Evidence map›Paper›PMID 27018973›Full record

ArticlePloS one2016

Murine Lung Cancer Increases CD4+ T Cell Apoptosis and Decreases Gut Proliferative Capacity in Sepsis.

John D Lyons, Rohit Mittal, Katherine T Fay, Ching-Wen Chen, Zhe Liang, Lindsay M Margoles, Eileen M Burd, Alton B Farris, Mandy L Ford, Craig M Coopersmith

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Cancer and sepsis.Clinical science (London, England : 1979) · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Gut integrity in critical illness.Journal of intensive care · 2019
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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 1 institution in 1 country.

John D LyonsDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Rohit MittalDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Katherine T FayDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Ching-Wen ChenDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Zhe LiangDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Lindsay M MargolesDepartment of Internal Medicine and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Eileen M BurdDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, United States of America.
Alton B FarrisDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, United States of America.
Mandy L FordDepartment of Surgery and Emory Transplant Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Craig M CoopersmithDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, United States of America.
Emory University · US

Funding

Mechanisms of Intestinal Integrity in Sepsis and ShockR01GM072808 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2005 to 2021
$5.1M
Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
The Impact of Cancer on the Pathophysiology of SepsisR01GM104323 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2013 to 2021
$2.4M
The Impact of Chronic Alcohol Abuse on the Pathophysiology of SepsisR01GM109779 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2014 to 2017
$1.2M
Targeting 2B4 Coinhibitory Signals During Sepsis-Induced Immune DysregulationR01GM113228 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2015 to 2018
$1.2M
NIGMS NIH HHS GM072808NIGMS NIH HHS GM095442NIGMS NIH HHS GM104323NIGMS NIH HHS GM109779NIGMS NIH HHS GM113228NIGMS NIH HHS R01 GM072808NIGMS NIH HHS R01 GM104323NIGMS NIH HHS R01 GM109779NIGMS NIH HHS R01 GM113228NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

backgroundMortality is significantly higher in septic patients with cancer than in septic patients without a history of cancer. We have previously described a model of pancreatic cancer followed by sepsis from Pseudomonas aeruginosa pneumonia in which cancer septic mice have higher mortality than previously healthy septic mice, associated with increased gut epithelial apoptosis and decreased T cell apoptosis. The purpose of this study was to determine whether this represents a common host response by creating a new model in which both the type of cancer and the model of sepsis are altered.

methodsC57Bl/6 mice received an injection of 250,000 cells of the lung cancer line LLC-1 into their right thigh and were followed three weeks for development of palpable tumors. Mice with cancer and mice without cancer were then subjected to cecal ligation and puncture and sacrificed 24 hours after the onset of sepsis or followed 7 days for survival.

resultsCancer septic mice had a higher mortality than previously healthy septic mice (60% vs. 18%, p = 0.003). Cancer septic mice had decreased number and frequency of splenic CD4+ lymphocytes secondary to increased apoptosis without changes in splenic CD8+ numbers. Intestinal proliferation was also decreased in cancer septic mice. Cancer septic mice had a higher bacterial burden in the peritoneal cavity, but this was not associated with alterations in local cytokine, neutrophil or dendritic cell responses. Cancer septic mice had biochemical evidence of worsened renal function, but there was no histologic evidence of renal injury.

conclusionsAnimals with cancer have a significantly higher mortality than previously healthy animals following sepsis. The potential mechanisms associated with this elevated mortality differ significantly based upon the model of cancer and sepsis utilized. While lymphocyte apoptosis and intestinal integrity are both altered by the combination of cancer and sepsis, the patterns of these alterations vary greatly depending on the models used.

Indexed as

ApoptosisAnimalsBronchoalveolar Lavage FluidCD4-Positive T-LymphocytesCell Line, TumorCytokinesDisease Models, AnimalFemaleIntestinal MucosaLiverLungLung NeoplasmsMaleMiceMice, Inbred C57BLPeroxidaseCxcr3 protein, mouseCytokinesPeroxidaseReceptors, CXCR3

Identifiers

PMID27018973
PMCPMC4809578
OpenAlexW2330036550

What OpenQuestion holds

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LicenceCC BY
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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.