Evidence map›Paper›PMID 28463938›Full record

ArticleThe journal of trauma and acute care surgery2017

Hemorrhagic shock and tissue injury drive distinct plasma metabolome derangements in swine.

Nathan Clendenen, Geoffrey R Nunns, Ernest E Moore, Julie A Reisz, Eduardo Gonzalez, Erik Peltz, Christopher C Silliman, Miguel Fragoso, Travis Nemkov, Matthew J Wither and 4 more

Open access · greenAbstract read
In one paragraph

Article in The journal of trauma and acute care surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. High-Throughput Metabolomics in Transfusion Medicine.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Obesity influences the biological response to injury: a multi-omics analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  6. Red Blood Cell Omics and Machine Learning in Transfusion Medicine: Singularity Is Near.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2023
    Review
  7. Observational
  8. Article
  9. Omics Markers of Red Blood Cell Transfusion in Trauma.International journal of molecular sciences · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Cerebral effects of resuscitation with either epinephrine or vasopressin in an animal model of hemorrhagic shock.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
  14. Malnutrition and its effects in severely injured trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

14 authors at 1 institution in 1 country.

Nathan ClendenenFrom the Department of Anesthesiology (N.C.), Department of Surgery (G.R.N., E.G., E.P., C.C.S., M.F., A.B., H.B.M.), University of Colorado Denver; Denver Health Hospital (E.E.M.); 4Department of Biochemistry and Molecular Genetics (J.A.R., T.N., T.N., M.J.W., A.D.A.), University of Colorado Denver; Bonfils Blood Center (C.C.S., K.H.,); and Department of Pediatrics (C.C.S.), University of Colorado Denver, Aurora, Colorado.
Geoffrey R Nunns
Ernest E Moore
Julie A Reisz
Eduardo Gonzalez
Erik Peltz
Christopher C Silliman
Miguel Fragoso
Travis Nemkov
Matthew J Wither
Kirk Hansen
Anirban Banerjee
Hunter B Moore
Angelo DʼAlessandro
Denver School of Nursing · US

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
Trauma Reprograms CellsP50GM049222 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI BANERJEE, ANIRBAN · 1993 to 2017
$26.1M
Mechanisms of Trauma-Induced CoagulopathyT32GM008315 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI Mitchell Cohen, ELIZABETH J. KOVACS · 1991 to 2026
$7.1M
NHLBI NIH HHS UM1 HL120877NIGMS NIH HHS P50 GM049222NIGMS NIH HHS T32 GM008315
6 · The paper itself

Abstract

backgroundTissue injury and hemorrhagic shock induce significant systemic metabolic reprogramming in animal models and critically injured patients. Recent expansions of the classic concepts of metabolomic aberrations in tissue injury and hemorrhage opened the way for novel resuscitative interventions based on the observed abnormal metabolic demands. We hypothesize that metabolic demands and resulting metabolic signatures in pig plasma will vary in response to isolated or combined tissue injury and hemorrhagic shock.

methodsA total of 20 pigs underwent either isolated tissue injury, hemorrhagic shock, or combined tissue injury and hemorrhagic shock referenced to a sham protocol (n = 5/group). Plasma samples were analyzed by UHPLC-MS.

resultsHemorrhagic shock promoted a hypermetabolic state. Tissue injury alone dampened metabolic responses in comparison to sham and hemorrhagic shock, and attenuated the hypermetabolic state triggered by shock with respect to energy metabolism (glycolysis, glutaminolysis, and Krebs cycle). Tissue injury and hemorrhagic shock had a more pronounced effect on nitrogen metabolism (arginine, polyamines, and purine metabolism) than hemorrhagic shock alone.

conclusionIsolated or combined tissue injury and hemorrhagic shock result in distinct plasma metabolic signatures. These findings indicate that optimized resuscitative interventions in critically ill patients are possible based on identifying the severity of tissue injury and hemorrhage.

Indexed as

MetabolomeAnimalsCrush InjuriesDisease Models, AnimalEnergy MetabolismFemoral FracturesIntestinesMaleMetabolomicsPlasmaShock, HemorrhagicSwineSwine, MiniatureWounds and Injuries

Identifiers

PMID28463938
PMCPMC5608631
OpenAlexW2611349902

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.