Evidence map›Paper›PMID 27142532›Full record

Observational studyJournal of translational medicine2016

Peroxiredoxin 1 induces inflammatory cytokine response and predicts outcome of cardiogenic shock patients necessitating extracorporeal membrane oxygenation: an observational cohort study and translational approach.

Chia-Hsiung Liu, Shuenn-Wen Kuo, Li-Ming Hsu, Shu-Chien Huang, Chih-Hsien Wang, Pi-Ru Tsai, Yih-Sharng Chen, Tzuu-Shuh Jou, Wen-Je Ko

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of translational medicine, 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
2.8field-weighted citation impact, top 10% 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, 41 citations in OpenAlex.

  1. Article
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  4. Review
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  8. Review
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  12. Extracorporeal life support and systemic inflammation.Intensive care medicine experimental · 2019
    Review
  13. Differential responses to larger volume intra-aortic balloon counterpulsation: Hemodynamic and clinical outcomes.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2018
    Article
  14. Article
  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

9 authors at 2 institutions in 1 country.

Chia-Hsiung LiuGraduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC.
Shuenn-Wen KuoDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Li-Ming HsuDepartment of Traumatology, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Shu-Chien HuangDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Chih-Hsien WangDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Pi-Ru TsaiDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Yih-Sharng ChenDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Tzuu-Shuh JouGraduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC. jouts@ntu.edu.tw.
Wen-Je KoDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan, ROC. kowj@ntu.edu.tw.
National Taiwan University Hospital · TWNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracellular peroxiredoxin 1 (Prdx1) has been implicated to play a pivotal role in regulating inflammation; however, its function in tissue hypoxia-induced inflammation, such as severe cardiogenic shock patients, has not yet been defined. Thus, the objective of this study was to test the hypothesis that Prdx1 possesses prognostic value and instigates systemic inflammatory response syndrome in cardiogenic shock patients undergoing extracorporeal membrane oxygenation (ECMO) support.

methodsWe documented the early time course evolution of circulatory Prdx1, hypoxic marker carbonic anhydrase IX, inflammatory cytokines including IL-6, IL-8, IL-10, MCP-1, TNF-α, IL-1β, and danger signaling receptors (TLR4 and CD14) in a cohort of cardiogenic shock patients within 1 day after ECMO support. In vitro investigations employing cultured murine macrophage cell lines and human monocytes were applied to clarify the relationship between Prdx1 and inflammatory response.

resultsPrdx1 not only peaked earlier than all the other cytokines we studied during the initial course, but also predicted a worse outcome in patients who had higher initial Prdx1 plasma levels. The Prdx1 levels in patients positively correlated with hypoxic markers carbonic anhydrase IX and lactate, and inflammatory cytokines. In vitro study demonstrated that hypoxia/reoxygenation induced Prdx1 release from human monocytes and enhanced the responsiveness of the monocytes in Prdx1-induced cytokine secretions. Furthermore, functional inhibition by Prdx1 antibody implicated a crucial role of Prdx1 in hypoxia/reoxygenation-induced IL-6 secretion.

conclusionsPrdx1 release during the early phase of ECMO support in cardiogenic shock patients is associated with the development of systemic inflammatory response syndrome and poor clinical outcomes. Thus, circulating Prdx1 provides not only prognostic information but may be a promising target against ischemia/reperfusion injury.

Indexed as

Extracorporeal Membrane OxygenationTranslational Research, BiomedicalAdultAgedBiomarkersCohort StudiesCytokinesFemaleHumansHypoxiaInflammation MediatorsMacrophagesMaleMiddle AgedMonocytesPeroxiredoxinsBiomarkersCytokinesInflammation MediatorsPeroxiredoxinsToll-Like Receptor 4Cardiogenic shockDanger-associated molecular patternsExtracorporeal membrane oxygenationIschemia-reperfusionPeroxiredoxin 1Systemic inflammatory response syndrome

Identifiers

PMID27142532
PMCPMC4855332
OpenAlexW2345984830

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.