Evidence map›Paper›PMID 27879560›Full record

ArticleShock (Augusta, Ga.)2017

Temporal Changes in Microrna Expression in Blood Leukocytes from Patients with the Acute Respiratory Distress Syndrome.

Purushottam Narute, Nitin Seam, Margaret Tropea, Carolea Logun, Rongman Cai, Junfeng Sun, James H Shelhamer, Gianfranco U Meduri, Anthony F Suffredini

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Immune modulation mimics damage control orthopaedics' upregulation of anti-inflammatory miRNA-21/23a/27a and miRNA-30b in the lung after polytrauma in pigs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Current Concepts of ARDS: A Narrative Review.International journal of molecular sciences · 2016
    Review
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

9 authors at 1 institution in 1 country.

Purushottam Narute*Critical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland †Veterans Affairs Medical Center, Memphis, Tennessee.
Nitin Seam
Margaret Tropea
Carolea Logun
Rongman Cai
Junfeng Sun
James H Shelhamer
Gianfranco U Meduri
Anthony F Suffredini
National Institutes of Health Clinical Center · US

Funding

Biomarkers in Patients with Sepsis or Acute Respiratory Distress SyndromeZ01CL009005 · CLC · CLINICAL CENTER · PI SUFFREDINI, ANTHONY F. · 2007 to 2008
$235k
Biomarkers in Patients with Sepsis or Acute Respiratory Distress SyndromeZIACL009005 · CLC · CLINICAL CENTER · PI SUFFREDINI, ANTHONY F. · 2009 to 2019
$0k
Intramural NIH HHS Z01 CL009005
6 · The paper itself

Abstract

backgroundMicroRNA (miRNA) control gene transcription by binding to and repressing the translation of messenger RNA (mRNA). Their role in the acute respiratory distress syndrome (ARDS) is undefined.

methodsBlood leukocytes from 51 patients enrolled in a prior randomized trial of corticosteroids for ARDS were analyzed. After screening eight patients with microarrays for altered miRNA expression, 25 miRNAs were selected for further analysis using RT-PCR in all 51 patients.

resultsOn day 0, the 51 patients had APACHE III score of 60.4 ± 17.7 and PaO2/FiO2 of 117 ± 49. 21 miRNA were expressed at increased levels in blood leukocytes at the onset of ARDS compared with healthy controls. These miRNA remained elevated at day 3 and increased further by day 7 (log2 fold change from 0.66 to 5.7 fold, P <0.05 compared to day 0). In a subgroup analysis (37 patients treated with corticosteroids and 14 treated with placebo), the interaction of miRNA expression over time and steroid administration was not significant suggesting that systemic corticosteroids had no effect on the miRNA detected in our study. In contrast, corticosteroids but not placebo decreased IL-6 and C-reactive protein at day 3 (P < 0.001) demonstrating an early systemic anti-inflammatory response whereas both treatment arms had decreased values by day 7 (P <0.001).

conclusionsExpression of miRNA is increased in blood leukocytes of patients with ARDS at day 0 and day 3 and rises further by day 7, when systemic inflammation is subsiding. These effects appear independent of the administration of steroids, suggesting different inflammatory modifying roles for each in the resolving phases of ARDS.

Indexed as

Adrenal Cortex HormonesAdultAgedAPACHEC-Reactive ProteinFemaleHumansInterleukin-6LeukocytesMaleMicroRNAsMiddle AgedRandomized Controlled Trials as TopicRespiratory Distress SyndromeReverse Transcriptase Polymerase Chain ReactionAdrenal Cortex HormonesC-Reactive ProteinInterleukin-6MicroRNAs

Identifiers

PMID27879560
PMCPMC5432391
OpenAlexW2551968853

What OpenQuestion holds

Textmetadata
LicenceTDM
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.