Evidence map›Paper›PMID 32648582›Full record

ReviewClinical science (London, England : 1979)2020

Rethinking animal models of sepsis - working towards improved clinical translation whilst integrating the 3Rs.

Manasi Nandi, Simon K Jackson, Duncan Macrae, Manu Shankar-Hari, Jordi L Tremoleda, Elliot Lilley

Abstract readReview
In one paragraph

Review in Clinical science (London, England : 1979), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Myeloid-derived suppressor cells in sepsis: drivers of persistent immunosuppression and targets for precision immunotherapy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Transcriptional characterization of sepsis in a LPS porcine model.Molecular genetics and genomics : MGG · 2025
    Article
  10. Article
  11. Thrombocytopenia in Sepsis.Life (Basel, Switzerland) · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. ImprovingF1000Research · 2024
    Article
  18. Article
  19. Review
  20. Review
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

6 authors.

Manasi NandiSchool of Cancer and Pharmaceutical Science, Faculty of Life Sciences and Medicine, King's College London, London, U.K.
Simon K JacksonFaculty of Medicine and Dentistry, Institute of Translational and Stratified Medicine, School of Biomedical Sciences, University of Plymouth, Plymouth, U.K.
Duncan MacraeNational Heart and Lung Institute, Imperial College London and Royal Brompton and Harefield NHS Foundation Trust, London, U.K.
Manu Shankar-HariSchool of Immunology and Microbial Sciences, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, U.K.
Jordi L TremoledaBlizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, U.K.
Elliot LilleyResearch Animals Department, RSPCA, Southwater, U.K.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is a major worldwide healthcare issue with unmet clinical need. Despite extensive animal research in this area, successful clinical translation has been largely unsuccessful. We propose one reason for this is that, sometimes, the experimental question is misdirected or unrealistic expectations are being made of the animal model. As sepsis models can lead to a rapid and substantial suffering - it is essential that we continually review experimental approaches and undertake a full harm:benefit impact assessment for each study. In some instances, this may require refinement of existing sepsis models. In other cases, it may be replacement to a different experimental system altogether, answering a mechanistic question whilst aligning with the principles of reduction, refinement and replacement (3Rs). We discuss making better use of patient data to identify potentially useful therapeutic targets which can subsequently be validated in preclinical systems. This may be achieved through greater use of construct validity models, from which mechanistic conclusions are drawn. We argue that such models could provide equally useful scientific data as face validity models, but with an improved 3Rs impact. Indeed, construct validity models may not require sepsis to be modelled, per se. We propose that approaches that could support and refine clinical translation of research findings, whilst reducing the overall welfare burden on research animals.

Indexed as

Disease Models, AnimalTranslational Research, BiomedicalAnimalsClinical Trials as TopicHumansSepsis3RsClinical translationconstruct validitymechanisticresearch animalssepsis

Identifiers

PMID32648582
PMCPMC7352061

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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.