Evidence map›Paper›PMID 29862569›Full record

ArticleJournal of clinical laboratory analysis2018

High mobility group box 1 as a biomarker in critically ill patients.

Eray Yagmur, Lukas Buendgens, Ulf Herbers, Anne Beeretz, Ralf Weiskirchen, Ger H Koek, Christian Trautwein, Frank Tacke, Alexander Koch

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The acute respiratory distress syndrome biomarker pipeline: crippling gaps between discovery and clinical utility.Translational research : the journal of laboratory and clinical medicine · 2020
    Review
  11. Article
  12. Article
  13. Article
  14. High mobility group box 1 as a biomarker in critically ill patients.Journal of clinical laboratory analysis · 2018
    Article
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.

Eray YagmurMedical Care Centre, Dr Stein and Colleagues, Mönchengladbach, Germany.ORCID http://orcid.org/0000-0003-3328-2027
Lukas BuendgensDepartment of Medicine III, RWTH-University Hospital Aachen, Aachen, Germany.
Ulf HerbersDepartment of Medicine III, RWTH-University Hospital Aachen, Aachen, Germany.
Anne BeeretzDepartment of Medicine III, RWTH-University Hospital Aachen, Aachen, Germany.
Ralf WeiskirchenInstitute of Molecular Pathobiochemistry, Experimental Gene Therapy and Clinical Chemistry, RWTH-University Hospital Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0003-3888-0931
Ger H KoekSection of Gastroenterology and Hepatology, Department of Internal Medicine, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
Christian TrautweinDepartment of Medicine III, RWTH-University Hospital Aachen, Aachen, Germany.
Frank TackeDepartment of Medicine III, RWTH-University Hospital Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0001-6206-0226
Alexander KochDepartment of Medicine III, RWTH-University Hospital Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0002-4452-4151

Funding

German Research Foundation DFG; Ta434/5-1German Research Foundation SFB/TRR57Interdisciplinary Center for Clinical Research (IZKF) Aachen
6 · The paper itself

Abstract

backgroundExtracellular release of high mobility group box 1 (HMGB1) acts as a danger-associated molecular pattern, thereby "alarming" the immune system and promoting systemic inflammation. We investigated plasma HMGB1 concentrations as a potential diagnostic and prognostic biomarker in critical illness.

methodsOur study included 218 critically ill patients (145 with sepsis, 73 without sepsis), of whom blood samples were obtained at the time-point of admission to the medical intensive care unit (ICU).

resultsHigh mobility group box 1 levels were significantly elevated in critically ill patients (n = 218) compared with healthy controls (n = 66). Elevated HMGB1 plasma levels were independent from the presence of sepsis. Moreover, HMGB1 was not associated with disease severity, organ failure, or mortality in the ICU. We observed a trend toward lower HMGB1 levels in ICU patients with pre-existing obesity, type 2 diabetes and end-stage renal disease patients on chronic hemodialysis.

conclusionIn conclusion, our study did not reveal significant associations between HMGB1 levels at ICU admission and clinical outcomes in critically ill patients. Due to the pathogenic role of HMGB1 in the late phases of experimental sepsis, future studies might assess the potential value of HMGB1 by measuring its plasma concentrations at later time points during the course of critical illness.

Indexed as

AlarminsBiomarkersBody Mass IndexCritical IllnessFemaleHMGB1 ProteinHumansMaleMultiple Organ FailurePrognosisSepsisAlarminsBiomarkersHMGB1 ProteinHMGB1 protein, humanalarmindanger-associated molecular patternhigh mobility group box 1intensive care unitorgan failureprognosissepsis

Identifiers

PMID29862569
PMCPMC6816880

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.