Evidence map›Paper›PMID 32691839›Full record

ArticleThe Journal of infectious diseases2020

Immune Profiling Panel: A Proof-of-Concept Study of a New Multiplex Molecular Tool to Assess the Immune Status of Critically Ill Patients.

Dina M Tawfik, Laurence Vachot, Adeline Bocquet, Fabienne Venet, Thomas Rimmelé, Guillaume Monneret, Sophie Blein, Jesse L Montgomery, Andrew C Hemmert, Alexandre Pachot and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

18 citing papers in PubMed, 25 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

15 authors at 3 institutions in 2 countries.

Dina M TawfikEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Laurence VachotEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Adeline BocquetOpen Innovation and Partnerships, bioMérieux, Lyon, France.
Fabienne VenetEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Thomas RimmeléEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Guillaume MonneretEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Sophie BleinEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Jesse L MontgomeryBioFire Diagnostics LLC, Salt Lake City, Utah, USA.
Andrew C HemmertBioFire Diagnostics LLC, Salt Lake City, Utah, USA.
Alexandre PachotEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Virginie MoucadelEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Javier Yugueros-MarcosOpen Innovation and Partnerships, bioMérieux, Lyon, France.
Karen Brengel-PesceEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
François MalletEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Julien TextorisEA7426 "Pathophysiology of Injury-Induced Immunosuppression," PI3, Université Claude Bernard Lyon-1 Hospices Civils de Lyon, bioMérieux, Lyon, France.
Université Claude Bernard Lyon 1 · FRBioFire Diagnostics (United States) · USbioMérieux (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritical illness such as sepsis is a life-threatening syndrome defined as a dysregulated host response to infection and is characterized by patients exhibiting impaired immune response. In the field of diagnosis, a gap still remains in identifying the immune profile of critically ill patients in the intensive care unit (ICU).

methodsA new multiplex immune profiling panel (IPP) prototype was assessed for its ability to semiquantify messenger RNA immune-related markers directly from blood, using the FilmArray System, in less than an hour. Samples from 30 healthy volunteers were used for the technical assessment of the IPP tool. Then the tool was clinically assessed using samples from 10 healthy volunteers and 20 septic shock patients stratified using human leukocyte antigen-DR expression on monocytes (mHLA-DR).

resultsThe IPP prototype consists of 16 biomarkers that target the immune response. The majority of the assays had a linear expression with different RNA inputs and a coefficient of determination (R2) > 0.8. Results from the IPP pouch were comparable to standard quantitative polymerase chain reaction and the assays were within the limits of agreement in Bland-Altman analysis. Quantification cycle values of the target genes were normalized against reference genes and confirmed to account for the different cell count and technical variability. The clinical assessment of the IPP markers demonstrated various gene modulations that could distinctly differentiate 3 profiles: healthy volunteers, intermediate mHLA-DR septic shock patients, and low mHLA-DR septic shock patients.

conclusionsThe use of IPP showed great potential for the development of a fully automated, rapid, and easy-to-use immune profiling tool. The IPP tool may be used in the future to stratify critically ill patients in the ICU according to their immune status. Such stratification will enable personalized management of patients and guide treatments to avoid secondary infections and lower mortality.

Indexed as

Critical IllnessImmunologic TestsAgedBiomarkersFemaleHLA-DR AntigensHumansMaleMiddle AgedMonocytesMultiplex Polymerase Chain ReactionProof of Concept StudyShock, SepticBiomarkersHLA-DR Antigensbiomarkerscritically ill patientsFilmArrayimmune responsein vitro diagnosticmultiplex PCRsepsissyndromic panel

Identifiers

PMID32691839
PMCPMC7372218
OpenAlexW3045097172

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Registered trials

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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.