Evidence map›Paper›PMID 29232699›Full record

ArticlePloS one2017

CXCR4 blockade decreases CD4+ T cell exhaustion and improves survival in a murine model of polymicrobial sepsis.

Kimberly M Ramonell, Wenxiao Zhang, Annette Hadley, Ching-Wen Chen, Katherine T Fay, John D Lyons, Nathan J Klingensmith, Kevin W McConnell, Craig M Coopersmith, Mandy L Ford

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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  8. A narrative review of chemokine receptors CXCR1 and CXCR2 and their role in acute respiratory distress syndrome.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  9. Review
  10. Cancer and sepsis.Clinical science (London, England : 1979) · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. TLR2-induced CD8Frontiers in immunology · 2022
    Article
  15. Article
  16. Article
  17. Article
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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

10 authors at 1 institution in 1 country.

Kimberly M RamonellDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Wenxiao ZhangDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Annette HadleyDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Ching-Wen ChenDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Katherine T FayDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
John D LyonsDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Nathan J KlingensmithDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Kevin W McConnellDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Craig M CoopersmithDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Mandy L FordDepartment of Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID http://orcid.org/0000-0001-6736-4421
Emory University · US

Funding

Mechanisms of Intestinal Integrity in Sepsis and ShockR01GM072808 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2005 to 2021
$5.1M
Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
The Impact of Cancer on the Pathophysiology of SepsisR01GM104323 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2013 to 2021
$2.4M
The Impact of Chronic Alcohol Abuse on the Pathophysiology of SepsisR01GM109779 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2014 to 2017
$1.2M
Targeting 2B4 Coinhibitory Signals During Sepsis-Induced Immune DysregulationR01GM113228 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2015 to 2018
$1.2M
Sepsis Induced Immune Cell Death and Multiple Organ FailureK08GM084143 · NIGMS · WASHINGTON UNIVERSITY · PI MUENZER, JARED THOMAS · 2008 to 2011
$430k
Improved survival in sepsis with LFA-1blockade evaluation of lymphocyte activatioK08GM110537 · NIGMS · EMORY UNIVERSITY · PI MCCONNELL, KEVIN WAYNE · 2014 to 2015
$389k
RIP-Mediated Signaling in Intestinal Epithelial Cell Death During SepsisF32GM117895 · NIGMS · EMORY UNIVERSITY · PI LYONS, JOHN DANIEL · 2016 to 2016
$28k
NIGMS NIH HHS F32 GM117895NIGMS NIH HHS K08 GM084143NIGMS NIH HHS K08 GM110537NIGMS NIH HHS R01 GM072808NIGMS NIH HHS R01 GM104323NIGMS NIH HHS R01 GM109779NIGMS NIH HHS R01 GM113228NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

Sepsis is a dysregulated systemic response to infection involving many inflammatory pathways and the induction of counter-regulatory anti-inflammatory processes that results in a state of immune incompetence and can lead to multi-organ failure. CXCR4 is a chemokine receptor that, following ligation by CXCL12, directs cells to bone marrow niches and also plays an important role in T cell cosignaling and formation of the immunological synapse. Here, we investigated the expression and function of CXCR4 in a murine model of polymicrobial sepsis. Results indicate that CXCR4 is selectively upregulated on naïve CD4+ and CD8+ T cells and CD4+ central memory T cells following the induction of sepsis, and that CXCR4 antagonism resulted in a significant decrease in sepsis-induced mortality. We probed the mechanistic basis for these findings and found that CXCR4 antagonism significantly increased the number of peripheral CD4+ and CD8+ T cells following sepsis. Moreover, mice treated with the CXCR4 antagonist contained fewer PD-1+ LAG-3+ 2B4+ cells, suggesting that blockade of CXCR4 mitigates CD4+ T cell exhaustion during sepsis. Taken together, these results characterize CXCR4 as an important pathway that modulates immune dysfunction and mortality following sepsis, which may hold promise as a target for future therapeutic intervention in septic patients.

Indexed as

Disease Models, AnimalAnimalsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleFlow CytometryImmunologic MemoryMaleMiceMice, Inbred C57BLReceptors, CXCR4SepsisSurvival AnalysisCXCR4 protein, mouseReceptors, CXCR4

Identifiers

PMID29232699
PMCPMC5726761
OpenAlexW2773476049

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.