Evidence map›Paper›PMID 28538018›Full record

Observational studyShock (Augusta, Ga.)2017

Low Serum Angiopoietin-1, High Serum Angiopoietin-2, and High Ang-2/Ang-1 Protein Ratio are Associated with Early Onset Sepsis in Surinamese Newborns.

Rens Zonneveld, Rianne Jongman, Amadu Juliana, Wilco Zijlmans, Frans Plötz, Grietje Molema, Matijs van Meurs

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Shock (Augusta, Ga.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Endothelial Glycocalyx and Neonatal Sepsis.International journal of molecular sciences · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Review
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  13. 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

7 authors at 4 institutions in 2 countries.

Rens Zonneveld*Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands †Academic Pediatric Center Suriname, Paramaribo, Suriname ‡Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname §Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands ||Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands ¶Department of Pediatrics, Diakonessen Hospital, Paramaribo, Suriname #Department of Pediatrics, Tergooi Hospitals, Blaricum, The Netherlands.
Rianne Jongman
Amadu Juliana
Wilco Zijlmans
Frans Plötz
Grietje Molema
Matijs van Meurs
University Medical Center Groningen · NLUniversity of Groningen · NLAcademic Hospital Paramaribo · SRTergooi · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVascular inflammation and leakage in sepsis is mediated by Angiopoietin-1 (Ang-1) and Angiopoietin-2 (Ang-2) and their phosphorylation of the endothelial Tie-2 receptor. This study investigates levels of Ang-1 and Ang-2 in newborns to gain insight in the vascular pathophysiology of early onset sepsis (EOS) within 72 h after birth.

methodsA prospective cohort study was performed among 71 Surinamese newborns treated with antibiotics for suspected EOS and 20 control newborns. Newborns with suspected EOS were divided in two groups: blood culture negative and positive EOS. Ang-1 and Ang-2 levels were measured in serum obtained at the start of antibiotic treatment and at re-evaluation after 48 to 72 h.

resultsIn this cohort 8.5% of newborns had a positive blood culture. At the start of antibiotic treatment Ang-1 serum levels were lower (P < 0.01), and Ang-2 and Ang-2/Ang-1 serum protein ratios were higher (P < 0.01 and P < 0.01, respectively) in newborns with blood culture positive EOS than in controls. These levels were not dependent on timing of first blood draw after birth. After 48 to 72 h levels of Ang-1 further decreased in blood culture positive EOS, while in the other groups no change was observed.

conclusionsOur findings support the hypothesis that a disbalance in the Angiopoietins plays a role in the vascular pathophysiology of EOS.

Indexed as

Angiopoietin-1Angiopoietin-2FemaleHumansInfant, NewbornInfant, Newborn, DiseasesMaleProspective StudiesSepsisSurinameAngiopoietin-1Angiopoietin-2ANGPT1 protein, humanANGPT2 protein, human

Identifiers

PMID28538018
PMCPMC5647105
OpenAlexW2618567899

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.