Evidence map›Paper›PMID 31378316›Full record

ArticleAmerican journal of surgery2019

Chronic stress induces persistent low-grade inflammation.

Elizabeth S Miller, Camille G Apple, Kolenkode B Kannan, Zackary M Funk, Jessica M Plazas, Philip A Efron, Alicia M Mohr

Open access · greenAbstract read
In one paragraph

Article in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
2.9field-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

59 citing papers in PubMed, 88 citations in OpenAlex.

  1. Review
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  4. Psychoneuroendocrine Associations with Momentary Pelvic Pain in Endometriosis.International journal of behavioral medicine · 2026
    Article
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  10. Modulating Role of Resveratrol in Metabolic and Inflammatory Dysregulation Caused by Surgical and Psychoemotional Stress in Rats.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Article
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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

7 authors at 2 institutions in 1 country.

Elizabeth S MillerUniversity of Florida Health, Department of Surgery and Sepsis and Critical Illness Research Center, Gainesville, FL, United States. Electronic address: Elizabeth.Miller@surgery.ufl.edu.
Camille G AppleUniversity of Florida Health, Department of Surgery and Sepsis and Critical Illness Research Center, Gainesville, FL, United States. Electronic address: Camille.apple@surgery.ufl.edu.
Kolenkode B KannanUniversity of Florida Health, Department of Surgery and Sepsis and Critical Illness Research Center, Gainesville, FL, United States. Electronic address: Kolenkode.Kannan@surgery.ufl.edu.
Zackary M FunkUniversity of Florida, College of Medicine, Gainesville, FL, United States. Electronic address: zfunk123@ufl.edu.
Jessica M PlazasUniversity of Florida, College of Liberal Arts and Sciences, Gainesville, FL, United States. Electronic address: jplaz011@fiu.edu.
Philip A EfronUniversity of Florida Health, Department of Surgery and Sepsis and Critical Illness Research Center, Gainesville, FL, United States. Electronic address: Philip.Efron@surgery.ufl.edu.
Alicia M MohrUniversity of Florida Health, Department of Surgery and Sepsis and Critical Illness Research Center, Gainesville, FL, United States. Electronic address: alicia.mohr@surgery.ufl.edu.
University of Florida Health · USFlorida College · US

Funding

PICS: A New Horizon for Surgical Critical CareP50GM111152 · NIGMS · UNIVERSITY OF FLORIDA · PI MOORE, FREDERICK A · 2014 to 2018
$10.7M
Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Chronic Stress and Anemia Recovery following Major TraumaR01GM105893 · NIGMS · UNIVERSITY OF FLORIDA · PI MOHR, ALICIA M · 2013 to 2021
$3.5M
Hematopoietic Stem Cell Dysfunction in the Elderly after Severe InjuryR01GM113945 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2015 to 2019
$1.6M
NIGMS NIH HHS P50 GM111152NIGMS NIH HHS R01 GM105893NIGMS NIH HHS R01 GM113945NIGMS NIH HHS T32 GM008721
6 · The paper itself

Abstract

introductionThis study sought to determine if the systemic cytokine profile of rodents subjected to chronic restraint stress leads to persistent low-grade inflammation.

methodsMale Sprague-Dawley rats were subjected to restraint stress for a total of seven or fourteen days. Urine norepinephrine (NE), plasma interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), C-reactive protein (CRP) were assessed with ELISA. Liver expression of IL-6 and TNF-α were assessed with real time PCR.

resultsChronic stress at 7 and 14 days sequentially increased plasma acute phase reactants (NE, IL-6, TNF-α, and CRP), liver IL-6 expression, hematopoietic progenitor cell mobilization, and decreased erythroid progenitor colony growth. Weight gain was reduced by chronic stress compared to each models' naïve counterpart.

conclusionsCombining this model with trauma and sepsis models will allow evaluation of the contribution of persistent inflammation in disease progression and outcomes.

Indexed as

AnimalsChronic DiseaseC-Reactive ProteinDisease Models, AnimalInflammationInterleukin-6MaleRatsRats, Sprague-DawleyRestraint, PhysicalStress, PsychologicalTumor Necrosis Factor-alphaC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alphaC-reactive proteinIL-6InflammationNorepinephrineStress

Identifiers

PMID31378316
PMCPMC6768696
OpenAlexW2964601761

What OpenQuestion holds

Textmetadata
LicenceTDM
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.