Evidence map›Paper›PMID 27441656›Full record

ArticleCell death & disease2016

Proton pump inhibitors protect mice from acute systemic inflammation and induce long-term cross-tolerance.

E Balza, P Piccioli, S Carta, R Lavieri, M Gattorno, C Semino, P Castellani, A Rubartelli

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03452865 (Proton Pump Inhibitors), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT03452865 phase3completednot on this mapstarted 2020, after this paper: background citation

Proton Pump Inhibitors (PPI) as a New Strategy for Therapy in Sepsis: Clinical Trial to Reduce Severity of Organ Failure and in Vitro Experiments to Search Specific Hallmarks in Monocytes From Septic Patients and to Characterize the Mechanism of Action of PPI

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2020 to 2023Enrolled300ConditionsSepsis, Septic ShockArmsEsomeprazole, Placebo
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Observational
  6. Article
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  10. NLRP3 inhibition improves maternal hypertension, inflammation, and vascular dysfunction in response to placental ischemia.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Article
  11. Article
  12. Perinatal derivatives: How to best validate their immunomodulatory functions.Frontiers in bioengineering and biotechnology · 2022
    Review
  13. Article
  14. Improved motility in the gastrointestinal tract of a postoperative ileus rat model with ilaprazole.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2021
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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

8 authors at 2 institutions in 1 country.

E BalzaCell Biology Unit, IRCCS AOU San Martino-IST, 16132 Genoa, Italy.
P PiccioliCell Biology Unit, IRCCS AOU San Martino-IST, 16132 Genoa, Italy.
S CartaCell Biology Unit, IRCCS AOU San Martino-IST, 16132 Genoa, Italy.
R LavieriCell Biology Unit, IRCCS AOU San Martino-IST, 16132 Genoa, Italy.
M GattornoPediatrics II Unit, G Gaslini Institute, 16147 Genoa, Italy.
C SeminoProtein Transport Unit, Division of Cell and Molecular Biology, San Raffaele Institute, 20132 Milan, Italy.
P CastellaniCell Biology Unit, IRCCS AOU San Martino-IST, 16132 Genoa, Italy.
A RubartelliCell Biology Unit, IRCCS AOU San Martino-IST, 16132 Genoa, Italy.
Ospedale Policlinico San Martino · ITIstituto Giannina Gaslini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incidence of sepsis is increasing, representing a tremendous burden for health-care systems. Death in acute sepsis is attributed to hyperinflammatory responses, but the underlying mechanisms are still unclear. We report here that proton pump inhibitors (PPIs), which block gastric acid secretion, selectively inhibited tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) secretion by Toll-like receptor (TLR)-activated human monocytes in vitro, in the absence of toxic effects. Remarkably, the oversecretion of IL-1β that represents a hallmark of monocytes from patients affected by cryopyrin-associated periodic syndrome is also blocked. Based on these propaedeutic experiments, we tested the effects of high doses of PPIs in vivo in the mouse model of endotoxic shock. Our data show that a single administration of PPI protected mice from death (60% survival versus 5% of untreated mice) and decreased TNF-α and IL-1β systemic production. PPIs were efficacious even when administered after lipopolysaccharide (LPS) injection. PPI-treated mice that survived developed a long-term cross-tolerance, becoming resistant to LPS- and zymosan-induced sepsis. In vitro, their macrophages displayed impaired TNF-α and IL-1β to different TLR ligands. PPIs also prevented sodium thioglycollate-induced peritoneal inflammation, indicating their efficacy also in a non-infectious setting independent of TLR stimulation. Lack of toxicity and therapeutic effectiveness make PPIs promising new drugs against sepsis and other severe inflammatory conditions.

Indexed as

AnimalsCryopyrin-Associated Periodic SyndromesEsomeprazoleGene Expression RegulationHumansInterleukin-1betaLipopolysaccharidesMacrophages, PeritonealMiceMice, Inbred C57BLMonocytesOmeprazolePeritonitisPrimary Cell CultureProton Pump InhibitorsShock, Septic2-mercaptoacetateEsomeprazoleIL1B protein, mouseInterleukin-1betaLipopolysaccharidesOmeprazoleProton Pump InhibitorsThioglycolatesToll-Like ReceptorsTumor Necrosis Factor-alphaZymosan

Identifiers

PMID27441656
PMCPMC4973356
OpenAlexW2497668333

What OpenQuestion holds

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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.