Evidence map›Paper›PMID 28886074›Full record

ArticlePloS one2017

Unique transcriptomic response to sepsis is observed among patients of different age groups.

Steven L Raymond, María Cecilia López, Henry V Baker, Shawn D Larson, Philip A Efron, Timothy E Sweeney, Purvesh Khatri, Lyle L Moldawer, James L Wynn

Abstract 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 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing 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

42 citing papers in PubMed.

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  12. Derivation and Validation of Pediatric Sepsis-Associated Acute Kidney Injury Subphenotypes With Prognostic Relevance.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Observational
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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

9 authors.

Steven L RaymondDepartment of Surgery, University of Florida College of Medicine; Gainesville, Florida, United States of America.
María Cecilia LópezDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine; Gainesville, Florida, United States of America.
Henry V BakerDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine; Gainesville, Florida, United States of America.
Shawn D LarsonDepartment of Surgery, University of Florida College of Medicine; Gainesville, Florida, United States of America.
Philip A EfronDepartment of Surgery, University of Florida College of Medicine; Gainesville, Florida, United States of America.
Timothy E SweeneyDivision of Biomedical Informatics Research, Department of Medicine, Stanford University School of Medicine; Stanford, California, United States of America.
Purvesh KhatriDivision of Biomedical Informatics Research, Department of Medicine, Stanford University School of Medicine; Stanford, California, United States of America.
Lyle L MoldawerDepartment of Surgery, University of Florida College of Medicine; Gainesville, Florida, United States of America.
James L WynnDepartment of Pediatrics, University of Florida College of Medicine; Gainesville, Florida, United States of America.ORCID http://orcid.org/0000-0001-7052-4836

Funding

Using a tonsil organoid system to probe conditions for the induction of protective antibody and T cell responses to influenza.U19AI057229 · NIAID · STANFORD UNIVERSITY · PI Mark Morris Davis · 2003 to 2026
$88.5M
Translational Incubator CoreU19AI109662 · NIAID · STANFORD UNIVERSITY · PI GLENN, JEFFREY S · 2014 to 2019
$28.6M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Karyn A Esser, Todd Manini · 2007 to 2026
$22.8M
TrainingU54AI117925 · NIAID · STANFORD UNIVERSITY · PI MUSEN, MARK A · 2014 to 2018
$12.9M
PICS: A New Horizon for Surgical Critical CareP50GM111152 · NIGMS · UNIVERSITY OF FLORIDA · PI MOORE, FREDERICK A · 2014 to 2018
$10.7M
REGULATION ON MONOKINE PRODUCTION IN TRAUMA AND SURGERYR01GM040586 · NIGMS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI MOLDAWER, LYLE L · 1988 to 2016
$2.6M
Novel Mechanisms and Approaches to Treat Neonatal SepsisR01GM097531 · NIGMS · UNIVERSITY OF FLORIDA · PI LARSON, SHAWN DAVID, MOLDAWER, LYLE L · 2011 to 2018
$2.3M
Hematopoietic Stem Cell Dysfunction in the Elderly after Severe InjuryR01GM113945 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2015 to 2019
$1.6M
The Role of the Inflammasome in Neonatal SepsisK08GM106143 · NIGMS · VANDERBILT UNIVERSITY · PI WYNN, JAMES LAWRENCE · 2013 to 2017
$875k
NIAID NIH HHS U19 AI057229NIAID NIH HHS U19 AI109662NIAID NIH HHS U54 AI117925NIA NIH HHS P30 AG028740NIGMS NIH HHS K08 GM106143NIGMS NIH HHS P50 GM111152NIGMS NIH HHS R01 GM040586NIGMS NIH HHS R01 GM097531NIGMS NIH HHS R01 GM113945
6 · The paper itself

Abstract

Sepsis is a major cause of morbidity and mortality, especially at the extremes of age. To understand the human age-specific transcriptomic response to sepsis, a multi-cohort, pooled analysis was conducted on adults, children, infants, and neonates with and without sepsis. Nine public whole-blood gene expression datasets (636 patients) were employed. Age impacted the transcriptomic host response to sepsis. Gene expression from septic neonates and adults was more dissimilar whereas infants and children were more similar. Neonates showed reductions in inflammatory recognition and signaling pathways compared to all other age groups. Likewise, adults demonstrated decreased pathogen sensing, inflammation, and myeloid cell function, as compared to children. This may help to explain the increased incidence of sepsis-related organ failure and death in adults. The number of dysregulated genes in septic patients was proportional to age and significantly differed among septic adults, children, infants, and neonates. Overall, children manifested a greater transcriptomic intensity to sepsis as compared to the other age groups. The transcriptomic magnitude for adults and neonates was dramatically reduced as compared to children and infants. These findings suggest that the transcriptomic response to sepsis is age-dependent, and diagnostic and therapeutic efforts to identify and treat sepsis will have to consider age as an important variable.

Indexed as

Gene Expression RegulationTranscriptomeAdolescentAdultAgedAge FactorsCase-Control StudiesChildChild, PreschoolComputational BiologyFemaleGene Expression ProfilingGenome-Wide Association StudyHumansInfantInfant, Newborn

Identifiers

PMID28886074
PMCPMC5590890

What OpenQuestion holds

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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.