Evidence map›Paper›PMID 27215212›Full record

ArticleCritical care (London, England)2016

Association of common genetic variation in the protein C pathway genes with clinical outcomes in acute respiratory distress syndrome.

Anil Sapru, Kathleen D Liu, Joseph Wiemels, Helen Hansen, Ludmilla Pawlikowska, Annie Poon, Eric Jorgenson, John S Witte, Carolyn S Calfee, Lorraine B Ware and 2 more

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Endothelial Damage in Acute Respiratory Distress Syndrome.International journal of molecular sciences · 2020
    Review
  10. Biomarkers in pediatric acute respiratory distress syndrome.Annals of translational medicine · 2019
    Review
  11. Precision Medicine and its Role in the Treatment of Sepsis: A Personalised View.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2019
    Review
  12. The Current State of Pediatric Acute Respiratory Distress Syndrome.Pediatric allergy, immunology, and pulmonology · 2019
    Review
  13. Review
  14. Review
  15. A path to precision in the ICU.Critical care (London, England) · 2017
    Review
  16. Visit to intensive care of 2050.Intensive care medicine · 2017
    Article
  17. Article
  18. Observational
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Anil SapruDepartments of Pediatrics, University of California, Box 0106, , 550, 16th Street, San Francisco, CA, 94143, USA. saprua@peds.ucsf.edu.
Kathleen D LiuDepartment of Medicine, University of California, San Francisco, CA, USA.
Joseph WiemelsInstitute for Human Genetics, University of California, San Francisco, CA, USA.
Helen HansenInstitute for Human Genetics, University of California, San Francisco, CA, USA.
Ludmilla PawlikowskaDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA, USA.
Annie PoonDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA, USA.
Eric JorgensonInstitute for Human Genetics, University of California, San Francisco, CA, USA.
John S WitteInstitute for Human Genetics, University of California, San Francisco, CA, USA.
Carolyn S CalfeeDepartment of Medicine, University of California, San Francisco, CA, USA.
Lorraine B WareDepartment of Medicine, Vanderbilt University, Nashville, TN, USA.
Michael A MatthayDepartment of Medicine, University of California, San Francisco, CA, USA.
NHLBI ARDS Network
University of California, San Francisco · USUniversity of California, Los Angeles · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
Pediatric Critical Care Scientist Development ProgramK12HD047349 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI HEATHER T. KEENAN, Kevin M Watt · 2004 to 2026
$17.0M
Biomarker Profiles in the Diagnosis/Prognosis of ARDSU01HL081332 · NHLBI · VANDERBILT UNIVERSITY · PI WARE, LORRAINE B · 2005 to 2008
$6.0M
Resolution of Clinical Lung InjuryR37HL051856 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHAY, MICHAEL A. · 2006 to 2015
$3.9M
Cigarette Smoke Exposure and Acute Lung Injury After Severe Blunt TraumaR01HL110969 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2012 to 2016
$1.9M
RESOLUTION OF CLINICAL LUNG INJURYR01HL051856 · NHLBI · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI MATTHAY, MICHAEL A. · 1996 to 2005
$1.7M
Midcareer Investigator Award in Patient-Oriented Research in Acute Lung InjuryK24HL103836 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARE, LORRAINE B · 2010 to 2020
$1.6M
Molecular Endotypes of ARDS: Identification, Biology, and Differential Response to TherapyR01HL131621 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2016 to 2017
$806k
Targeted Genomic Analysis of Coagulation Pathways in Acute Lung InjuryK23HL085526 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SAPRU, ANIL · 2007 to 2011
$756k
CCTG NETWORK FOR ARDS TREATMENTN01HR016146 · HR · BAYLOR COLLEGE OF MEDICINE · PI GUNTUPALLI, KALPALATHA K · 2001 to 2001
$297k
Inflammatory and epithelial injury markers for ARDS prognosis:A validation studyR21HL112656 · NHLBI · VANDERBILT UNIVERSITY · PI WARE, LORRAINE B · 2012 to 2013
$228k
NCRR NIH HHS KL2 RR024130NHLBI NIH HHS HL103836NHLBI NIH HHS HL110969NHLBI NIH HHS HL112656NHLBI NIH HHS HL131621NHLBI NIH HHS HL51856NHLBI NIH HHS K23 HL085526NHLBI NIH HHS K24 HL103836NHLBI NIH HHS N01 HR016146NHLBI NIH HHS N01-HR-16146-54NHLBI NIH HHS N01-HR-46046-64NHLBI NIH HHS R01 HL051856NHLBI NIH HHS R01 HL110969NHLBI NIH HHS R01 HL131621NHLBI NIH HHS R21 HL112656NHLBI NIH HHS R37 HL051856NHLBI NIH HHS U01 HL081332NICHD NIH HHS HD047349NICHD NIH HHS K12 HD047349
6 · The paper itself

Abstract

backgroundAltered plasma levels of protein C, thrombomodulin, and the endothelial protein C receptor are associated with poor clinical outcomes in patients with acute respiratory distress syndrome (ARDS). We hypothesized that common variants in these genes would be associated with mortality as well as ventilator-free and organ failure-free days in patients with ARDS.

methodsWe genotyped linkage disequilibrium-based tag single-nucleotide polymorphisms in the ProteinC, Thrombomodulin and Endothelial Protein C Reptor Genes among 320 self-identified white patients of European ancestry from the ARDS Network Fluid and Catheter Treatment Trial. We then tested their association with mortality as well as ventilator-free and organ-failure free days.

resultsThe GG genotype of rs1042580 (p = 0.02) and CC genotype of rs3716123 (p = 0.002), both in the thrombomodulin gene, and GC/CC genotypes of rs9574 (p = 0.04) in the endothelial protein C receptor gene were independently associated with increased mortality. An additive effect on mortality (p < 0.001), ventilator-free days (p = 0.01), and organ failure-free days was observed with combinations of these high-risk genotypes. This association was independent of age, severity of illness, presence or absence of sepsis, and treatment allocation.

conclusionsGenetic variants in thrombomodulin and endothelial protein C receptor genes are additively associated with mortality in ARDS. These findings suggest that genetic differences may be at least partially responsible for the observed associations between dysregulated coagulation and poor outcomes in ARDS.

Indexed as

AdultAgedAntigens, CDBlood CoagulationEndothelial Protein C ReceptorFemaleGenetic VariationHumansMaleMiddle AgedProtein CReceptors, Cell SurfaceRespiratory Distress SyndromeThrombomodulinWhite PeopleAntigens, CDEndothelial Protein C ReceptorPROCR protein, humanProtein CReceptors, Cell SurfaceThrombomodulin

Identifiers

PMID27215212
PMCPMC4876559
OpenAlexW2396348284

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.