Evidence map›Paper›PMID 32793203›Full record

ArticleFrontiers in immunology2020

Pediatric Burn Survivors Have Long-Term Immune Dysfunction With Diminished Vaccine Response.

Blair Z Johnson, Sonia McAlister, Helen M McGuire, Vetrichevvel Palanivelu, Andrew Stevenson, Peter Richmond, Debra J Palmer, Jessica Metcalfe, Susan L Prescott, Fiona M Wood and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
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  7. Review
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  9. Article
  10. [Burn injury should be considered as a chronic disease].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Blair Z JohnsonSchool of Biomedical Sciences, The University of Western Australia, Perth, WA, Australia.
Sonia McAlisterSchool of Medicine, The University of Western Australia, Perth, WA, Australia.
Helen M McGuireRamaciotti Facility for Human Systems Biology and the Charles Perkins Centre, Discipline of Pathology, The University of Sydney, Sydney, NSW, Australia.
Vetrichevvel PalaniveluSchool of Biomedical Sciences, The University of Western Australia, Perth, WA, Australia.
Andrew StevensonSchool of Biomedical Sciences, The University of Western Australia, Perth, WA, Australia.
Peter RichmondSchool of Medicine, The University of Western Australia, Perth, WA, Australia.
Debra J PalmerSchool of Medicine, The University of Western Australia, Perth, WA, Australia.
Jessica MetcalfeSchool of Medicine, The University of Western Australia, Perth, WA, Australia.
Susan L PrescottSchool of Medicine, The University of Western Australia, Perth, WA, Australia.
Fiona M WoodSchool of Medicine, The University of Western Australia, Perth, WA, Australia.
Barbara Fazekas de St GrothRamaciotti Facility for Human Systems Biology and the Charles Perkins Centre, Discipline of Pathology, The University of Sydney, Sydney, NSW, Australia.
Matthew D LindenSchool of Biomedical Sciences, The University of Western Australia, Perth, WA, Australia.
Mark W FearSchool of Biomedical Sciences, The University of Western Australia, Perth, WA, Australia.
Vanessa S FearGenetic and Rare Diseases, Telethon Kids Institute, Perth, WA, Australia.
University of Western Australia · AUThe Kids Research Institute Australia · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemiological studies have demonstrated that survivors of acute burn trauma are at long-term increased risk of developing a range of morbidities. The mechanisms underlying this increased risk remain unknown. This study aimed to determine whether burn injury leads to sustained immune dysfunction that may underpin long-term morbidity. Plasma and peripheral blood mononuclear cells were collected from 36 pediatric burn survivors >3 years after a non-severe burn injury (<10% total body surface area) and from age/sex-matched non-injured controls. Circulating cytokine and vaccine antibody levels were assessed using multiplex immunoassays and cell profiles compared using a panel of 40 metal-conjugated antibodies and mass cytometry. TNF-α (1.31-fold change from controls), IL-2 (1.18-fold), IL-7 (1.63-fold), and IFN-γ (1.18-fold) were all significantly elevated in the burn cohort. Additionally, burn survivors demonstrated diminished antibody responses to the diphtheria, tetanus, and pertussis vaccine antigens. Comparisons between groups using unsupervised clustering identified differences in proportions of clusters within T-cells, B-cells and myeloid cells. Manual gating confirmed increased memory T-regulatory and central memory CD4+ T-cells, with altered expression of T-cell, B-cell, and dendritic cell markers. Conclusions: This study demonstrates a lasting change to the immune profile of pediatric burn survivors, and highlights the need for further research into post-burn immune suppression and regulation.

Indexed as

Antibodies, BacterialBurnsChildChild, PreschoolCytokinesDiphtheria-Tetanus-Pertussis VaccineFemaleHumansImmunomodulationImmunophenotypingInfantLeukocytes, MononuclearMaleT-LymphocytesT-Lymphocyte SubsetsAntibodies, BacterialCytokinesDiphtheria-Tetanus-Pertussis Vaccineacute traumaimmunitymass cytometrynon-severe burn injurysystemicvaccination

Identifiers

PMID32793203
PMCPMC7385079
OpenAlexW3043617085

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.