Evidence map›Paper›PMID 26190521›Full record

ReviewJournal of thrombosis and haemostasis : JTH2015

New paradigms in sepsis: from prevention to protection of failing microcirculation.

J Hawiger, R A Veach, J Zienkiewicz

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of thrombosis and haemostasis : JTH, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
7.4field-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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Carrageenan-induced immunothrombotic models in rodents (Review).Experimental and therapeutic medicine · 2026
    Review
  4. Observational
  5. Article
  6. Article
  7. Review
  8. The AGO2-ATOX1 axis exacerbates inflammation in a mouse sepsis model.Central-European journal of immunology · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

13 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

3 authors at 1 institution in 1 country.

J HawigerImmunotherapy Program at Vanderbilt University School of Medicine, Nashville, TN, USA.
R A VeachImmunotherapy Program at Vanderbilt University School of Medicine, Nashville, TN, USA.
J ZienkiewiczImmunotherapy Program at Vanderbilt University School of Medicine, Nashville, TN, USA.
Vanderbilt University · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STACIE B DUSETZINA · 1995 to 2026
$172.8M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Vanderbilt Mouse Metabolic Physiology CenterU24DK059637 · NIDDK · VANDERBILT UNIVERSITY · PI WASSERMAN, DAVID H · 2001 to 2015
$14.9M
T Lymphocyte based functional genomics of inflammationP01HL068744 · NHLBI · VANDERBILT UNIVERSITY · PI HAWIGER, JACK J · 2002 to 2006
$9.9M
Immunobiology of Blood and Vascular Systems Training ProgramT32HL069765 · NHLBI · VANDERBILT UNIVERSITY · PI HAWIGER, JACK J · 2002 to 2016
$6.5M
Superantigen-Induced Vascular Injury and DICR01HL069452 · NHLBI · VANDERBILT UNIVERSITY · PI HAWIGER, JACK J · 2001 to 2011
$3.3M
Intracellular Therapeutics for Inflammatory Liver InjuryR01AA015752 · NIAAA · VANDERBILT UNIVERSITY · PI HAWIGER, JACK J · 2007 to 2011
$1.7M
Targeted Suppression of Cytokine Signaling in the Acute Phase ResponseR01HL085833 · NHLBI · VANDERBILT UNIVERSITY · PI HAWIGER, JACK J · 2008 to 2011
$1.5M
MOLECULAR MECHANISMS OF SEPTIC SHOCKR01HL062356 · NHLBI · VANDERBILT UNIVERSITY · PI HAWIGER, JACK J · 2000 to 2003
$1.4M
Harnessing B lymphocytes as Antigen-Specific Regulators of Islet ToleranceK08DK090146 · NIDDK · VANDERBILT UNIVERSITY · PI MOORE, DANIEL J. · 2011 to 2013
$434k
MINORITY PREDOCTORAL FELLOWSHIP PROGRAMF31GM077030 · NIGMS · MEHARRY MEDICAL COLLEGE · PI FLETCHER, TYNETTA C · 2005 to 2007
$100k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NCI NIH HHS P30 CA068485NCI NIH HHS P30CA68485NHLBI NIH HHS F32 HL084214NHLBI NIH HHS F32HL084214NHLBI NIH HHS F32 HL087531NHLBI NIH HHS F32HL087531NHLBI NIH HHS F32 HL099140NHLBI NIH HHS F32HL099140NHLBI NIH HHS P01 HL068744NHLBI NIH HHS R01 HL062356NHLBI NIH HHS R01 HL069452NHLBI NIH HHS R01HL069452NHLBI NIH HHS R01 HL085833NHLBI NIH HHS R01HL085833NHLBI NIH HHS R01HL69452NHLBI NIH HHS T32 HL069765NHLBI NIH HHS T32HL069765NIAAA NIH HHS R01 AA015752NIAAA NIH HHS R01AA15752NIDDK NIH HHS K08 DK090146NIDDK NIH HHS K08DK090146NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P30DK058404NIDDK NIH HHS U24 DK059637NIDDK NIH HHS U24DK59637NIGMS NIH HHS F31 GM077030
6 · The paper itself

Abstract

Sepsis, also known as septicemia, is one of the 10 leading causes of death worldwide. The rising tide of sepsis due to bacterial, fungal and viral infections cannot be stemmed by current antimicrobial therapies and supportive measures. New paradigms for the mechanism and resolution of sepsis and consequences for sepsis survivors are emerging. Consistent with Benjamin Franklin's dictum 'an ounce of prevention is worth a pound of cure', sepsis can be prevented by vaccinations against pneumococci and meningococci. Recently, the NIH NHLBI Panel redefined sepsis as 'severe endothelial dysfunction syndrome in response to intravascular and extravascular infections causing reversible or irreversible injury to the microcirculation responsible for multiple organ failure'. Microvascular endothelial injury underlies sepsis-associated hypotension, edema, disseminated intravascular coagulation, acute respiratory distress syndrome and acute kidney injury. Microbial genome products trigger 'genome wars' in sepsis that reprogram the human genome and culminate in a 'genomic storm' in blood and vascular cells. Sepsis can be averted experimentally by endothelial cytoprotection through targeting nuclear signaling that mediates inflammation and deranged metabolism. Endothelial 'rheostats' (e.g. inhibitors of NF-κB, A20 protein, CRADD/RAIDD protein and microRNAs) regulate endothelial signaling. Physiologic 'extinguishers' (e.g. suppressor of cytokine signaling 3) can be replenished through intracellular protein therapy. Lipid mediators (e.g. resolvin D1) hasten sepsis resolution. As sepsis cases rose from 387 330 in 1996 to 1.1 million in 2011, and are estimated to reach 2 million by 2020 in the US, mortality due to sepsis approaches that of heart attacks and exceeds deaths from stroke. More preventive vaccines and therapeutic measures are urgently needed.

Indexed as

MicrocirculationAnimalsGenetic Predisposition to DiseaseGenome, BacterialGenome, FungalGenome, ViralHost-Pathogen InteractionsHumansInflammation MediatorsMicrovesselsPhenotypeRisk FactorsSepsisSignal TransductionTreatment OutcomeInflammation Mediatorsgenomeinfectioninflammationmicrocirculationseptic shock

Identifiers

PMID26190521
PMCPMC5014149
OpenAlexW1825470131

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.