Evidence map›Paper›PMID 26246141›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2015

A Detailed Characterization of the Dysfunctional Immunity and Abnormal Myelopoiesis Induced by Severe Shock and Trauma in the Aged.

Dina C Nacionales, Benjamin Szpila, Ricardo Ungaro, M Cecilia Lopez, Jianyi Zhang, Lori F Gentile, Angela L Cuenca, Erin Vanzant, Brittany Mathias, Jeevan Jyot and 11 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.0field-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.

NCT02776111 terminatednot on this mapstarted 2016, after this paper: background citation

The Use of Microfluidics and Transcriptomics to Implement Precision Medicine in Post Solid Organ Transplant Patients

TypeobservationalSponsorUniversity of FloridaRan2016 to 2019Enrolled7ConditionsImmunosuppressionArmsBlood Sample
NCT03130673 completednot on this map

Hip Fracture Epidemiology at Hospital Regional Rafael Hernandez. September 2014 to March 2015.

TypeobservationalSponsorHospital del Niño "Dr. José Renán Esquivel"Ran2014 to 2017Enrolled104ConditionsHip Fractures
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  10. Facing stress and inflammation: From the cell to the planet.World journal of experimental medicine · 2024
    Review
  11. Article
  12. Review
  13. [Early changes within the lymphocyte population are associated with the long term prognosis in severely injured patients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022
    Article
  14. Article
  15. Article
  16. Dysregulated Immunity and Immunotherapy after Sepsis.Journal of clinical medicine · 2021
    Review
  17. Review
  18. Article
  19. Article
  20. Review
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

21 authors at 3 institutions in 1 country.

Dina C NacionalesDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Benjamin SzpilaDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Ricardo UngaroDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
M Cecilia LopezDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, FL 32610;
Jianyi ZhangDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Lori F GentileDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Angela L CuencaDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Erin VanzantDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Brittany MathiasDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Jeevan JyotDepartment of Medicine, University of Florida College of Medicine, Gainesville, FL 32610;
Donevan WesterveldDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Azra BihoracDepartment of Anesthesia, University of Florida College of Medicine, Gainesville, FL 32610;
Anna JosephInstitute on Aging, University of Florida College of Medicine, Gainesville, FL 32610; and.
Alicia MohrDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Lizette V DuckworthDepartment of Pathology, University of Florida College of Medicine, Gainesville, FL 32610.
Frederick A MooreDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Henry V BakerDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, FL 32610;
Christiaan LeeuwenburghInstitute on Aging, University of Florida College of Medicine, Gainesville, FL 32610; and.
Lyle L MoldawerDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610; moldawer@surgery.ufl.edu.
Scott BrakenridgeDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
Philip A EfronDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610;
University of Florida · USFlorida College · USInstitute on Aging · US

Funding

Inflammation and the Response to InjuryU54GM062119 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI TOMPKINS, RONALD GARY · 2001 to 2010
$78.6M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
PICS: A New Horizon for Surgical Critical CareP50GM111152 · NIGMS · UNIVERSITY OF FLORIDA · PI MOORE, FREDERICK A · 2014 to 2018
$10.7M
Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Chronic Stress and Anemia Recovery following Major TraumaR01GM105893 · NIGMS · UNIVERSITY OF FLORIDA · PI MOHR, ALICIA M · 2013 to 2021
$3.5M
REGULATION ON MONOKINE PRODUCTION IN TRAUMA AND SURGERYR01GM040586 · NIGMS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI MOLDAWER, LYLE L · 1988 to 2016
$2.6M
Myeloid Suppressor Cells in Sepsis and TraumaR01GM081923 · NIGMS · UNIVERSITY OF FLORIDA · PI MOLDAWER, LYLE L · 2008 to 2014
$1.8M
Bridging Sustainable Distribution of TRBD Bioinformatics ResourcesR24GM102656 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI XIAO, WENZHONG · 2012 to 2014
$1.6M
Hematopoietic Stem Cell Dysfunction in the Elderly after Severe InjuryR01GM113945 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2015 to 2019
$1.6M
PROMISES: Progenitor Endothelial Cells as a Marker of Endothelial Injury and RepaK23GM087709 · NIGMS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA · 2010 to 2013
$497k
NIA NIH HHS P30 AG0228740NIA NIH HHS P30 AG028740NIGMS NIH HHS 1 R01 GM113945-01NIGMS NIH HHS K23 GM087709NIGMS NIH HHS P50 GM111152NIGMS NIH HHS P50 GM111152-01NIGMS NIH HHS R01 GM040586NIGMS NIH HHS R01 GM081923NIGMS NIH HHS R01 GM-081923-06NIGMS NIH HHS R01 GM105893NIGMS NIH HHS R01 GM105893-01A1NIGMS NIH HHS R01 GM113945NIGMS NIH HHS R01 GM40586-24NIGMS NIH HHS T32 GM008721NIGMS NIH HHS U54 GM062119
6 · The paper itself

Abstract

The elderly are particularly susceptible to trauma, and their outcomes are frequently dismal. Such patients often have complicated clinical courses and ultimately die of infection and sepsis. Recent research has revealed that although elderly subjects have increased baseline inflammation as compared with their younger counterparts, the elderly do not respond to severe infection or injury with an exaggerated inflammatory response. Initial retrospective analysis of clinical data from the Glue Grant trauma database demonstrated that despite a similar frequency, elderly trauma patients have worse outcomes to pneumonia than younger subjects do. Subsequent analysis with a murine trauma model also demonstrated that elderly mice had increased mortality after posttrauma Pseudomonas pneumonia. Blood, bone marrow, and bronchoalveolar lavage sample analyses from juvenile and 20-24-mo-old mice showed that increased mortality to trauma combined with secondary infection in the aged are not due to an exaggerated inflammatory response. Rather, they are due to a failure of bone marrow progenitors, blood neutrophils, and bronchoalveolar lavage cells to initiate and complete an emergency myelopoietic response, engendering myeloid cells that fail to clear secondary infection. In addition, elderly people appeared unable to resolve their inflammatory response to severe injury effectively.

Indexed as

AdultAgedAge FactorsAgingAnimalsBronchoalveolar Lavage FluidCells, CulturedCohort StudiesFemaleHumansImmunityLeukocytesMaleMice, Inbred C57BLMiddle AgedMyelopoiesis

Identifiers

PMID26246141
PMCPMC4546902
OpenAlexW2122171648

What OpenQuestion holds

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Read underepoch 390

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.