Evidence map›Paper›PMID 26871664›Full record

ReviewShock (Augusta, Ga.)2016

THE ENDOTHELIUM IN SEPSIS.

Can Ince, Philip R Mayeux, Trung Nguyen, Hernando Gomez, John A Kellum, Gustavo A Ospina-Tascón, Glenn Hernandez, Patrick Murray, Daniel De Backer, ADQI XIV Workgroup

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Shock (Augusta, Ga.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03706768 (Degradation of the Glycocalyx in Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage), which is not on this map. Cited by 364 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
364citing papers in PubMed, 2 pooled it
31.5field-weighted citation impact, top 1% 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.

NCT03706768 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Degradation of the Glycocalyx in Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage

TypeinterventionalSponsorUniversity of VirginiaRan2018 to 2020Enrolled42ConditionsAneurysmal Subarachnoid HemorrhageArmsGlycocalyx
3 · Its place in the literature

Who cites it

364 citing papers in PubMed, 2 syntheses or guidelines pooled it, 597 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Observational
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  16. TRPV4/IP3R-1-mediated endothelial pyroptosis drives pulmonary microvascular endothelial permeability in endotoxin-induced acute lung injury.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  17. Article
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  19. Observational
  20. From Static Risk Estimates to Dynamic Clinical Trajectories: A Conceptual Analysis of Perioperative Medicine.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article

304 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

10 authors at 3 institutions in 3 countries.

Can Ince*Department of Intensive Care, Erasmus MC, University Medical Center, Rotterdam, the Netherlands †Department of Pharmacology and Toxicology University of Arkansas for Medical Sciences, Little Rock, Arkansas ‡Pediatric Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas §The Center for Critical Care Nephrology Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ||Department of Intensive Care, Fundación Valle del Lili, Universidad ICESI, Cali, Columbia ¶Department of Intensive Care Medicine, Pontificia Universidad Católica De Chile, Santiago, Chile **University College Dublin, Dublin, Ireland ††CHIREC Hospitals and Université Libre de Bruxelles, Brussels, Belgium.
Philip R Mayeux
Trung Nguyen
Hernando Gomez
John A Kellum
Gustavo A Ospina-Tascón
Glenn Hernandez
Patrick Murray
Daniel De Backer
ADQI XIV Workgroup
AM–Pharma (Netherlands) · NLFresenius (Germany) · DENierstichting · NL

Funding

Microvascular Thrombosis in systemic inflammationR01GM112806 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI CRUZ, MIGUEL ANGEL, NGUYEN, TRUNG CHANH · 2014 to 2022
$3.0M
NIGMS NIH HHS R01 GM112806
6 · The paper itself

Abstract

Sepsis affects practically all aspects of endothelial cell (EC) function and is thought to be the key factor in the progression from sepsis to organ failure. Endothelial functions affected by sepsis include vasoregulation, barrier function, inflammation, and hemostasis. These are among other mechanisms often mediated by glycocalyx shedding, such as abnormal nitric oxide metabolism, up-regulation of reactive oxygen species generation due to down-regulation of endothelial-associated antioxidant defenses, transcellular communication, proteases, exposure of adhesion molecules, and activation of tissue factor. This review covers current insight in EC-associated hemostatic responses to sepsis and the EC response to inflammation. The endothelial cell lining is highly heterogeneous between different organ systems and consequently also in its response to sepsis. In this context, we discuss the response of the endothelial cell lining to sepsis in the kidney, liver, and lung. Finally, we discuss evidence as to whether the EC response to sepsis is adaptive or maladaptive. This study is a result of an Acute Dialysis Quality Initiative XIV Sepsis Workgroup meeting held in Bogota, Columbia, between October 12 and 15, 2014.

Indexed as

HemostasisAnimalsDown-RegulationEndothelial CellsEndotheliumGlycocalyxHumansNitric OxideOrgan SpecificitySepsisThromboplastinUp-RegulationNitric OxideThromboplastin

Identifiers

PMID26871664
PMCPMC5281063
OpenAlexW2255691977

What OpenQuestion holds

Textmetadata
LicenceTDM
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.