Evidence map›Paper›PMID 26052715›Full record

ArticleMolecular medicine (Cambridge, Mass.)2015

Postnatal Age Is a Critical Determinant of the Neonatal Host Response to Sepsis.

James L Wynn, Scott O Guthrie, Hector R Wong, Patrick Lahni, Ricardo Ungaro, M Cecilia Lopez, Henry V Baker, Lyle L Moldawer

Registry-linked trialAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03291496 (Microfluidic Assessment of Clinical Outcomes in Preterm Newborns), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
–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.

NCT03291496 active not recruitingnot on this mapstarted 2017, after this paper: background citation

Microfluidic Assessment of Clinical Outcomes in Preterm Newborns

TypeobservationalSponsorUniversity of FloridaRan2017 to 2026Enrolled293ConditionsNeonatal SEPSISArmsBlood Collection Preterm, Blood Collection Term, Adult Blood collection
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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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.

James L WynnDepartment of Pediatrics, Division of Neonatology, Vanderbilt University, Nashville, Tennessee, United States of America.
Scott O GuthrieDepartment of Pediatrics, Division of Neonatology, Vanderbilt University, Nashville, Tennessee, United States of America.
Hector R WongCincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America.
Patrick LahniCincinnati Children's Hospital Medical Center and Cincinnati Children's Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America.
Ricardo UngaroDepartment of Surgery, University of Florida College of Medicine, Gainesville, Florida, United States of America.
M Cecilia LopezDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, Florida, United States of America.
Henry V BakerDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, Florida, United States of America.
Lyle L MoldawerDepartment of Surgery, University of Florida College of Medicine, Gainesville, Florida, United States of America.

Funding

Novel Mechanisms and Approaches to Treat Neonatal SepsisR01GM097531 · NIGMS · UNIVERSITY OF FLORIDA · PI LARSON, SHAWN DAVID, MOLDAWER, LYLE L · 2011 to 2018
$2.3M
MMP-8 as a novel therapeutic target in sepsisR01GM096994 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI WONG, HECTOR R. · 2011 to 2014
$1.2M
The Role of the Inflammasome in Neonatal SepsisK08GM106143 · NIGMS · VANDERBILT UNIVERSITY · PI WYNN, JAMES LAWRENCE · 2013 to 2017
$875k
NIGMS NIH HHS GM096994NIGMS NIH HHS GM106143NIGMS NIH HHS K08 GM106143NIGMS NIH HHS R01 GM096994NIGMS NIH HHS R01 GM097531
6 · The paper itself

Abstract

Neonates manifest a unique host response to sepsis even among other children. Preterm neonates may experience sepsis soon after birth or during often-protracted birth hospitalizations as they attain physiologic maturity. We examined the transcriptome using genome-wide expression profiling on prospectively collected peripheral blood samples from infants evaluated for sepsis within 24 h after clinical presentation. Simultaneous plasma samples were examined for alterations in inflammatory mediators. Group designation (sepsis or uninfected) was determined retrospectively on the basis of clinical exam and laboratory results over the next 72 h from the time of evaluation. Unsupervised analysis showed the major node of separation between groups was timing of sepsis episode relative to birth (early, <3 d, or late, ≥3 d). Principal component analyses revealed significant differences between patients with early or late sepsis despite the presence of similar key immunologic pathway aberrations in both groups. Unique to neonates, the uninfected state and host response to sepsis is significantly affected by timing relative to birth. Future therapeutic approaches may need to be tailored to the timing of the infectious event based on postnatal age.

Indexed as

FemaleGestational AgeHumansInfantInfant, NewbornInflammationMaleMicroarray AnalysisRisk FactorsSepsisTranscriptome

Identifiers

PMID26052715
PMCPMC4607623

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.