Evidence map›Paper›PMID 27411715›Full record

ArticleScientific reports2016

Transcriptomic analysis reveals abnormal muscle repair and remodeling in survivors of critical illness with sustained weakness.

Christopher J Walsh, Jane Batt, Margaret S Herridge, Sunita Mathur, Gary D Bader, Pingzhao Hu, Claudia C Dos Santos

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07017517 (Effect of Physical Therapy on NLRP3 Inflammasome Activation and Muscle Atrophy in Critical Illness Myopathy), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT07017517 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Physical Therapy on NLRP3 Inflammasome Activation and Muscle Atrophy in Critical Illness Myopathy (PT-NLRP3-CIM).

TypeinterventionalSponsorUniversity of ChileRan2026 to 2027Enrolled24ConditionsCritical Illness MyopathyArmsMotomed Letto® servo-assisted cycling + standard physiotherapy, Standard physiotherapy
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. ICU-acquired weakness.Intensive care medicine · 2020
    Pooled it
  4. Trial
  5. DNA methylation alterations in muscle of critically ill patients.Journal of cachexia, sarcopenia and muscle · 2022
    Trial
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  8. Observational
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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

7 authors at 4 institutions in 1 country.

Christopher J WalshKeenan and Li Ka Shing Knowledge Institute of Saint Michael's Hospital, Toronto, Ontario, Canada.
Jane BattKeenan and Li Ka Shing Knowledge Institute of Saint Michael's Hospital, Toronto, Ontario, Canada.
Margaret S HerridgeUniversity Health Network, Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada.
Sunita MathurDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Gary D BaderThe Donnelly Center, University of Toronto, Toronto, Ontario, Canada.
Pingzhao HuDepartment of Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Manitoba.
Claudia C Dos SantosKeenan and Li Ka Shing Knowledge Institute of Saint Michael's Hospital, Toronto, Ontario, Canada.
University of Toronto · CASt. Michael's Hospital · CAUniversity Health Network · CAUniversity of Manitoba · CA

Funding

TR&D 3 - Network Guided Machine LearningP41GM103504 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI IDEKER, TREY · 2012 to 2024
$17.3M
Pathway Commons: Research Resource for Biological PathwaysU41HG006623 · NHGRI · SLOAN-KETTERING INST CAN RESEARCH · PI SANDER, CHRIS · 2012 to 2017
$5.7M
CIHR MOP-137002NHGRI NIH HHS U41 HG006623NIGMS NIH HHS P41 GM103504
6 · The paper itself

Abstract

ICU acquired weakness (ICUAW) is a common complication of critical illness characterized by structural and functional impairment of skeletal muscle. The resulting physical impairment may persist for years after ICU discharge, with few patients regaining functional independence. Elucidating molecular mechanisms underscoring sustained ICUAW is crucial to understanding outcomes linked to different morbidity trajectories as well as for the development of novel therapies. Quadriceps muscle biopsies and functional measures of muscle strength and mass were obtained at 7 days and 6 months post-ICU discharge from a cohort of ICUAW patients. Unsupervised co-expression network analysis of transcriptomic profiles identified discrete modules of co-expressed genes associated with the degree of muscle weakness and atrophy in early and sustained ICUAW. Modules were enriched for genes involved in skeletal muscle regeneration and extracellular matrix deposition. Collagen deposition in persistent ICUAW was confirmed by histochemical stain. Modules were further validated in an independent cohort of critically ill patients with sepsis-induced multi-organ failure and a porcine model of ICUAW, demonstrating disease-associated conservation across species and peripheral muscle type. Our findings provide a pathomolecular basis for sustained ICUAW, implicating aberrant expression of distinct skeletal muscle structural and regenerative genes in early and persistent ICUAW.

Indexed as

Critical IllnessGene Expression ProfilingSurvivorsGene Regulatory NetworksHumansMuscle, SkeletalMuscle WeaknessRegeneration

Identifiers

PMID27411715
PMCPMC4944143
OpenAlexW2472352760

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.