Evidence map›Paper›PMID 29804289›Full record

ArticleNeuropathology and applied neurobiology2019

Pro-inflammatory activation of microglia in the brain of patients with sepsis.

T Zrzavy, R Höftberger, T Berger, H Rauschka, O Butovsky, H Weiner, H Lassmann

Open access · hybridAbstract read
In one paragraph

Article in Neuropathology and applied neurobiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

75 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

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  20. Targeted rescue of synaptic plasticity improves cognitive decline in sepsis-associated encephalopathy.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article

15 more citing papers are in PubMed but not listed here.

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 4 institutions in 2 countries.

T ZrzavyCenter for Brain Research, Medical University of Vienna, Vienna, Austria.
R HöftbergerClinical Institute of Neurology, Medical University of Vienna, Vienna, Austria.
T BergerClinical Department of Neurology, Medical University of Innsbruck, Vienna, Austria.
H RauschkaDepartment of Neurology, Sozialmedizinisches Zentrum Ost-Donauspital, Vienna, Austria.
O ButovskyAnn Romney Center for Neurological Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
H WeinerAnn Romney Center for Neurological Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
H LassmannCenter for Brain Research, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8617-5052
Medical University of Vienna · ATBrigham and Women's Hospital · USDonauspital · ATInnsbruck Medical University · AT

Funding

Austrian Science Fund FWF P 27744
6 · The paper itself

Abstract

aimsExperimental data suggest that systemic immune activation may create a pro-inflammatory environment with microglia activation in the central nervous system in the absence of overt inflammation, which in turn may be deleterious in conditions of neurodegenerative disease. The extent to which this is relevant for the human brain is unknown. The central aim of this study is to provide an in-depth characterization of the microglia and macrophage response to systemic inflammation.

methodsWe used recently described markers to characterize the origin and functional states of microglia/macrophages in white and grey matter in patients who died under septic conditions and compared it to those patients without systemic inflammation.

resultsWe found pro-inflammatory microglia activation in septic patients in the white matter, with very little activation in the grey matter. Using a specific marker for resident microglia (TMEM119), we found that parenchyma microglia were activated and that there was additional recruitment of perivascular macrophages. Pro-inflammatory microglia activation occurred in the presence of homeostatic microglia cells. In contrast to inflammatory or ischaemic diseases of the brain, the anti-inflammatory microglia markers CD163 or CD206 were not expressed in acute sepsis. Furthermore, we found pronounced upregulation of inducible nitric oxide synthase not only in microglia, but also in astrocytes and endothelial cells.

conclusionOur results demonstrate the pronounced effects of systemic inflammation on the human brain and have important implications for the selection of control populations for studies on microglia activation in human brain disease.

Indexed as

AdultAgedAged, 80 and overFemaleGray MatterHumansMacrophagesMaleMicrogliaMiddle AgedSepsisWhite Matterbrainmicroglia activationperivascular macrophagessepsis

Identifiers

PMID29804289
PMCPMC6487964
OpenAlexW2804648837

What OpenQuestion holds

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LicenceCC BY
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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.