Evidence map›Paper›PMID 31501258›Full record

Observational studyJournal of immunology (Baltimore, Md. : 1950)2019

IL-10 Has Differential Effects on the Innate and Adaptive Immune Systems of Septic Patients.

Monty Mazer, Jaqueline Unsinger, Anne Drewry, Andrew Walton, Dale Osborne, Theresa Blood, Richard Hotchkiss, Kenneth E Remy

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of immunology (Baltimore, Md. : 1950), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  16. The Regulatory Roles ofInternational journal of molecular sciences · 2023
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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

8 authors at 1 institution in 1 country.

Monty MazerDivision of Critical Care Medicine, Department of Pediatrics, School of Medicine, Washington University, St. Louis, MO 63110; and.ORCID 0000-0002-4159-8585
Jaqueline UnsingerDepartment of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.
Anne DrewryDepartment of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.ORCID 0000-0001-6899-5196
Andrew WaltonDepartment of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.
Dale OsborneDepartment of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.
Theresa BloodDepartment of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.ORCID 0000-0001-8623-5684
Richard HotchkissDepartment of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.
Kenneth E RemyDivision of Critical Care Medicine, Department of Pediatrics, School of Medicine, Washington University, St. Louis, MO 63110; and kremy@wustl.edu.
Washington University in St. Louis · US

Funding

Enhancing Innate and Adaptive Immunity to Improve Sepsis SurvivalR35GM126928 · NIGMS · WASHINGTON UNIVERSITY · PI Richard Samuel Hotchkiss · 2018 to 2026
$4.7M
Impact of Red Blood Cell (RBC)-Derived DAMPs on Host Immune Response in Pediatric SepsisK08GM129763 · NIGMS · WASHINGTON UNIVERSITY · PI REMY, KENNETH EUGENE · 2018 to 2021
$714k
NIGMS NIH HHS K08 GM129763NIGMS NIH HHS R35 GM126928
6 · The paper itself

Abstract

Sepsis, a disease of divergent pro- and anti-inflammatory-mediated pathways, has a high prevalence of morbidity and mortality, yet an understanding of potential unifying mediators between these pathways that may improve clinical outcomes is largely unclear. IL-10 has classically been designated an immunosuppressive cytokine, although recent data suggest that under certain conditions IL-10 can be immune stimulatory. We sought to further investigate the effect of IL-10 on innate and adaptive immunity in an in vitro human observational cohort study in patients with sepsis via modulation of IL-10 on IFN-γ production by T cells and TNF-α production and HLA-DR expression by monocytes. These results were compared with critically ill nonseptic patients and healthy volunteers. ELISpot analysis was performed using PBMC fraction from patient whole-blood samples. Finally, to provide additional potential clinical relevance, we examined the effect of IL-10 on T cell IFN-γ production in an in vivo cecal ligation and puncture model of sepsis using C57 black/J6 female mice. We found that inhibition of IL-10 significantly increased both production of T cell IFN-γ and monocyte TNF-α, whereas addition of IL-10 increased T cell IFN-γ production but decreased monocyte production of TNF-α and HLA-DR expression. There was no significant effect of IL-10 on control cohorts. IL-10-treated septic mice demonstrated increased IFN-γ production in splenocytes. Thus, IL-10 demonstrates both pro- and anti-inflammatory effects in the septic microenvironment, which is likely cell and context dependent. Further elucidation of relevant signaling pathways may direct future therapeutic targets.

Indexed as

Adaptive ImmunityAdolescentAdultAgedAged, 80 and overAnimalsCohort StudiesDisease Models, AnimalFemaleHumansInterferon-gammaInterleukin-10MaleMiceMice, Inbred C57BLMiddle AgedIL10 protein, humanInterferon-gammaInterleukin-10

Identifiers

PMID31501258
PMCPMC7206829
OpenAlexW2972686526

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.