Evidence map›Paper›PMID 25572859›Full record

ArticleAlcohol (Fayetteville, N.Y.)2015

Acute immunomodulatory effects of binge alcohol ingestion.

Majid Afshar, Stephanie Richards, Dean Mann, Alan Cross, Gordon B Smith, Giora Netzer, Elizabeth Kovacs, Jeffrey Hasday

Open access · greenAbstract read
In one paragraph

Article in Alcohol (Fayetteville, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 144 citations in OpenAlex.

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  9. Thiamine Deficiency and Neuroinflammation Are Important Contributors to Alcohol Use Disorder.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
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  12. Impact of a dermatological rehabilitation program on cardiovascular risks of psoriasis patients.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
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1 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

8 authors at 3 institutions in 1 country.

Majid AfsharDivision of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, 110 S. Paca Street, Baltimore, MD 21202, USA. Electronic address: Majid.afshar@luhs.org.
Stephanie RichardsSchool of Medicine, University of Maryland, 22 S. Greene Street, Baltimore, MD 21202, USA.
Dean MannDepartment of Pathology, University of Maryland School of Medicine, 22 S. Greene Street, Baltimore, MD 21202, USA.
Alan CrossCenter for Vaccine Development, University of Maryland School of Medicine, 22 S. Greene Street, Baltimore, MD 21202, USA.
Gordon B SmithShock Trauma and Anesthesiology Research (STAR) Organized Research Center, University of Maryland, 22 S. Greene Street, Baltimore, MD 21202, USA.
Giora NetzerDivision of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, 110 S. Paca Street, Baltimore, MD 21202, USA; Department of Epidemiology and Public Health, University of Maryland School of Medicine, 22 S. Greene Street, Baltimore, MD 21202, USA.
Elizabeth KovacsAlcohol Research Program, Department of Surgery, Loyola University Chicago, Health Sciences Campus, 2160 S. First Avenue, Maywood, IL 60153, USA.
Jeffrey HasdayDivision of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, 110 S. Paca Street, Baltimore, MD 21202, USA.
University of Maryland, Baltimore · USLoyola University Chicago · USUniversity of Baltimore · US

Funding

Hangovers and Traffic Injuries: Is Alcohol's Influence Greater Than Expected?R01AA018313 · NIAAA · UNIVERSITY OF MARYLAND BALTIMORE · PI SMITH, GORDON STEPHEN · 2010 to 2014
$2.7M
Proinflammatory Effects Of Acute Alcohol Ingestion in HumansF32AA022553 · NIAAA · UNIVERSITY OF MARYLAND BALTIMORE · PI AFSHAR, MAJID · 2013 to 2013
$48k
NIAAA NIH HHS F32 AA022553NIAAA NIH HHS F32AA022553NIAAA NIH HHS R01 AA018313
6 · The paper itself

Abstract

backgroundBlood alcohol is present in a third of trauma patients and has been associated with organ dysfunction. In both human studies and in animal models, it is clear that alcohol intoxication exerts immunomodulatory effects several hours to days after exposure, when blood alcohol is no longer detectable. The early immunomodulatory effects of alcohol while blood alcohol is still elevated are not well understood.

methodsHuman volunteers achieved binge alcohol intoxication after high-dose alcohol consumption. Blood was collected for analysis prior to alcohol ingestion, and 20 min, 2 h, and 5 h after alcohol ingestion. Flow cytometry was performed on isolated peripheral blood mononuclear cells, and cytokine generation in whole blood was measured by enzyme-linked immunosorbent assay (ELISA) after 24-h stimulation with lipopolysaccharide (LPS) and phytohemagglutinin-M (PHA) stimulation.

resultsAn early pro-inflammatory state was evident at 20 min when blood alcohol levels were ∼130 mg/dL, which was characterized by an increase in total circulating leukocytes, monocytes, and natural killer cells. During this time, a transient increase in LPS-induced tumor necrosis factor (TNF)-α levels and enhanced LPS sensitivity occurred. At 2 and 5 h post-alcohol binge, an anti-inflammatory state was shown with reduced numbers of circulating monocytes and natural killer cells, attenuated LPS-induced interleukin (IL)-1β levels, and a trend toward increased interleukin (IL)-10 levels.

conclusionsA single episode of binge alcohol intoxication exerted effects on the immune system that caused an early and transient pro-inflammatory state followed by an anti-inflammatory state.

Indexed as

AdultBinge DrinkingCohort StudiesEthanolFemaleHumansImmunomodulationInflammation MediatorsLeukocytes, MononuclearMaleYoung AdultEthanolInflammation MediatorsAntigen-presenting cellsBinge drinkingCytokinesEthanolInnate immunityPeripheral blood mononuclear cells

Identifiers

PMID25572859
PMCPMC4314366
OpenAlexW2071026612

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.