Evidence map›Paper›PMID 29293144›Full record

ArticleCritical care medicine2018

Treatment of Paraquat-Induced Lung Injury With an Anti-C5a Antibody: Potential Clinical Application.

Shihui Sun, Yuting Jiang, Renxi Wang, Chenfeng Liu, Xiaoling Liu, Nianping Song, Yan Guo, Renfeng Guo, Lanying Du, Shibo Jiang and 4 more

Abstract read
In one paragraph

Article in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Review
  9. COVID-19 and Cancer: a Comprehensive Review.Current oncology reports · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Shihui SunState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Yuting JiangState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Renxi WangLaboratory of Immunology, Beijing Institute of Basic Medical Sciences, Beijing, China.
Chenfeng LiuState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Xiaoling LiuLaboratory of Immunology, Beijing Institute of Basic Medical Sciences, Beijing, China.
Nianping SongState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Yan GuoState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Renfeng GuoInflaRx GmbH, Jena, Germany.
Lanying DuLaboratory of Viral Immunology, Lindsley F. Kimball Research Institute, New York Blood Center, New York, NY.
Shibo JiangLaboratory of Viral Immunology, Lindsley F. Kimball Research Institute, New York Blood Center, New York, NY.
Yan LiLaboratory of Immunology, Beijing Institute of Basic Medical Sciences, Beijing, China.
Zewu QiuThe 307th Hospital of Chinese People's Liberation Army, Beijing, China.
Guangyu ZhaoState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Yusen ZhouState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesComplement activation product C5a plays a critical role in systemic inflammatory response syndrome induced by viruses, bacteria, and toxic agents including paraquat poisoning. This study is to explore the efficiency of anti-C5a-based intervention on systemic inflammatory responses induced by paraquat poisoning.

designStudy of cynomolgus macaque model and plasma from paraquat-poisoning patients.

settingLaboratory investigation. SUBJECTS: Cynomolgus macaque (n = 12) and samples of plasma from patients (n = 16).

interventionsThe neutralizing antihuman C5a antibody (IFX-1) was administered to investigate the new treatment strategy for paraquat-induced systemic inflammatory responses in cynomolgus macaque model. In addition, C5a activation in plasma of paraquat patients was blocked by IFX-1 to investigate the blockade role of anti-C5a antibody in activation of inflammatory cells. MEASUREMENTS AND MAIN

resultsDysregulated complement activation and the subsequent cytokine storm were found in patients with acute lung injury and in a primate model of paraquat poisoning. Targeted inhibition of C5a by IFX-1 led to marked alleviation of systemic inflammatory responses and multiple organ damage in the primate model. In addition, blockade of C5a activity in plasma from patients completely inhibited activation of CD11b on blood granulocytes from normal donors, suggesting that IFX-1 may alleviate the excessive activation of inflammatory responses and have clinical utility for patients with acute lung injury.

conclusionsAnti-C5a antibodies such as IFX-1 may be used as effective therapeutics for treatment of those suffering from systemic inflammatory responses induced by chemical poisoning like paraquat.

Indexed as

Acute Lung InjuryAnimalsAntibodies, NeutralizingComplement ActivationComplement C5aHerbicidesMacaca fascicularisParaquatPulmonary EdemaAntibodies, NeutralizingComplement C5aHerbicidesParaquat

Identifiers

PMID29293144
PMCPMC5908256

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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.