Evidence map›Paper›PMID 31434802›Full record

ArticleJCI insight2019

Damage- and pathogen-associated molecular patterns play differential roles in late mortality after critical illness.

John Eppensteiner, Jean Kwun, Uwe Scheuermann, Andrew Barbas, Alexander T Limkakeng, Maggie Kuchibhatla, Eric A Elster, Allan D Kirk, Jaewoo Lee

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 2 institutions in 1 country.

John EppensteinerDepartment of Surgery and.
Jean KwunDepartment of Surgery and.
Uwe ScheuermannDepartment of Surgery and.
Andrew BarbasDepartment of Surgery and.
Alexander T LimkakengDepartment of Surgery and.
Maggie KuchibhatlaDepartment of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
Eric A ElsterSurgical Critical Care Initiative (SC2i), Bethesda, Maryland, USA.
Allan D KirkDepartment of Surgery and.
Jaewoo LeeDepartment of Surgery and.
Duke University · USWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple organ failure (MOF) is the leading cause of late mortality and morbidity in patients who are admitted to intensive care units (ICUs). However, there is an epidemiologic discrepancy in the mechanism of underlying immunologic derangement dependent on etiology between sepsis and trauma patients in MOF. We hypothesized that damage-associated molecular patterns (DAMPs) and pathogen-associated molecular patterns (PAMPs), while both involved in the development of MOF, contribute differently to the systemic innate immune derangement and coagulopathic changes. We found that DAMPs not only produce weaker innate immune activation than counterpart PAMPs, but also induce less TLR signal desensitization, contribute to less innate immune cell death, and propagate more robust systemic coagulopathic effects than PAMPs. This differential contribution to MOF provides further insight into the contributing factors to late mortality in critically ill trauma and sepsis patients. These findings will help to better prognosticate patients at risk of MOF and may provide future therapeutic molecular targets in this disease process.

Indexed as

AdultAlarminsAnimalsBacteriaBlood CoagulationCells, CulturedCritical IllnessHumansImmunity, InnateMiceMice, Inbred C57BLMultiple Organ FailureNecrosisPathogen-Associated Molecular Pattern MoleculesRats, Sprague-DawleySepsisAlarminsPathogen-Associated Molecular Pattern MoleculesCell BiologyCellular immune responseImmunologyInnate immunityThrombosis

Identifiers

PMID31434802
PMCPMC6777836
OpenAlexW2969479182

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.