Evidence map›Paper›PMID 25565644›Full record

ArticleShock (Augusta, Ga.)2015

Interleukin-7 and anti-programmed cell death 1 antibody have differing effects to reverse sepsis-induced immunosuppression.

Yuichiro Shindo, Jacqueline Unsinger, Cary-Ann Burnham, Jonathan M Green, Richard S Hotchkiss

Open access · greenAbstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 86 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Cytokine Storm and Sepsis-Induced Multiple Organ Dysfunction Syndrome.Advances in experimental medicine and biology · 2024
    Review
  5. Review
  6. Review
  7. Early Expression of Functional Markers on CD4Frontiers in immunology · 2022
    Observational
  8. Article
  9. Article
  10. Recurrent Sepsis Exacerbates CD4Frontiers in immunology · 2021
    Article
  11. Lymphopenia in COVID-19: Therapeutic opportunities.Cell biology international · 2020
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Precision Medicine and its Role in the Treatment of Sepsis: A Personalised View.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2019
    Review
  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

5 authors at 2 institutions in 2 countries.

Yuichiro Shindo*Division of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; †Institute for Advanced Research, Nagoya University, Nagoya, Japan; ‡Departments of Anesthesiology, §Pathology and Immunology and Pediatrics, and ∥Anesthesiology, Medicine, and Surgery, Washington University School of Medicine, St. Louis, Missouri.
Jacqueline Unsinger
Cary-Ann Burnham
Jonathan M Green
Richard S Hotchkiss
Washington University in St. Louis · USNagoya University Hospital · JP

Funding

Prevention of Apoptotic Cell Death in Sepsis by BCL-2R37GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 2003 to 2012
$5.1M
PREVENTION OF APOPTOTIC CELL DEATH IN SEPSIS BY BCL-2R01GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 1992 to 2017
$2.7M
MECHANISMS OF IMMUNOSUPPRESSION IN SEPSISR01GM098391 · NIGMS · WASHINGTON UNIVERSITY · PI GREEN, JONATHAN M., HOTCHKISS, RICHARD SAMUEL · 2012 to 2015
$2.2M
NIGMS NIH HHS GM09839NIGMS NIH HHS GM44118NIGMS NIH HHS R01 GM044118NIGMS NIH HHS R01 GM098391NIGMS NIH HHS R37 GM044118
6 · The paper itself

Abstract

Sepsis remains a major cause of morbidity and mortality in most intensive care units. Protracted sepsis can evolve into a state of profound immunosuppression characterized by secondary infections, frequently with opportunistic-type pathogens. Immunoadjuvant therapy is currently being evaluated as a novel treatment for patients with sepsis. Two of the most promising immunoadjuvants are interleukin-7 (IL-7) and anti-programmed cell death 1 antibody (anti-PD-1). Both IL-7 and anti-PD-1 have been reported to boost host immunity and improve outcomes in patients with viral infections and cancer. The purpose of this study was to define the immunological mechanisms of action of IL-7 and anti-PD-1 in the two-hit sepsis model of cecal ligation and puncture followed by Candida albicans. In addition, we examined whether combined treatment with IL-7 and anti-PD-1 provided any additive beneficial effects in reversing immune dysfunction. The present findings demonstrated that IL-7 and anti-PD-1 had differing effects on innate and adaptive immune functions. Compared with anti-PD-1, IL-7 increased lymphocyte proliferation; expression of lymphocyte adhesion molecules, lymphocyte function-associated antigen 1, and very late antigen-4; interferon-γ production; and CD28 expression on splenic CD8 T cells. In contrast, anti-PD-1 seemed to have a greater effect on major histocompatibility complex class II expression on splenic macrophages and dendritic cells than IL-7. Combined treatment with IL-7 and anti-PD-1 produced additive effects on CD28 expression, lymphocyte proliferation, and splenic secretion of interferon-γ. In conclusion, the present study shows differences in immunomodulatory actions between IL-7 and anti-PD-1 and provides a potential rationale for combining IL-7 and anti-PD-1 in the therapy of sepsis.

Indexed as

Immunosuppression TherapyAdjuvants, ImmunologicAnimalsAntibodies, MonoclonalCandida albicansCandidiasisCD28 AntigensCD8-Positive T-LymphocytesCell ProliferationDisease Models, AnimalFlow CytometryHumansIntegrin alpha4beta1Interferon-gammaInterleukin-7Lymphocyte Function-Associated Antigen-1Adjuvants, ImmunologicAntibodies, MonoclonalCD28 AntigensIL7 protein, humanIntegrin alpha4beta1Interferon-gammaInterleukin-7Lymphocyte Function-Associated Antigen-1Pdcd1 protein, mouseProgrammed Cell Death 1 ReceptorRecombinant Proteins

Identifiers

PMID25565644
PMCPMC4359667
OpenAlexW2015957081

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.