Evidence map›Paper›PMID 32978453›Full record

ArticleScientific reports2020

Presence of the apolipoprotein E-ε4 allele is associated with an increased risk of sepsis progression.

Yiming Shao, Tian Zhao, Wenying Zhang, Junbing He, Furong Lu, Yujie Cai, Zhipeng Lai, Ning Wei, Chunmei Liang, Lizhen Liu and 9 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
1.8field-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

33 citing papers in PubMed, 35 citations in OpenAlex.

  1. Cross-tissue immune profiling of APOE ε4 reveals early dysregulation in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  16. A missenseJOR spine · 2024
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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

19 authors at 6 institutions in 1 country.

Yiming Shao *Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Tian Zhao *Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Wenying Zhang *Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Junbing HeThe Intensive Care Unit, Jieyang Affiliated Hospital, Sun Yat-Sen University, Jieyang, 52200, China.
Furong LuThe Intensive Care Unit, Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Yujie CaiGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Zhipeng LaiThe Intensive Care Unit, Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Ning WeiThe Intensive Care Unit, Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Chunmei LiangGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Lizhen LiuThe Intensive Care Unit, Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Yuan HongThe Intensive Care Unit, Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Xiaohong ChengThe Intensive Care Unit, Guangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Jia LiThe Intensive Care Unit ,The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Pei TangGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Weihao FanGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Mingqian OuGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Jingqi YangGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China.
Yansong LiuThe Intensive Care Unit, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Lili CuiGuangdong Key Laboratory of Age-Related Cardiac and Cerebral Diseases, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524000, China. cuilili@gdmu.edu.cn.
Guangdong Medical College · CNGuangzhou Medical University · CNSecond Affiliated Hospital of Guangzhou Medical University · CNCentral Hospital of Wuhan · CNHarbin Medical University · CNHubei University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growing evidence indicated that single nucleotide polymorphisms (SNPs) in the apolipoprotein E (APOE) gene are related to increase the risk of many inflammatory-related diseases. However, few genetic studies have associated the APOE gene polymorphism with sepsis. This study was to investigate the clinical relevance of the APOE gene polymorphism in the onset and progression of sepsis. A multicenter case-control association study with a large sample size (601 septic patients and 699 healthy individuals) was conducted. Clinical data showed that the APOEε4 allele was overrepresented among all patients with septic shock (p = 0.031) compared with sepsis subtype, suggesting that APOEε4 allele may associated with increased susceptibility to the progression of sepsis. Moreover, the APOE mRNA levels decreased after lipopolysaccharide (LPS) stimulation in cells in culture. Then 21 healthy individuals to extract PBMC for genotype grouping (APOE4+ group 8; APOE4- group 13) was selected to evaluate the effect on APOE level, and results showed that the expression level of APOE in APOE4+ group and APOE4- group did not differ in mRNA levels after an LPS challenge, but the protein levels in APOE4+ group decreased slower than that in APOE4- group, and this process was accompanied by the upregulation of proinflammatory cytokines. These results provide evidence that the APOEε4 allele might be associated with the development of sepsis and a potential risk factor that can be used in the prognosis of sepsis.

Indexed as

Down-RegulationPolymorphism, Single NucleotideAllelesAnimalsApolipoproteins ECase-Control StudiesChinaDisease ProgressionFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHumansLipopolysaccharidesMaleMiceMiddle AgedApoE protein, humanApolipoproteins ELipopolysaccharides

Identifiers

PMID32978453
PMCPMC7519096
OpenAlexW3089261208

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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.