Evidence map›Paper›PMID 32016282›Full record

ArticleBlood2020

The role of type 1 interferons in coagulation induced by gram-negative bacteria.

Xinyu Yang, Xiaoye Cheng, Yiting Tang, Xianhui Qiu, Zhongtai Wang, Guang Fu, Jianfeng Wu, Haixia Kang, Jing Wang, Haichao Wang and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04861922 (Low Dose Unfractioned Heparin for Treatment of Sepsis Caused by Abdominal Infection:a Pilot Study), which is not on this map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT04861922 phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Low Dose Unfractioned Heparin for Treatment of Sepsis Caused by Abdominal Infection:a Pilot Study

TypeinterventionalSponsorThe Third Xiangya Hospital of Central South UniversityRan2021 to 2024Enrolled100ConditionsSepsis, Gram-Negative Bacterial Infections, HeparinArmsUnfractionated Heparin
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Macrophage fate: to kill or not to kill?Infection and immunity · 2024
    Review

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Xinyu YangDepartment of Hematology and Critical Care Medicine.
Xiaoye ChengDepartment of Hematology and Critical Care Medicine.
Yiting TangDepartment of Physiology, School of Basic Medical Science, and.
Xianhui QiuDepartment of Hematology and Critical Care Medicine.
Zhongtai WangDepartment of Hematology and Critical Care Medicine.
Guang FuDepartment of General Surgery, The 3rd Xiangya Hospital, Central South University, Changsha, People's Republic of China.
Jianfeng WuState Key Laboratory of Cellular Stress Biology, Innovation Center for Cell Signaling Network, School of Life Sciences, Xiamen University, Xiamen, Fujian, People's Republic of China.
Haixia KangShanghai Institute of Immunology, Department of Microbiology and Immunology, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Jing WangShanghai Institute of Immunology, Department of Microbiology and Immunology, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Haichao WangThe Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY.
Fangping ChenDepartment of Hematology and Critical Care Medicine.
Xianzhong XiaoDepartment of Pathophysiology, School of Basic Medical Science, and.
Timothy R BilliarDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Ben LuDepartment of Hematology and Critical Care Medicine.
Central South University · CNShanghai Jiao Tong University · CNNorthwell Health · USUniversity of Pittsburgh · USXiamen University · CN

Funding

Mechanisms of Novel Herbal Therapies for Sepsis.R01AT005076 · NCCIH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI WANG, HAICHAO · 2010 to 2023
$4.3M
Regulation of HMGB1 Release in Endotoxemia.R01GM063075 · NIGMS · NORTH SHORE UNIVERSITY HOSPITAL · PI WANG, HAICHAO · 2002 to 2020
$4.2M
NCCIH NIH HHS R01 AT005076NIGMS NIH HHS R01 GM063075
6 · The paper itself

Abstract

Bacterial infection not only stimulates innate immune responses but also activates coagulation cascades. Overactivation of the coagulation system in bacterial sepsis leads to disseminated intravascular coagulation (DIC), a life-threatening condition. However, the mechanisms by which bacterial infection activates the coagulation cascade are not fully understood. Here we show that type 1 interferons (IFNs), a widely expressed family of cytokines that orchestrate innate antiviral and antibacterial immunity, mediate bacterial infection-induced DIC by amplifying the release of high-mobility group box 1 (HMGB1) into the bloodstream. Inhibition of the expression of type 1 IFNs and disruption of their receptor IFN-α/βR or downstream effector (eg, HMGB1) uniformly decreased gram-negative bacteria-induced DIC. Mechanistically, extracellular HMGB1 markedly increased the procoagulant activity of tissue factor by promoting the externalization of phosphatidylserine to the outer cell surface, where phosphatidylserine assembles a complex of cofactor-proteases of the coagulation cascades. These findings not only provide novel insights into the link between innate immune responses and coagulation, but they also open a new avenue for developing novel therapeutic strategies to prevent DIC in sepsis.

Indexed as

Adaptor Proteins, Vesicular TransportAnimalsBlood CoagulationDisseminated Intravascular CoagulationEndotoxemiaGram-Negative BacteriaGram-Negative Bacterial InfectionsHMGB1 ProteinHumansImmunity, InnateInterferon-alphaInterferon-betaMice, Inbred C57BLAdaptor Proteins, Vesicular TransportHMGB1 ProteinInterferon-alphaInterferon-betaTicam1 protein, mouse

Identifiers

PMID32016282
PMCPMC7118812
OpenAlexW3004416555

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.