Evidence map›Paper›PMID 29849825›Full record

ArticleDisease markers2018

Novel Biomarker Candidates for Febrile Neutropenia in Hematological Patients Using Nontargeted Metabolomics.

Marika Lappalainen, Jenna Jokkala, Auni Juutilainen, Sari Hämäläinen, Irma Koivula, Esa Jantunen, Kati Hanhineva, Kari Pulkki

Open access · hybridAbstract read
In one paragraph

Article in Disease markers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Marika LappalainenDepartment of Internal Medicine, Central Hospital of Central Finland, Jyväskylä, Finland.
Jenna JokkalaInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Auni JuutilainenInstitute of Clinical Medicine/Internal Medicine, University of Eastern Finland, Kuopio, Finland.
Sari HämäläinenDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Irma KoivulaDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Esa JantunenInstitute of Clinical Medicine/Internal Medicine, University of Eastern Finland, Kuopio, Finland.
Kati HanhinevaInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Kari PulkkiEastern Finland Laboratory Centre, Kuopio, Finland.ORCID 0000-0003-0690-9883
University of Eastern Finland · FIKuopio University Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNovel potential small molecular biomarkers for sepsis were analyzed with nontargeted metabolite profiling to find biomarkers for febrile neutropenia after intensive chemotherapy for hematological malignancies.

methodsAltogether, 85 patients were included into this prospective study at the start of febrile neutropenia after intensive chemotherapy for acute myeloid leukemia or after autologous stem cell transplantation. The plasma samples for the nontargeted metabolite profiling analysis by liquid chromatography-mass spectrometry were taken when fever rose over 38° and on the next morning.

resultsAltogether, 90 differential molecular features were shown to explain the differences between patients with complicated (bacteremia, severe sepsis, or fatal outcome) and noncomplicated courses of febrile neutropenia. The most differential compounds were an androgen hormone, citrulline, and phosphatidylethanolamine PE(18:0/20:4). The clinical relevance of the findings was evaluated by comparing them with conventional biomarkers like C-reactive protein and procalcitonin.

conclusionThese results hold promise to find out novel biomarkers for febrile neutropenia, including citrulline. Furthermore, androgen metabolism merits further studies.

Indexed as

MetabolomeAdolescentAdultAgedAndrogensBiomarkersCitrullineFebrile NeutropeniaFemaleHumansLeukemiaMaleMiddle AgedPhosphatidylethanolaminesAndrogensBiomarkersCitrullinephosphatidylethanolaminePhosphatidylethanolamines

Identifiers

PMID29849825
PMCPMC5925027
OpenAlexW2797753552

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.