Evidence map›Paper›PMID 28632924›Full record

ReviewPharmacotherapy2017

Metabolomics as a Driver in Advancing Precision Medicine in Sepsis.

Michelle Eckerle, Lilliam Ambroggio, Michael A Puskarich, Brent Winston, Alan E Jones, Theodore J Standiford, Kathleen A Stringer

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

36 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Early Sepsis Metabolic Changes in Kidney and Liver Precede Clinical Evidence of Organ Dysfunction.American journal of respiratory cell and molecular biology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Plasma Metabolomics Reveals Distinct Biological and Diagnostic Signatures for Melioidosis.American journal of respiratory and critical care medicine · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. The Metabolomics of Critical Illness.Handbook of experimental pharmacology · 2023
    Article
  17. Precision Medicine in Sepsis and Septic Shock.Journal of clinical medicine · 2022
    Article
  18. Article
  19. Review
  20. Review
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.

Michelle EckerleDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Lilliam AmbroggioDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Michael A PuskarichDepartment of Emergency Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Brent WinstonDepartment of Critical Care, Medicine and Biochemistry, and Molecular Biology, University of Calgary, Calgary, AB, Canada.
Alan E JonesDepartment of Emergency Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Theodore J StandifordDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, Michigan.
Kathleen A StringerDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, Michigan.ORCID http://orcid.org/0000-0003-0238-7774
Cincinnati Children's Hospital Medical Center · USJackson Memorial Hospital · USUniversity of Michigan · USUniversity of Calgary · CA

Funding

Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI MASON, SARAH · 2016 to 2025
$38.2M
L-carnitine Treatment for Vasopressor Dependent Septic ShockR01GM103799 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI JONES, ALAN E · 2012 to 2016
$3.1M
Novel IL-1 Family Members in Lung Innate ImmunityR01HL123515 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STANDIFORD, THEODORE J. · 2015 to 2018
$2.5M
L-Carnitine Pharmacometabolomics in Sepsis (CaPS)R01GM111400 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STRINGER, KATHLEEN A · 2016 to 2019
$1.2M
Platelet activation in septic shockK23GM113041 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI PUSKARICH, MICHAEL A. · 2015 to 2018
$763k
NHLBI NIH HHS R01 HL123515NIGMS NIH HHS K23 GM113041NIGMS NIH HHS R01 GM103799NIGMS NIH HHS R01 GM111400NIGMS NIH HHS U54 GM115428
6 · The paper itself

Abstract

The objective of this review is to explain the science of metabolomics-a science of systems biology that measures and studies endogenous small molecules (metabolites) that are present in a single biological sample-and its application to the diagnosis and treatment of sepsis. In addition, we discuss how discovery through metabolomics can contribute to the development of precision medicine targets for this complex disease state and the potential avenues for those new discoveries to be applied in the clinical environment. A nonsystematic literature review was performed focusing on metabolomics, pharmacometabolomics, and sepsis. Human (adult and pediatric) and animal studies were included. Metabolomics has been investigated in the diagnosis, prognosis, and risk stratification of sepsis, as well as for the identification of drug target opportunities. Metabolomics elucidates a new level of detail when compared with other systems biology sciences, with regard to the metabolites that are most relevant in the pathophysiology of sepsis, as well as highlighting specific biochemical pathways at work in sepsis. Metabolomics also highlights biochemical differences between sepsis survivors and nonsurvivors at a level of detail greater than that demonstrated by genomics, transcriptomics, or proteomics, potentially leading to actionable targets for new therapies. The application of pharmacometabolomics and its integration with other systems pharmacology to sepsis therapeutics could be particularly helpful in differentiating drug responders and nonresponders and furthering knowledge of mechanisms of drug action and response. The accumulated literature on metabolomics suggests it is a viable tool for continued discovery around the pathophysiology, diagnosis and prognosis, and treatment of sepsis in both adults and children, and it provides a greater level of biochemical detail and insight than other systems biology approaches. However, the clinical application of metabolomics in sepsis has not yet been fully realized. Prospective validation studies are needed to translate metabolites from the discovery phase into the clinical utility phase.

Indexed as

AdultChildHumansMetabolomicsPrecision MedicineSepsiscritical carepediatricspharmacometabolomicspharmacotherapysystems biologysystems pharmacology

Identifiers

PMID28632924
PMCPMC5600684
OpenAlexW2689644554

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.