Evidence map›Paper›PMID 28679406›Full record

ArticleCritical care (London, England)2017

The common promoter polymorphism rs11666254 downregulates FPR2/ALX expression and increases risk of sepsis in patients with severe trauma.

Han Zhang, Yao Lu, Guixiang Sun, Fang Teng, Nian Luo, Jianxin Jiang, Aiqing Wen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01713205 (Identifying Severe Trauma Patients at High Risk of Post-traumatic Complications), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT01713205 unknown statusnot on this map

Identifying Severe Trauma Patients at High Risk of Post-traumatic Complications

TypeobservationalSponsorJiang JianxinRan2012 to 2023Enrolled3,500ConditionsTrauma, Sepsis, Multiple Organ Dysfunction Syndrome
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. TheFrontiers in immunology · 2025
    Review
  6. Review
  7. Association Between Variants of the Mannose-Binding Lectin 2 Gene and Susceptibility to Sepsis in the Hainan Island.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. TheNeural regeneration research · 2020
    Review
  14. Article
  15. Article
  16. 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 2 institutions in 1 country.

Han ZhangDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China.
Yao LuDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China.
Guixiang SunDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China.
Fang TengDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China.
Nian LuoDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China.
Jianxin JiangDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China.
Aiqing WenDepartment of Blood Transfusion, Research Institute of Surgery, Daping Hospital, Third Military Medical University, No. 10 Changjiang Branch Road, Daping District, Chongqing, 400042, China. dpyysxkwaq@hotmail.com.
Daping Hospital · CNArmy Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFormyl peptide receptor 2-lipoxin receptor (FPR2/ALX) modulates the anti-inflammatory response and therefore may be a target for treating sepsis. The purpose of this study was to investigate the association between genetic variants of the FPR2/ALX gene and sepsis after severe trauma as well as to further analyze the functions of sepsis-related genetic polymorphisms.

methodsThree tag single-nucleotide polymorphisms (tag SNPs) that captured all common alleles across the FPR2/ALX genomic region were genotyped using pyrosequencing in an initial sample consisting of 275 patients with severe trauma. The rs11666254 polymorphism, which had statistical significance, was genotyped in an additional 371 patients, and logistic regression analysis was performed to determine associations between the FPR2/ALX gene polymorphism and sepsis susceptibility after severe trauma. The messenger RNA (mRNA) and protein levels of FPR2/ALX in the lipopolysaccharide-stimulated white blood cells of trauma patients were determined by performing quantitative polymerase chain reactions and Western blot analysis. Tumor necrosis factor (TNF)-α production was measured by enzyme-linked immunosorbent assay. The effects of the promoter polymorphism rs11666254 on the transcription activity of FPR2/ALX were analyzed using a luciferase reporter assay.

resultsAmong the three tag SNPs, only the rs11666254 polymorphism was found to be significantly associated with sepsis in trauma patients, and this association persisted after a pooled analysis of all 646 trauma patients, which showed that patients who carried the A allele of rs11666254 had a significantly higher risk of developing sepsis than individuals who carried the G allele. This SNP was also significantly associated with lower FPR2/ALX mRNA and protein expression as well as higher TNF-α production from the peripheral blood leukocyte response to bacterial lipoprotein stimulation. In addition, the rs11666254 polymorphism could significantly decrease the promoter activity of the FPR2/ALX gene.

conclusionsThe rs11666254 polymorphism in the FPR2/ALX gene is a functional SNP that increases sepsis susceptibility in patients after traumatic injury.

Indexed as

Adaptor Proteins, Signal TransducingAdolescentAdultAgedChinaFemaleFlow CytometryHumansInjury Severity ScoreMaleMiddle AgedPolymorphism, Single NucleotideReceptors, Formyl PeptideReceptors, LipoxinSepsisWounds and InjuriesAdaptor Proteins, Signal TransducingFPR2 protein, humanHSH2D protein, humanReceptors, Formyl PeptideReceptors, LipoxinFPR2/ALXPromoter polymorphismSepsisSevere trauma

Identifiers

PMID28679406
PMCPMC5499024
OpenAlexW2733700515

What OpenQuestion holds

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Registered trials

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.