Evidence map›Paper›PMID 30364262›Full record

Trial reportFrontiers in immunology2018

Supplemented Alkaline Phosphatase Supports the Immune Response in Patients Undergoing Cardiac Surgery: Clinical and Computational Evidence.

Alva Presbitero, Emiliano Mancini, Ruud Brands, Valeria V Krzhizhanovskaya, Peter M A Sloot

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Alkaline phosphatase treatment of acute kidney injury-an update.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Embracing complexity in sepsis.Critical care (London, England) · 2023
    Review
  14. Review
  15. Article
  16. The Future of Burn Care From a Complexity Science Perspective.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. 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

5 authors at 4 institutions in 3 countries.

Alva PresbiteroHigh Performance Computing Department, ITMO University, Saint Petersburg, Russia.
Emiliano ManciniInstitute for Advanced Studies and Computational Science Laboratory, University of Amsterdam, Amsterdam, Netherlands.
Ruud BrandsComplexity Institute, Nanyang Technological University, Singapore, Singapore.
Valeria V KrzhizhanovskayaHigh Performance Computing Department, ITMO University, Saint Petersburg, Russia.
Peter M A SlootHigh Performance Computing Department, ITMO University, Saint Petersburg, Russia.
Netherlands Institute for Advanced Study in the Humanities and Social Sciences · NLAlloksys (Netherlands) · NLITMO University · RUUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alkaline phosphatase (AP) is an enzyme that exhibits anti-inflammatory effects by dephosphorylating inflammation triggering moieties (ITMs) like bacterial lipopolysaccharides and extracellular nucleotides. AP administration aims to prevent and treat peri- and post-surgical ischemia reperfusion injury in cardiothoracic surgery patients. Recent studies reported that intravenous bolus administration and continuous infusion of AP in patients undergoing coronary artery bypass grafting with cardiac valve surgery induce an increased release of liver-type "tissue non-specific alkaline phosphatase" (TNAP) into the bloodstream. The release of liver-type TNAP into circulation could be the body's way of strengthening its defense against a massive ischemic insult. However, the underlying mechanism behind the induction of TNAP is still unclear. To obtain a deeper insight into the role of AP during surgery, we developed a mathematical model of systemic inflammation that clarifies the relation between supplemented AP and TNAP and describes a plausible induction mechanism of TNAP in patients undergoing cardiothoracic surgery. The model was validated against clinical data from patients treated with bovine Intestinal AP (bIAP treatment) or without AP (placebo treatment), in addition to standard care procedures. We performed additional

Indexed as

Cardiac Surgical ProceduresDietary SupplementsAlkaline PhosphataseAnti-Inflammatory AgentsApoptosisBiomarkersCytokinesHumansImmunity, InnateImmunomodulationInflammation MediatorsLiverMacrophagesModels, BiologicalNeutrophilsAlkaline PhosphataseAnti-Inflammatory AgentsBiomarkersCytokinesInflammation Mediatorsalkaline phosphatasecardiac surgeryclinical trialinnate immune responsein-silicoODE model

Identifiers

PMID30364262
PMCPMC6193081
OpenAlexW2896578284

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.