Evidence map›Paper›PMID 28393141›Full record

ArticleThe University of Louisville journal of respiratory infections2017

Using cluster analysis of cytokines to identify patterns of inflammation in hospitalized patients with community-acquired pneumonia: a pilot study.

Timothy L Wiemken, Robert R Kelley, Rafael Fernandez-Botran, William A Mattingly, Forest W Arnold, Stephen P Furmanek, Marcos I Restrepo, James D Chalmers, Paula Peyrani, Rodrigo Cavallazzi and 3 more

Open access · diamondAbstract read
In one paragraph

Article in The University of Louisville journal of respiratory infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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  15. Influenza and Viral Pneumonia.Clinics in chest medicine · 2018
    Review
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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

13 authors at 4 institutions in 3 countries.

Timothy L WiemkenUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
Robert R KelleyUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
Rafael Fernandez-BotranUniversity of Louisville Department of Pathology and Laboratory Medicine, Louisville, Kentucky, USA.
William A MattinglyUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
Forest W ArnoldUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
Stephen P FurmanekUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
Marcos I RestrepoDepartment of Pulmonary Diseases, South Texas Veterans Health Care System and University of Texas at San Antonio, San Antonio, Texas, USA.
James D ChalmersDepartment of Respiratory Medicine, Ninewells Hospital and Medical School, Dundee, United Kingdom.
Paula PeyraniUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
Rodrigo CavallazziUniversity of Louisville Division of Pulmonary, Critical Care, and Sleep Disorders Medicine, Louisville, Kentucky USA.
Jose BordonProvidence Hospital Section of Infectious Diseases, Washington DC, USA.
Stefano AlibertiDepartment of Health Sciences, University of Milano - Bicocca, Respiratory Unit, AO San Gerardo, Monza, Italy.
Julio A RamirezUniversity of Louisville Division of Infectious Diseases, Louisville, Kentucky, USA.
University of Louisville · USNinewells Hospital · GBProvidence Hospital · USSouth Texas Veterans Health Care System · US

Funding

Effect of macrolides as immunomodulators in patients with sepsis and pneumoniaK23HL096054 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RESTREPO, MARCOS I. · 2010 to 2014
$689k
NHLBI NIH HHS K23 HL096054
6 · The paper itself

Abstract

introductionPatients with severe community-acquired pneumonia (CAP) are believed to have an exaggerated inflammatory response to bacterial infection. Therapies aiming to modulate the inflammatory response have been largely unsuccessful, perhaps reflecting that CAP is a heterogeneous disorder that cannot be modulated by a single anti-inflammatory approach. We hypothesize that the host inflammatory response to pneumonia may be characterized by distinct cytokine patterns, which can be harnessed for personalized therapies.

methodsHere, we use hierarchical cluster analysis of cytokines to examine if patterns of inflammatory response in 13 hospitalized patients with CAP can be defined. This was a secondary data analysis of the Community-Acquired Pneumonia Inflammatory Study Group (CAPISG) database. The following cytokines were measured in plasma and sputum on the day of admission: interleukin (IL)-1β, IL-1 receptor antagonist (IL-1ra), IL-6, CXCL8 (IL-8), IL-10, IL-12p40, IL-17, interferon (IFN)

resultsA total of thirteen patients were included in this pilot study. Cluster analysis identified distinct inflammatory response patterns of cytokines in the plasma, sputum, and the ratio of plasma to sputum.

conclusionsInflammatory response patterns in plasma and sputum can be identified in hospitalized patients with CAP. Characterization of the local and systemic inflammatory response may help to better discriminate patients for enrollment into clinical trials of immunomodulatory therapies.

Indexed as

Cytokinesimmunomodulationinflammatory responseoutcomespneumoniasteroids

Identifiers

PMID28393141
PMCPMC5382869
OpenAlexW2582531947

What OpenQuestion holds

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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.