Evidence map›Paper›PMID 28489460›Full record

Observational studyClinical toxicology (Philadelphia, Pa.)2017

A preliminary study in the alterations of mitochondrial respiration in patients with carbon monoxide poisoning measured in blood cells.

David H Jang, Matthew Kelly, Kevin Hardy, David S Lambert, Frances S Shofer, David M Eckmann

Abstract readObservational Study
In one paragraph

Observational study in Clinical toxicology (Philadelphia, Pa.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Targeting Mitochondrial Dysfunction in Acute Organophosphate Toxicity: A Preliminary Evaluation of Cyclosporine A.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
  2. Article
  3. Article
  4. Blood Cells as a Cellular Biomarker for Mitochondrial Function in a Experimental Model of Acute Carbon Monoxide Poisoning with Treatment.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
  5. Article
  6. Investigation of Cerebral Mitochondrial Injury in a Porcine Survivor Model of Carbon Monoxide Poisoning.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024
    Article
  7. Assessing Platelet Mitochondrial Dysfunction in a Murine Model of Acute Acetaminophen Toxicity.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  8. Article
  9. Emerging cellular-based therapies in carbon monoxide poisoning.American journal of physiology. Cell physiology · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Translational Application of Measuring Mitochondrial Functions in Blood Cells Obtained from Patients with Acute Poisoning.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2018
    Article
  18. Article
  19. 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

6 authors at 2 institutions in 1 country.

David H Janga Division of Medical Toxicology and Critical Care Medicine, Department of Emergency Medicine , Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Matthew Kellyb Division of Undersea and Hyperbaric Medicine, Department of Emergency Medicine , Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Kevin Hardyb Division of Undersea and Hyperbaric Medicine, Department of Emergency Medicine , Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
David S Lambertb Division of Undersea and Hyperbaric Medicine, Department of Emergency Medicine , Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
Frances S Shoferc Department of Emergency Medicine , Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
David M Eckmannd Department of Anesthesiology and Critical Care, Institute for Medicine and Engineering , Cardiovascular Institute , Philadelphia , PA , USA.
University of Pennsylvania · USCardiovascular Institute of the South · US

Funding

Enabling Medical Research Growth in Emergency MedicineK12HL109009 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KIMMEL, STEPHEN E. · 2011 to 2015
$3.4M
Abnormal Mitochondrial Bioenergetic and Motility Signatures in Human Blood Cells as Indices of Acute Poisoning in PatientsK08HL136858 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2018 to 2021
$675k
Mitochondrial-Directed Therapy in Carbon Monoxide PoisoningR21ES031243 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2020 to 2021
$465k
Development of a Porcine Model of Carbon Monoxide Poisoning to Evaluate Cardiac and Mitochondrial DysfunctionR03HL154232 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2020 to 2021
$150k
NHLBI NIH HHS K08 HL136858NHLBI NIH HHS K12 HL109009NHLBI NIH HHS R03 HL154232NIEHS NIH HHS R21 ES031243
6 · The paper itself

Abstract

objectivesCarbon monoxide (CO) is a colorless and odorless gas responsible for poisoning mortality and morbidity in the United States. At this time, there is no reliable method to predict the severity of poisoning or clinical prognosis following CO exposure. Whole blood cells, such as peripheral blood mononuclear cells (PBMCs) and platelets, have been explored for their potential use to act as sensitive biomarkers for mitochondrial dysfunction which may have a role in CO poisoning.

designThe objective of this study was to measure mitochondrial respiration using intact cells obtained from patients exposed to CO as a potential biomarker for mitochondrial inhibition with results that can be obtained in a time frame useful for guiding clinical care. This was a prospective, observational pilot study performed from July 2015 to July 2016 at a single academic tertiary care center that is the location of the region's only multi chamber hyperbaric. MEASUREMENTS: Clinical characteristics, patient demographics, mitochondrial respiration and outcomes were recorded. MAIN

resultsThere were 7 patients enrolled with a mean COHb level 26.8 ± 10 and with a mean lactate of 1.1 ± 0.4 mmol/L. All 7 CO exposures were related to heat generators used during winter months with two deaths. There was a positive correlation between maximal respiration and COHb levels with both high maximal respiration and high spare respiratory capacity correlating with a high COHb level. There was a subset of PBMCs (n = 4) that were analyzed for Complex IV (cytochrome c oxidase) activity.

conclusionsIn this pilot study, measurements can be performed in an appropriate timeline for clinical care with potential to serve as a prognostic marker. Further work is necessary to develop high-resolution respirometry as a clinical tool for assessing the severity of illness and guiding therapy.

Indexed as

AdultAgedBiomarkersBlood PlateletsCarbon MonoxideCarbon Monoxide PoisoningCarboxyhemoglobinElectron Transport Complex IVFemaleHumansLactatesLeukocytes, MononuclearMaleMiddle AgedMitochondriaPilot ProjectsBiomarkersCarbon MonoxideCarboxyhemoglobinElectron Transport Complex IVLactatesacute carebiomarkerscarbon monoxideHyperbaric oxygenmetabolicmitochondrial bioenergeticsmitochondrial respirationpoisoning

Identifiers

PMID28489460
PMCPMC5785923
OpenAlexW2589047304

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.