR01HL045095 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ABUMRAD, NADA A., GOLDBERG, IRA J · 1991 to 2024
$6.9M
Mechanisms of Fatty Acid Uptake By Cardiac MuscleR01HL073029 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GOLDBERG, IRA J · 2003 to 2021
$6.8M
EXTRACELLULAR REGULATION OF LIPOPROTEIN LIPASE ACTIVITYR37HL045095 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOLDBERG, IRA J · 2000 to 2009
$4.6M
Cardiac Lipotoxicity and Ceramide Metabolism in Heart FailureR01HL114813 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI COLOMBO, PAOLO C, SCHULZE, P. CHRISTIAN · 2013 to 2017
$3.0M
Mechanisms of Reduced Fatty Acid Oxidation and Cardiac Dysfunction in SepsisR00HL112853 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI DROSATOS, KONSTANTINOS · 2014 to 2016
$725k
Mechanisms of Reduced Fatty Acid Oxidation and Cardiac Dysfunction in SepsisK99HL112853 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DROSATOS, KONSTANTINOS · 2012 to 2013
$268k
NHLBI NIH HHS HL112853NHLBI NIH HHS HL114813NHLBI NIH HHS HL45095NHLBI NIH HHS HL73029NHLBI NIH HHS K99 HL112853NHLBI NIH HHS R00 HL112853NHLBI NIH HHS R01 HL045095NHLBI NIH HHS R01 HL073029NHLBI NIH HHS R01 HL114813NHLBI NIH HHS R37 HL045095
6 · The paper itself

Abstract

Sepsis is a systemic inflammatory response that follows bacterial infection. Cardiac dysfunction is an important consequence of sepsis that affects mortality and has been attributed to either elevated inflammation or suppression of both fatty acid and glucose oxidation and eventual ATP depletion. Moreover, cardiac adrenergic signaling is compromised in septic patients and this aggravates further heart function. While anti-inflammatory therapies are important for the treatment of the disease, administration of anti-inflammatory drugs did not improve survival in septic patients. This review article summarizes findings on inflammatory and other mechanisms that are triggered in sepsis and affect cardiac function and mortality. Particularly, it focuses on the effects of the disease in metabolic pathways, as well as in adrenergic signaling and the potential interplay of the latter with inflammation. It is suggested that therapeutic approaches should include combination of anti-inflammatory treatments, stimulation of energy production, and restoration of adrenergic signaling in the heart.

Indexed as

Energy MetabolismCardiomyopathiesFatty AcidsHumansInflammationReceptors, Adrenergic, betaSepsisFatty AcidsReceptors, Adrenergic, beta

Identifiers

PMID25475180
PMCPMC4474734
OpenAlexW2071806226

What OpenQuestion holds

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Registered trials

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.