Evidence map›Paper›PMID 28304355›Full record

ReviewInternational journal of molecular sciences2017

The Glyoxalase System and Methylglyoxal-Derived Carbonyl Stress in Sepsis: Glycotoxic Aspects of Sepsis Pathophysiology.

Thomas Schmoch, Florian Uhle, Benedikt H Siegler, Thomas Fleming, Jakob Morgenstern, Peter P Nawroth, Markus A Weigand, Thorsten Brenner

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Methylglyoxal AttenuatesInternational journal of molecular sciences · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Methylglyoxal Formation-Metabolic Routes and Consequences.Antioxidants (Basel, Switzerland) · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Loganic Acid, an Iridoid Glycoside Extracted fromLife (Basel, Switzerland) · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. [Evidence-based interdisciplinary treatment of abdominal sepsis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  18. Increased oxidative stress and renal injury in patients with sepsis.Journal of clinical biochemistry and nutrition · 2018
    Article
  19. Article
  20. Increased oxidative stress and coenzyme Q10 deficiency in centenarians.Journal of clinical biochemistry and nutrition · 2018
    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

8 authors at 1 institution in 1 country.

Thomas SchmochDepartment of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany. Thomas.Schmoch@med.uni-heidelberg.de.
Florian UhleDepartment of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany. Florian.Uhle@med.uni-heidelberg.de.
Benedikt H SieglerDepartment of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany. Benedikt.Siegler@med.uni-heidelberg.de.
Thomas FlemingDepartment of Medicine I and Clinical Chemistry, Heidelberg University Hospital, 69120 Heidelberg, Germany. Markus.Weigand@med.uni-heidelberg.de.
Jakob MorgensternDepartment of Medicine I and Clinical Chemistry, Heidelberg University Hospital, 69120 Heidelberg, Germany. Thomas.Fleming@med.uni-heidelberg.de.
Peter P NawrothDepartment of Medicine I and Clinical Chemistry, Heidelberg University Hospital, 69120 Heidelberg, Germany. Jakob.Morgenstern@med.uni-heidelberg.de.
Markus A WeigandDepartment of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany. Peter.Nawroth@med.uni-heidelberg.de.
Thorsten BrennerDepartment of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany. Thorsten.Brenner@med.uni-heidelberg.de.
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis remains one of the leading causes of death in intensive care units. Although sepsis is caused by a viral, fungal or bacterial infection, it is the dysregulated generalized host response that ultimately leads to severe dysfunction of multiple organs and death. The concomitant profound metabolic changes are characterized by hyperglycemia, insulin resistance, and profound transformations of the intracellular energy supply in both peripheral and immune cells. A further hallmark of the early phases of sepsis is a massive formation of reactive oxygen (ROS; e.g., superoxide) as well as nitrogen (RNS; e.g., nitric oxide) species. Reactive carbonyl species (RCS) form a third crucial group of highly reactive metabolites, which until today have been not the focus of interest in sepsis. However, we previously showed in a prospective observational clinical trial that patients suffering from septic shock are characterized by significant methylglyoxal (MG)-derived carbonyl stress, with the glyoxalase system being downregulated in peripheral blood mononuclear cells. In this review, we give a detailed insight into the current state of research regarding the metabolic changes that entail an increased MG-production in septicemia. Thus, we point out the special role of the glyoxalase system in the context of sepsis.

Indexed as

Stress, PhysiologicalAnimalsHumansLactoylglutathione LyaseProtein CarbonylationPyruvaldehydeSepsisLactoylglutathione LyasePyruvaldehydeglyoxalaseimmunometabolismmetabolic stressmethylglyoxalreactive carbonyl speciessepsisseptic shockWarburg effect

Identifiers

PMID28304355
PMCPMC5372669
OpenAlexW2596923513

What OpenQuestion holds

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LicenceCC BY
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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.