Evidence map›Paper›PMID 27005275›Full record

ReviewCritical care (London, England)2016

The role of neutrophils in immune dysfunction during severe inflammation.

Pieter H C Leliefeld, Catharina M Wessels, Luke P H Leenen, Leo Koenderman, Janesh Pillay

Registry-linked trialAbstract readReview
In one paragraph

Review in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06792474 (Influence of Lidocaine Infusion on Motor Evoked Potential Thresholds; a Single-center, Double-blinded, Randomized Trial for Patients Undergoing Spin Surgery With Intraoperative Neurophysiologic Monitoring.), which is not on this map. Cited by 159 papers.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed
–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.

NCT06792474 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Influence of Lidocaine Infusion on Motor Evoked Potential Thresholds; a Single-center, Double-blinded, Randomized Trial for Patients Undergoing Spin Surgery With Intraoperative Neurophysiologic Monitoring.

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2026 to 2027Enrolled44ConditionsSpinal Disease, Anesthesia, Post Operative PainArmsLidocaine in Saline, Normal saline
3 · Its place in the literature

Who cites it

159 citing papers in PubMed.

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  18. Observational
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99 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Pieter H C LeliefeldDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. plelief2@umcutrecht.nl.
Catharina M WesselsDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Luke P H LeenenDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Leo KoendermanDepartment of Respiratory Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Janesh PillayLaboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critically ill post-surgical, post-trauma and/or septic patients are characterised by severe inflammation. This immune response consists of both a pro- and an anti-inflammatory component. The pro-inflammatory component contributes to (multiple) organ failure whereas occurrence of immune paralysis predisposes to infections. Strikingly, infectious complications arise in these patients despite the presence of a clear neutrophilia. We propose that dysfunction of neutrophils potentially increases the susceptibility to infections or can result in the inability to clear existing infections. Under homeostatic conditions these effector cells of the innate immune system circulate in a quiescent state and serve as the first line of defence against invading pathogens. In severe inflammation, however, neutrophils are rapidly activated, which affects their functional capacities, such as chemotaxis, phagocytosis, intra-cellular killing, NETosis, and their capacity to modulate adaptive immunity. This review provides an overview of the current understanding of neutrophil dysfunction in severe inflammation. We will discuss the possible mechanisms of downregulation of anti-microbial function, suppression of adaptive immunity by neutrophils and the contribution of neutrophil subsets to immune paralysis.

Indexed as

Adaptive ImmunityAnti-Inflammatory AgentsCritical IllnessHumansImmune System DiseasesInflammationNeutrophil ActivationNeutrophilsSepsisAnti-Inflammatory Agents

Identifiers

PMID27005275
PMCPMC4804478

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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.