Evidence map›Paper›PMID 26153037›Full record

ArticleClinical and experimental immunology2015

Expression of CD11c and EMR2 on neutrophils: potential diagnostic biomarkers for sepsis and systemic inflammation.

S M Lewis, D F Treacher, J Edgeworth, G Mahalingam, C S Brown, T A Mare, M Stacey, R Beale, K A Brown

Open access · greenAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 3 institutions in 1 country.

S M LewisIntensive Care Unit, Guy's and St Thomas' NHS Foundation Trust, London.
D F TreacherIntensive Care Unit, Guy's and St Thomas' NHS Foundation Trust, London.
J EdgeworthDepartment of Infection, Guy's and St Thomas' NHS Foundation Trust, University of Leeds, London, UK.
G MahalingamDepartment of Vascular Immunology, Division of Asthma, Allergy and Lung Biology, King's College London.
C S BrownIntensive Care Unit, Guy's and St Thomas' NHS Foundation Trust, London.
T A MareIntensive Care Unit, Guy's and St Thomas' NHS Foundation Trust, London.
M StaceySchool of Molecular and Cellular Biology, University of Leeds, London, UK.
R BealeIntensive Care Unit, Guy's and St Thomas' NHS Foundation Trust, London.
K A BrownIntensive Care Unit, Guy's and St Thomas' NHS Foundation Trust, London.
Guy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a need for cellular biomarkers to differentiate patients with sepsis from those with the non-infectious systemic inflammatory response syndrome (SIRS). In this double-blind study we determined whether the expression of known (CD11a/b/c, CD62L) and putative adhesion molecules [CD64, CD97 and epidermal growth factor (EGF)-like molecule containing mucin-like hormone receptor (EMR2)] on blood neutrophils could serve as useful biomarkers of infection and of non-infectious SIRS in critically ill patients. We studied 103 patients with SIRS, 83 of whom had sepsis, and 50 healthy normal subjects, using flow cytometry to characterize neutrophils phenotypically in whole blood samples. Patients with SIRS had an increased prevalence of neutrophils expressing CD11c, CD64 and EMR2 in comparison with healthy subjects (P < 0.001), but normal expression of CD11a, CD11b, CD62L and CD97. An increase in the percentage of neutrophils bearing CD11c was associated with sepsis, EMR2 with SIRS and CD64 with sepsis and SIRS. Neutrophils expressing CD11c had the highest sensitivity (81%) and specificity (80%) for the detection of sepsis, and there was an association between the percentage of neutrophils expressing EMR2 and the extent of organ failure (P < 0.05). Contrary to other reports, we did not observe an abnormal expression of CD11b or CD62L on neutrophils from patients with SIRS, and suggest that this discrepancy is due to differences in cell processing protocols. We propose that blood neutrophils expressing CD11c and EMR2 be considered as potential biomarkers for sepsis and SIRS, respectively.

Indexed as

AdultAgedBiomarkersCD11c AntigenDiagnosis, DifferentialDouble-Blind MethodFemaleFlow CytometryGram-Negative BacteriaGram-Positive BacteriaHumansMaleMiddle AgedNeutrophilsReceptors, G-Protein-CoupledReceptors, IgGADGRE2 protein, humanBiomarkersCD11c AntigenReceptors, G-Protein-CoupledReceptors, IgGbiomarkersdiagnosis, neutrophilssepsissystemic inflammatory response syndrome

Identifiers

PMID26153037
PMCPMC4608508
OpenAlexW1828764292

What OpenQuestion holds

Textmetadata
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.