Evidence map›Paper›PMID 30992245›Full record

ArticleEBioMedicine2019

Circulating growth/differentiation factor 15 is associated with human CD56

Holger Kleinertz, Monika Hepner-Schefczyk, Sabrina Ehnert, Maren Claus, Rebecca Halbgebauer, Lea Boller, Markus Huber-Lang, Paolo Cinelli, Carsten Kirschning, Sascha Flohé and 7 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 44 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

17 authors at 6 institutions in 2 countries.

Holger KleinertzDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Monika Hepner-SchefczykDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Sabrina EhnertSiegfried Weller Institute for Trauma Research, University of Tübingen, Tübingen, Germany.
Maren ClausLeibniz Research Centre for Working Environment and Human Factors, IfADo, TU-Dortmund, Dortmund, Germany.
Rebecca HalbgebauerInstitute of Clinical and Experimental Trauma-Immunology, University of Ulm, Ulm, Germany.
Lea BollerDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Markus Huber-LangInstitute of Clinical and Experimental Trauma-Immunology, University of Ulm, Ulm, Germany.
Paolo CinelliDivision of Trauma Surgery, Department of Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Carsten KirschningInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Sascha FlohéDepartment of Hand- and Trauma Surgery, University Hospital Dusseldorf, University Dusseldorf, Dusseldorf, Germany.
André SanderDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Christian WaydhasDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Sonja VonderhagenDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Marcus JägerDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Marcel DuddaDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Carsten WatzlLeibniz Research Centre for Working Environment and Human Factors, IfADo, TU-Dortmund, Dortmund, Germany.
Stefanie B FlohéDepartment of Orthopedics and Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany. Electronic address: stefanie.flohe@uk-essen.de.
University of Duisburg-Essen · DEDüsseldorf University Hospital · DETU Dortmund University · DEUniversität Ulm · DEUniversity of Tübingen · DEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic inflammation induced by sterile or infectious insults is associated with an enhanced susceptibility to life-threatening opportunistic, mostly bacterial, infections due to unknown pathogenesis. Natural killer (NK) cells contribute to the defence against bacterial infections through the release of Interferon (IFN) γ in response to Interleukin (IL) 12. Considering the relevance of NK cells in the immune defence we investigated whether the function of NK cells is disturbed in patients suffering from serious systemic inflammation.

methodsNK cells from severely injured patients were analysed from the first day after the initial inflammatory insult until the day of discharge in terms of IL-12 receptor signalling and IFN-γ synthesis.

findingsDuring systemic inflammation, the expression of the IL-12 receptor β2 chain, phosphorylation of signal transducer and activation 4, and IFN-γ production on/in NK cells was impaired upon exposure to Staphylococcus aureus. The profound suppression of NK cells developed within 24 h after the initial insult and persisted for several weeks. NK cells displayed signs of exhaustion. Extrinsic changes were mediated by the early and long-lasting presence of growth/differentiation factor (GDF) 15 in the circulation that signalled through the transforming growth factor β receptor I and activated Smad1/5. Moreover, the concentration of GDF-15 in the serum inversely correlated with the IL-12 receptor β2 expression on NK cells and was enhanced in patients who later acquired septic complications.

interpretationGDF-15 is associated with the development of NK cell dysfunction during systemic inflammation and might represent a novel target to prevent nosocomial infections. FUND: The study was supported by the Department of Orthopaedics and Trauma Surgery, University Hospital Essen.

Indexed as

AdultBiomarkersCD56 AntigenComorbidityCross InfectionFemaleGrowth Differentiation Factor 15HumansImmunophenotypingInflammation MediatorsInterferon-gammaInterleukin-12Killer Cells, NaturalMaleMiddle AgedPhosphorylationBiomarkersCD56 AntigenGDF15 protein, humanGrowth Differentiation Factor 15Inflammation MediatorsInterferon-gammaInterleukin-12NCAM1 protein, humanReceptors, Interleukin-12STAT4 Transcription FactorImmunosuppressionInterferon gammaInterleukin 12Natural killer cellsOpportunistic infectionsTransforming growth factor receptor

Identifiers

PMID30992245
PMCPMC6557805
OpenAlexW2938343566

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.