Evidence map›Paper›PMID 31626040›Full record

ArticleShock (Augusta, Ga.)2020

Overexpression of BCL-2 in the Intestinal Epithelium Prevents Sepsis-Induced Gut Barrier Dysfunction via Altering Tight Junction Protein Expression.

Shunsuke Otani, Takehiko Oami, Benyam P Yoseph, Nathan J Klingensmith, Ching-Wen Chen, Zhe Liang, Craig M Coopersmith

Open access · greenAbstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 72 citations in OpenAlex.

  1. Current issues in molecular biology · 2026
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  16. Claudin-2 upregulation enhances intestinal permeability, immune activation, dysbiosis, and mortality in sepsis.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  17. Gut Microbiome in Sepsis.Surgical infections · 2023
    Review
  18. 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 1 institution in 2 countries.

Shunsuke OtaniDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Takehiko OamiDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Benyam P YosephDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Nathan J KlingensmithDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Ching-Wen ChenDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Zhe LiangDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Craig M CoopersmithDepartment of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, Georgia.
Emory University · US

Funding

Mechanisms of Intestinal Integrity in Sepsis and ShockR01GM072808 · NIGMS · WASHINGTON UNIVERSITY · PI COOPERSMITH, CRAIG M · 2005 to 2021
$5.1M
Critical Care Training ProgramT32GM095442 · NIGMS · EMORY UNIVERSITY · PI Craig M Coopersmith · 2011 to 2026
$4.7M
The Impact of Chronic Alcohol Abuse on the Pathophysiology of SepsisR01AA027396 · NIAAA · EMORY UNIVERSITY · PI Craig M Coopersmith, Mandy L Ford · 2019 to 2026
$2.8M
The Impact of Cancer on the Pathophysiology of SepsisR01GM104323 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2013 to 2021
$2.4M
Targeting 2B4 Coinhibitory Signals During Sepsis-Induced Immune DysregulationR01GM113228 · NIGMS · EMORY UNIVERSITY · PI COOPERSMITH, CRAIG M, FORD, MANDY L · 2015 to 2018
$1.2M
NIAAA NIH HHS R01 AA027396NIGMS NIH HHS R01 GM072808NIGMS NIH HHS R01 GM104323NIGMS NIH HHS R01 GM113228NIGMS NIH HHS T32 GM095442
6 · The paper itself

Abstract

Sepsis induces both intestinal hyperpermeability and epithelial apoptosis. While each has been implicated in mediating sepsis mortality, the relationship between these two processes is unclear. We hypothesized that preventing intestinal apoptosis would prevent gut barrier dysfunction. To test this hypothesis, transgenic mice that overexpress the anti-apoptotic protein Bcl-2 in the gut epithelium (Fabpl-Bcl-2 mice) and wild-type (WT) mice were subjected to sham laparotomy or cecal ligation and puncture and orally gavaged with fluorescein isothiocyanate conjugated-dextran (FD-4) 5 h before sacrifice. Serum FD-4 concentration was assayed to measure intestinal permeability, and jejunal tight junctions were assayed for mRNA and protein expression. Baseline FD-4 concentration was similar between WT and Fabpl-Bcl-2 mice. Intestinal permeability increased 6, 12, 24, and 48 h following sepsis in WT mice; however, FD-4 concentration was significantly lower at each timepoint in Fabpl-Bcl-2 mice. In addition, there were no statistically significant changes in permeability between septic and sham transgenic mice. Intestinal mRNA expression of claudin 3, claudin 5, and occludin was lower in septic Fabpl-Bcl-2 mice, while claudin 4 mRNA levels were higher in Fabpl-Bcl-2 mice. In contrast, no differences were detected in claudins 2, 7, 15, JAM-A, or ZO-1. Protein levels followed the same trend for all tight junction mediators different between WT and Fabpl-Bcl-2 mice except occludin was significantly higher in transgenic mice. Together these results demonstrate that decreasing intestinal epithelial apoptosis prevents hyperpermeability following sepsis via tight junction alterations which may be at least partially responsible for improved survival conferred by Bcl-2 overexpression.

Indexed as

AnimalsCell Adhesion MoleculesDextransFluorescein-5-isothiocyanateGastrointestinal MicrobiomeIntestinal MucosaMiceProto-Oncogene Proteins c-bcl-2Receptors, Cell SurfaceRNA, MessengerSepsisTight Junction ProteinsTight JunctionsZonula Occludens-1 ProteinCell Adhesion MoleculesDextransF11r protein, mouseFluorescein-5-isothiocyanatefluorescein isothiocyanate dextranProto-Oncogene Proteins c-bcl-2Receptors, Cell SurfaceRNA, MessengerTight Junction ProteinsTjp1 protein, mouseZonula Occludens-1 Protein

Identifiers

PMID31626040
PMCPMC7156322
OpenAlexW2981311241

What OpenQuestion holds

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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.