Evidence map›Paper›PMID 31689522›Full record

ReviewPharmacological research2019

Immunobiology and application of toll-like receptor 4 agonists to augment host resistance to infection.

Antonio Hernandez, Naeem K Patil, Cody L Stothers, Liming Luan, Margaret A McBride, Allison M Owen, Katherine R Burelbach, David L Williams, Edward R Sherwood, Julia K Bohannon

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacological research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

32 citing papers in PubMed, 58 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

10 authors at 2 institutions in 1 country.

Antonio HernandezDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: antonio.hernandez@vumc.org.
Naeem K PatilDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Cody L StothersDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Liming LuanDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Margaret A McBrideDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Allison M OwenDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Katherine R BurelbachDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
David L WilliamsDepartment of Surgery, East Tennessee State University, James H. Quillen College of Medicine, Johnson City, TN, USA.
Edward R SherwoodDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Julia K BohannonDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USEast Tennessee State University · US

Funding

Training Innate Immunity: A new approach to the treatment of SepsisR01GM119197 · NIGMS · EAST TENNESSEE STATE UNIVERSITY · PI SHERWOOD, EDWARD R, WILLIAMS, DAVID L. · 2016 to 2024
$4.6M
TIPS: Training in Perioperative ScienceT32GM108554 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric J Delpire · 2014 to 2026
$3.7M
Enhancing Resistance to Infection after Burn Injury with TLR AgonistsR01GM121711 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BOHANNON, JULIA K. · 2017 to 2021
$1.6M
Enhancement of Innate Anti-Microbial Immunity Using Novel Synthetic TLR4 AgonistsK08GM123345 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HERNANDEZ, ANTONIO · 2017 to 2020
$699k
NIGMS NIH HHS K08 GM123345NIGMS NIH HHS R01 GM119197NIGMS NIH HHS R01 GM121711NIGMS NIH HHS T32 GM108554
6 · The paper itself

Abstract

Infectious diseases remain a threat to critically ill patients, particularly with the rise of antibiotic-resistant bacteria. Septic shock carries a mortality of up to ∼40% with no compelling evidence of promising therapy to reduce morbidity or mortality. Septic shock survivors are also prone to nosocomial infections. Treatment with toll-like receptor 4 (TLR4) agonists have demonstrated significant protection against common nosocomial pathogens in various clinically relevant models of infection and septic shock. TLR4 agonists are derived from a bacteria cell wall or synthesized de novo, and more recently novel small molecule TLR4 agonists have also been developed. TLR4 agonists augment innate immune functions including expansion and recruitment of innate leukocytes to the site of infection. Recent studies demonstrate TLR4-induced leukocyte metabolic reprogramming of cellular metabolism to improve antimicrobial function. Metabolic changes include sustained augmentation of macrophage glycolysis, mitochondrial function, and tricarboxylic acid cycle flux. These findings set the stage for the use of TLR4 agonists as standalone therapeutic agents or antimicrobial adjuncts in patient populations vulnerable to nosocomial infections.

Indexed as

Adjuvants, ImmunologicAnimalsDisease ResistanceHumansImmunity, InnateInfection ControlInfectionsToll-Like Receptor 4Adjuvants, ImmunologicToll-Like Receptor 43D(6-acyl)-PHAD® (CID 136212447)3D-PHAD® (CID 136212443)Aminoalkyl glucosamine 4-phosphateCRX-527 (CID 9877226)Endotoxin toleranceGlycopyranoside Lipid A (CID 131846120)Hexaacyl monophosphoryl lipid A (CID 10877033)Innate immunityLipopolysaccharideLipopolysaccharide (CID: 11970143)Metabolic reprogrammingMonophosphoryl lipid ANeoseptin 3 (CID 77461013)NeoseptinsPhosphorylated hexaacyl disaccharidesToll-like receptor 4Ugi

Identifiers

PMID31689522
PMCPMC6884699
OpenAlexW2988938964

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.