Evidence map›Paper›PMID 27671246›Full record

Observational studyJournal of leukocyte biology2016

Frontline Science: Defects in immune function in patients with sepsis are associated with PD-1 or PD-L1 expression and can be restored by antibodies targeting PD-1 or PD-L1.

Andriani C Patera, Anne M Drewry, Katherine Chang, Evan R Beiter, Dale Osborne, Richard S Hotchkiss

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of leukocyte biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 4 pooled it
13.8field-weighted citation impact, top 1% 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

141 citing papers in PubMed, 4 syntheses or guidelines pooled it, 203 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Immunology of Sepsis.Clinics in chest medicine · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Admission CD4Frontiers in cellular and infection microbiology · 2026
    Observational
  19. Article
  20. Review

81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Andriani C PateraInfectious Disease and Vaccines Department, MedImmune LLC, Gaithersburg, Maryland, USA pateraa@medimmune.com.
Anne M DrewryDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Katherine ChangDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Evan R BeiterDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Dale OsborneDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Richard S HotchkissDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Prevention of Apoptotic Cell Death in Sepsis by BCL-2R37GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 2003 to 2012
$5.1M
PREVENTION OF APOPTOTIC CELL DEATH IN SEPSIS BY BCL-2R01GM044118 · NIGMS · WASHINGTON UNIVERSITY · PI HOTCHKISS, RICHARD SAMUEL · 1992 to 2017
$2.7M
MECHANISMS OF IMMUNOSUPPRESSION IN SEPSISR01GM098391 · NIGMS · WASHINGTON UNIVERSITY · PI GREEN, JONATHAN M., HOTCHKISS, RICHARD SAMUEL · 2012 to 2015
$2.2M
NCATS NIH HHS KL2 TR000450NIGMS NIH HHS R01 GM044118NIGMS NIH HHS R01 GM098391NIGMS NIH HHS R37 GM044118
6 · The paper itself

Abstract

Sepsis is a heterogeneous syndrome comprising a highly diverse and dynamic mixture of hyperinflammatory and compensatory anti-inflammatory immune responses. This immune phenotypic diversity highlights the importance of proper patient selection for treatment with the immunomodulatory drugs that are entering clinical trials. To better understand the serial changes in immunity of critically ill patients and to evaluate the potential efficacy of blocking key inhibitory pathways in sepsis, we undertook a broad phenotypic and functional analysis of innate and acquired immunity in the same aliquot of blood from septic, critically ill nonseptic, and healthy donors. We also tested the ability of blocking the checkpoint inhibitors programmed death receptor-1 (PD-1) and its ligand (PD-L1) to restore the function of innate and acquired immune cells. Neutrophil and monocyte function (phagocytosis, CD163, cytokine expression) were progressively diminished as sepsis persisted. An increasing frequency in PD-L1

Indexed as

AdultAntibodies, MonoclonalB7-H1 AntigenCD8-Positive T-LymphocytesCritical IllnessFemaleHumansImmunophenotypingKiller Cells, NaturalLipopolysaccharidesLymphocyte ActivationMaleMiddle AgedMonocytesNeutrophilsPhagocytosisAntibodies, MonoclonalB7-H1 AntigenCD274 protein, humanLipopolysaccharidesPDCD1 protein, humanProgrammed Cell Death 1 ReceptorTumor Necrosis Factor-alphaimmunosuppressionmonocytesneutrophilsprogrammed cell death

Identifiers

PMID27671246
PMCPMC5110001
OpenAlexW2526244009

What OpenQuestion holds

Textmetadata
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.