Evidence map›Paper›PMID 33178198›Full record

ArticleFrontiers in immunology2020

Animal-Free Human Whole Blood Sepsis Model to Study Changes in Innate Immunity.

David Alexander Christian Messerer, Laura Vidoni, Maike Erber, Alexander Elias Paul Stratmann, Jonas Martin Bauer, Christian Karl Braun, Stefan Hug, Anna Adler, Kristina Nilsson Ekdahl, Bo Nilsson and 3 more

Open 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. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  4. Reframing sepsis research through translational integrative models.Journal of translational internal medicine · 2026
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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

13 authors at 3 institutions in 2 countries.

David Alexander Christian MessererInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Laura VidoniInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Maike ErberInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Alexander Elias Paul StratmannInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Jonas Martin BauerInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Christian Karl BraunInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Stefan HugInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Anna AdlerRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala, Sweden.
Kristina Nilsson EkdahlRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala, Sweden.
Bo NilssonRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala, Sweden.
Eberhard BarthDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ulm, Ulm, Germany.
Peter RadermacherInstitute for Anesthesiologic Pathophysiology and Process Engineering, Ulm University, Ulm, Germany.
Markus Huber-LangInstitute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
University Hospital Ulm · DELinnaeus University · SEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studying innate immunity in humans is crucial for understanding its role in the pathophysiology of systemic inflammation, particularly in the complex setting of sepsis. Therefore, we standardized a step-by-step process from the venipuncture to the transfer in a human model system, while closely monitoring the inflammatory response for up to three hours. We designed an animal-free, human whole blood sepsis model using a commercially available, simple to use, tubing system. First, we analyzed routine clinical parameters, including cell count and blood gas analysis. Second, we demonstrated that extracellular activation markers (e.g., CD11b and CD62l) as well as intracellular metabolic (intracellular pH) and functional (generation of radical oxygen species) features remained stable after incubation in the whole blood model. Third, we mimicked systemic inflammation during early sepsis by exposure of whole blood to pathogen-associated molecular patterns. Stimulation with lipopolysaccharide revealed the capability of the model system to evoke a sepsis-like inflammatory phenotype of innate immunity. In summary, the presented model serves as a convenient, economic, and reliable platform to study innate immunity in human whole blood, which may yield clinically important insights.

Indexed as

AdultAnimalsBlood CellsCells, CulturedDisease Models, AnimalFemaleHumansImmunizationInflammationLipopolysaccharidesMaleNeutrophilsPhlebotomySepsisYoung AdultLipopolysaccharidesblood physiologyex vivo whole blood modelinflammationlipopolysaccharide (LPS)neutrophil granulocytesprinciples of the 3Rssepsis

Identifiers

PMID33178198
PMCPMC7592114
OpenAlexW3092897360

What OpenQuestion holds

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LicenceCC BY
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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.