Evidence map›Paper›PMID 28459433›Full record

ArticleNature immunology2017

S100-alarmin-induced innate immune programming protects newborn infants from sepsis.

Thomas Ulas, Sabine Pirr, Beate Fehlhaber, Marie S Bickes, Torsten G Loof, Thomas Vogl, Lara Mellinger, Anna S Heinemann, Johanna Burgmann, Jennifer Schöning and 15 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Nature immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 106 papers.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

106 citing papers in PubMed, 159 citations in OpenAlex.

  1. The gut-lung axis in early life: microbiome-associated mechanisms and clinical relevance.European respiratory review : an official journal of the European Respiratory Society · 2026
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  13. Innate immune training in the neonatal response to sepsis.Molecular medicine (Cambridge, Mass.) · 2025
    Article
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  19. Neuropilin-1Cellular & molecular immunology · 2024
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 4 institutions in 1 country.

Thomas UlasGenomics and Immunoregulation, LIMES-Institut, University of Bonn, Bonn, Germany.
Sabine PirrDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Beate FehlhaberDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Marie S BickesDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Torsten G LoofDepartment of Physiological Chemistry and Research Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine Hannover, Hannover, Germany.
Thomas VoglInstitute of Immunology, University of Münster, Münster, Germany.
Lara MellingerDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Anna S HeinemannDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Johanna BurgmannDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Jennifer SchöningDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Sabine SchreekDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Sandra PfeiferDepartment of Physiological Chemistry and Research Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine Hannover, Hannover, Germany.
Friederike ReunerDepartment of Physiological Chemistry and Research Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine Hannover, Hannover, Germany.
Lena VöllgerDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Martin StanullaDepartment of Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany.
Maren von Köckritz-BlickwedeDepartment of Physiological Chemistry and Research Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine Hannover, Hannover, Germany.
Shirin GlanderDepartment of Genetic Epidemiology, Institute of Human Genetics, University of Münster, Münster, Germany.
Katarzyna Barczyk-KahlertInstitute of Immunology, University of Münster, Münster, Germany.
Constantin S von KaisenbergDepartment of Gynaecology and Prenatal Medicine, Hannover Medical School, Hannover, Germany.
Judith FriesenhagenDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Lena Fischer-RiepeInstitute of Immunology, University of Münster, Münster, Germany.
Stefanie ZenkerInstitute of Immunology, University of Münster, Münster, Germany.
Joachim L SchultzeGenomics and Immunoregulation, LIMES-Institut, University of Bonn, Bonn, Germany.
Johannes RothInstitute of Immunology, University of Münster, Münster, Germany.
Dorothee ViemannDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Medizinische Hochschule Hannover · DEUniversity of Münster · DEUniversity of Veterinary Medicine Hannover, Foundation · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The high risk of neonatal death from sepsis is thought to result from impaired responses by innate immune cells; however, the clinical observation of hyperinflammatory courses of neonatal sepsis contradicts this concept. Using transcriptomic, epigenetic and immunological approaches, we demonstrated that high amounts of the perinatal alarmins S100A8 and S100A9 specifically altered MyD88-dependent proinflammatory gene programs. S100 programming prevented hyperinflammatory responses without impairing pathogen defense. TRIF-adaptor-dependent regulatory genes remained unaffected by perinatal S100 programming and responded strongly to lipopolysaccharide, but were barely expressed. Steady-state expression of TRIF-dependent genes increased only gradually during the first year of life in human neonates, shifting immune regulation toward the adult phenotype. Disruption of this critical sequence of transient alarmin programming and subsequent reprogramming of regulatory pathways increased the risk of hyperinflammation and sepsis. Collectively these data suggest that neonates are characterized by a selective, transient microbial unresponsiveness that prevents harmful hyperinflammation in the delicate neonate while allowing for sufficient immunological protection.

Indexed as

Adaptor Proteins, Vesicular TransportAnimalsAnimals, NewbornCalgranulin ACalgranulin BEpigenesis, GeneticFetal BloodFlow CytometryGene Expression ProfilingGene Expression RegulationHumansImmunity, InnateImmunoblottingInfant, NewbornInflammationLipopolysaccharidesAdaptor Proteins, Vesicular TransportCalgranulin ACalgranulin BLipopolysaccharidesMyeloid Differentiation Factor 88TICAM1 protein, humanTicam1 protein, mouseToll-Like Receptor 4

Identifiers

PMID28459433
OpenAlexW2611204511

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.