Evidence map›Paper›PMID 28591158›Full record

ArticlePloS one2017

Mitochondrial function of immune cells in septic shock: A prospective observational cohort study.

Tobias M Merz, Adriano J Pereira, Roger Schürch, Joerg C Schefold, Stephan M Jakob, Jukka Takala, Siamak Djafarzadeh

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Metabolic adaptations rewire CD4Nature immunology · 2026
    Article
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  4. Lymphopenia in sepsis: a narrative review.Critical care (London, England) · 2024
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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 3 institutions in 1 country.

Tobias M MerzDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
Adriano J PereiraDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
Roger SchürchDivision of Statistics, Clinical Trials Unit, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Joerg C SchefoldDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
Stephan M JakobDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
Jukka TakalaDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
Siamak DjafarzadehDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
University of Bern · CHInstitute of Social and Preventive Medicine · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReduced cellular ATP synthesis due to impaired mitochondrial function of immune cells may be a factor influencing the immune response in septic shock. We investigate changes in mitochondrial function and bioenergetics of human monocytes and lymphocyte subsets.

methodsThirty patients with septic shock were studied at ICU admission, after 24 and 48 hours, and after resolution of shock. Enzymatic activities of citrate synthase and mitochondrial complexes I, IV, and ATP synthase and ATP content of monocytes, T-cells and B-cells and pro-inflammatory (IL-1β and IL-6) and anti-inflammatory (IL-10) cytokine plasma concentrations were compared to samples from 20 healthy volunteers.

resultsLarge variations in mitochondrial enzymatic activities of immune cells of septic patients were detected. In monocytes, maximum levels of citrate synthase activity in sepsis were significantly lower when compared to controls (p = 0.021). Maximum relative enzymatic activity (ratio relative to citrate synthase activity) of complex I (p<0.001), complex IV (p = 0.017) and ATP synthase (p<0.001) were significantly higher. In T-cells, maximum levels of citrate synthase (p = 0.583) and relative complex IV (p = 0.602) activity did not differ between patients and controls, whereas levels of relative complex I (p = 0.006) and ATP synthase (p = 0.032) were significantly higher in septic patients. In B-cells of patients, maximum levels of citrate synthase activity (p = 0.004) and relative complex I (p<0.001) were significantly higher, and mean levels of relative complex IV (p = 0.042) lower than the control values, whereas relative ATP synthase activity did not differ (p = 1.0). No significant difference in cellular ATP content was detected in any cell line (p = 0.142-0.519). No significant correlations between specific cytokines and parameters of mitochondrial enzymatic activities or ATP content were observed.

conclusionsSignificant changes of mitochondrial enzymatic activities occur in human peripheral blood immune cells in septic shock when compared to healthy controls. Assessed sub-types of immune cells showed differing patterns of regulation. Total ATP-content of human immune cells did not differ between patients in septic shock and healthy volunteers.

Indexed as

Adenosine TriphosphateAgedATP Synthetase ComplexesB-LymphocytesCitrate (si)-SynthaseFemaleHealthy VolunteersHumansInterleukin-10Interleukin-1betaInterleukin-6MaleMiddle AgedMitochondriaMonocytesShock, SepticAdenosine TriphosphateATP Synthetase ComplexesCitrate (si)-SynthaseInterleukin-10Interleukin-1betaInterleukin-6

Identifiers

PMID28591158
PMCPMC5462395
OpenAlexW2623114646

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Registered trials

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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.