Evidence map›Paper›PMID 28742984›Full record

ReviewExpert review of clinical immunology2017

Single versus combined immunoregulatory approach using PD-1 and CTLA-4 modulators in controlling sepsis.

Courtney P Rudick, David L Cornell, Devendra K Agrawal

Abstract readReview
In one paragraph

Review in Expert review of clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. PD-1/PD-L1 blockade is a potent adjuvant in treatment of Staphylococcus aureus osteomyelitis in mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Targeting Immune Cell Checkpoints during Sepsis.International journal of molecular sciences · 2017
    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

3 authors.

Courtney P Rudicka Departments of Clinical & Translational Science , Creighton University School of Medicine , Omaha , NE , USA.
David L Cornellb Departments of Surgery , Creighton University School of Medicine , Omaha , NE , USA.
Devendra K Agrawala Departments of Clinical & Translational Science , Creighton University School of Medicine , Omaha , NE , USA.ORCID 0000-0001-5445-0013

Funding

MESENCHYMAL STEM CELLS IN THE PREVENTION OF THROMBOSIS AND NEOINTIMAL HYPERPLASIAR01HL112597 · NHLBI · CREIGHTON UNIVERSITY · PI AGRAWAL, DEVENDRA K. · 2012 to 2016
$3.8M
EPICARDIAL ADIPOSE TISSUE, OBESITY AND INFLAMMATION IN ATHEROSCLEROSISR01HL120659 · NHLBI · CREIGHTON UNIVERSITY · PI AGRAWAL, DEVENDRA K. · 2013 to 2017
$3.6M
VITAMIN D AND IMMUNOMODULATION IN CORONARY ARTERY DISEASER01HL116042 · NHLBI · CREIGHTON UNIVERSITY · PI AGRAWAL, DEVENDRA K. · 2012 to 2016
$3.3M
Novel Approach to Stabilize Atherosclerotic Plaque in Carotid ArteryR01HL144125 · NHLBI · WESTERN UNIVERSITY OF HEALTH SCIENCES · PI AGRAWAL, DEVENDRA K. · 2018 to 2021
$2.8M
NHLBI NIH HHS R01 HL112597NHLBI NIH HHS R01 HL116042NHLBI NIH HHS R01 HL120659NHLBI NIH HHS R01 HL144125
6 · The paper itself

Abstract

introductionSepsis is a disease process characterized by an extreme inflammatory response followed by a period of severe immunosuppression. In recent years, there has been improved survival in the initial immune response during systemic inflammatory response syndrome, and compensatory anti-inflammatory response, yet is mostly unchanged with 18-30% mortality during the later stage of sepsis despite numerous Phase 3 clinical trials. Areas covered: This review article presents a critical evaluation of the most promising newer studies aimed at improving the immunosuppressive stage of sepsis. Administration of DHEA/AED/AET show promise in improving survival. Blockade of signaling pathways for PD-1/PD-L1/CTLA-4, and partial blockade of TREM-1 signaling, and modification to sTREM-1 and the JAK/STAT pathway are promising methods of restoring host immune response and improving survival. While there has been significant progress, currently no findings have been translated into effective clinical interventions. Expert commentary: Clinical success by immunomodulation with individual immune mediator is encouraging and should progress to evaluating combined methods of immunoregulation. Since most of the animal studies do not reproduce human sepsis, development of better animal models and moving toward human studies for intervention will lead to the most beneficial findings in translational science.

Indexed as

AnimalsAntibodies, MonoclonalClinical Trials as TopicCTLA-4 AntigenDisease Models, AnimalDrug Therapy, CombinationHumansImmunomodulationImmunotherapyJanus KinasesMolecular Targeted TherapyProgrammed Cell Death 1 ReceptorSepsisSignal TransductionSTAT Transcription FactorsSteroidsAntibodies, MonoclonalCTLA-4 AntigenJanus KinasesPDCD1 protein, humanProgrammed Cell Death 1 ReceptorSTAT Transcription FactorsSteroidsTriggering Receptor Expressed on Myeloid Cells-1AndrostenediolandrostenetriolCTLA-4dehydroepiandrosteronehemorrhagic shockPD-1PD-L1sepsissTREM-1TREM-1

Identifiers

PMID28742984
PMCPMC6098684

What OpenQuestion holds

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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.