Evidence map›Paper›PMID 28248833›Full record

ReviewPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2017

Pathophysiology of the Gut and the Microbiome in the Host Response.

John D Lyons, Craig M Coopersmith

Abstract readReview
In one paragraph

Review in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 34 citations in OpenAlex.

  1. MicroencapsulatedFrontiers in cellular and infection microbiology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Enteric dysbiosis is associated with sepsis in patients.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
  7. The gut microbiome alters immunophenotype and survival from sepsis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
  8. Review
  9. Article
  10. Gut integrity in critical illness.Journal of intensive care · 2019
    Review
  11. Article
  12. Article
  13. Article
  14. Sepsis reveals compartment-specific responses in intestinal proliferation and apoptosis in transgenic mice whose enterocytes re-enter the cell cycle.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2017
    Article
  15. 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

2 authors at 1 institution in 2 countries.

John D LyonsBoth authors: Department of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA.
Craig M Coopersmith
Emory University · US

Funding

Mechanisms of Intestinal Integrity in Sepsis and ShockR01GM072808 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2005 to 2021
$5.1M
Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
The Impact of Cancer on the Pathophysiology of SepsisR01GM104323 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2013 to 2021
$2.4M
The Impact of Chronic Alcohol Abuse on the Pathophysiology of SepsisR01GM109779 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2014 to 2017
$1.2M
Targeting 2B4 Coinhibitory Signals During Sepsis-Induced Immune DysregulationR01GM113228 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2015 to 2018
$1.2M
RIP-Mediated Signaling in Intestinal Epithelial Cell Death During SepsisF32GM117895 · NIGMS · EMORY UNIVERSITY · PI LYONS, JOHN DANIEL · 2016 to 2016
$28k
NIGMS NIH HHS F32 GM117895NIGMS NIH HHS R01 GM072808NIGMS NIH HHS R01 GM104323NIGMS NIH HHS R01 GM109779NIGMS NIH HHS R01 GM113228NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

objectiveTo describe and summarize the data supporting the gut as the motor driving critical illness and multiple organ dysfunction syndrome presented at the National Institute of Child Health and Human Development MODS Workshop (March 26-27, 2015). DATA SOURCES: Summary of workshop keynote presentation. STUDY SELECTION: Not applicable. DATA EXTRACTION: Presented by an expert in the field, the data assessing the role of gastrointestinal dysfunction driving critical illness were described with a focus on identifying knowledge gaps and research priorities. DATA SYNTHESIS: Summary of presentation and discussion supported and supplemented by relevant literature.

conclusionsThe understanding of gut dysfunction in critical illness has evolved greatly over time, and the gut is now often considered as the "motor" of critical illness. The association of the gut with critical illness is supported by both animal models and clinical studies. Initially, the association between gut dysfunction and critical illness focused primarily on bacterial translocation into the bloodstream. However, that work has evolved to include other gut-derived products causing distant injury via other routes (e.g., lymphatics). Additionally, alterations in the gut epithelium may be associated with critical illness and influence outcomes. Gut epithelial apoptosis, intestinal hyperpermeability, and perturbations in the intestinal mucus layer have all been associated with critical illness. Finally, there is growing evidence that the intestinal microbiome plays a crucial role in mediating pathology in critical illness. Further research is needed to better understand the role of each of these mechanisms and their contribution to multiple organ dysfunction syndrome in children.

Indexed as

Bacterial TranslocationChildCritical IllnessGastrointestinal MicrobiomeHumansIntestinal MucosaMultiple Organ FailurePediatrics

Identifiers

PMID28248833
PMCPMC5333129
OpenAlexW2593274745

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.