Evidence map›Paper›PMID 27433475›Full record

Trial reportBioMed research international2016

Bioartificial Therapy of Sepsis: Changes of Norepinephrine-Dosage in Patients and Influence on Dynamic and Cell Based Liver Tests during Extracorporeal Treatments.

Martin Sauer, Jens Altrichter, Cristof Haubner, Annette Pertschy, Thomas Wild, Fanny Doß, Thomas Mencke, Maren Thomsen, Johannes Ehler, Jörg Henschel and 5 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in BioMed research international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Purified Granulocyte Concentrates from Buffy Coats with Extended Storage Time.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2024
    Article
  2. Article
  3. Article
  4. Extracorporeal immune cell therapy of sepsis: ex vivo results.Intensive care medicine experimental · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. 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

15 authors at 2 institutions in 1 country.

Martin SauerDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.ORCID 0000-0001-6221-9081
Jens AltrichterDepartments of Medicine, Division of Nephrology, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Cristof HaubnerDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Annette PertschyDepartments of Surgery, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Thomas WildFraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.
Fanny DoßFraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.
Thomas MenckeDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.ORCID 0000-0002-9179-4437
Maren ThomsenDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Johannes EhlerDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Jörg HenschelDepartments of Medicine, Division of Nephrology, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Sandra DoßFraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.
Stephanie KochFraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.
Georg RichterDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.
Gabriele Nöldge-SchomburgDepartments of Anesthesiology and Intensive Care Medicine, Medical Faculty of the University of Rostock, 18057 Rostock, Germany.ORCID 0000-0002-0041-3580
Steffen R MitznerDepartments of Medicine, Division of Nephrology, Medical Faculty of the University of Rostock, 18057 Rostock, Germany; Fraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.
University of Rostock · DEFraunhofer Institute for Cell Therapy and Immunology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose. Granulocyte transfusions have been used to treat immune cell dysfunction in sepsis. A granulocyte bioreactor for the extracorporeal treatment of sepsis was tested in a prospective clinical study focusing on the dosage of norepinephrine in patients and influence on dynamic and cell based liver tests during extracorporeal therapies. Methods and Patients. Ten patients with severe sepsis were treated twice within 72 h with the system containing granulocytes from healthy donors. Survival, physiologic parameters, extended hemodynamic measurement, and the indocyanine green plasma disappearance rate (PDR) were monitored. Plasma of patients before and after extracorporeal treatments were tested with a cell based biosensor for analysis of hepatotoxicity. Results. The observed mortality rate was 50% during stay in hospital. During the treatments, the norepinephrine-dosage could be significantly reduced while mean arterial pressure was stable. In the cell based analysis of hepatotoxicity, the viability and function of sensor-cells increased significantly during extracorporeal treatment in all patients and the PDR-values increased significantly between day 1 and day 7 only in survivors. Conclusion. The extracorporeal treatment with donor granulocytes showed promising effects on dosage of norepinephrine in patients, liver cell function, and viability in a cell based biosensor. Further studies with this approach are encouraged.

Indexed as

Liver, ArtificialAdultAgedAged, 80 and overBiomarkersCell CountCohort StudiesCytochrome P-450 CYP1A2CytokinesDose-Response Relationship, DrugExtracorporeal CirculationHemodynamicsHep G2 CellsHumansInflammationLiverBiomarkersCytochrome P-450 CYP1A2CytokinesL-Lactate DehydrogenaseNorepinephrine

Identifiers

PMID27433475
PMCPMC4940519
OpenAlexW2466024694

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.