Evidence map›Paper›PMID 33441606›Full record

Observational studyScientific reports2021

Survivin and caspases serum protein levels and survivin variants mRNA expression in sepsis.

Marianna Miliaraki, Panagiotis Briassoulis, Stavroula Ilia, Aikaterini Polonifi, Marina Mantzourani, Efrossini Briassouli, Konstantinos Vardas, Serafim Nanas, Aikaterini Pistiki, Maria Theodorakopoulou and 9 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Article
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  12. Article
  13. Anthocyanin fromClinical, cosmetic and investigational dermatology · 2022
    Article
  14. Necroptosis-Mediated eCIRP Release in Sepsis.Journal of inflammation research · 2022
    Article
  15. Article
  16. 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

19 authors at 2 institutions in 1 country.

Marianna MiliarakiPediatric Intensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.ORCID 0000-0001-7622-202X
Panagiotis BriassoulisPediatric Intensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.ORCID 0000-0002-9789-9002
Stavroula IliaPediatric Intensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.ORCID 0000-0002-0936-368X
Aikaterini PolonifiFirst Department of Internal Medicine - Propaedeutic, National and Kapodistrian University of Athens, Athens, Greece.
Marina MantzouraniFirst Department of Internal Medicine - Propaedeutic, National and Kapodistrian University of Athens, Athens, Greece.
Efrossini BriassouliFirst Department of Internal Medicine - Propaedeutic, National and Kapodistrian University of Athens, Athens, Greece.
Konstantinos VardasFirst Critical Care Department, Evangelismos University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Serafim NanasFirst Critical Care Department, Evangelismos University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Aikaterini Pistiki4th Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Maria Theodorakopoulou2nd Department of Critical Care, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Theonymfi TavladakiPediatric Intensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.
Anna Maria SpanakiPediatric Intensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.
Eumorfia KondiliIntensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.
Helen DimitriouDivision of Mother and Child Health, Medical School, University of Crete, Heraklion, Crete, Greece.
Sotirios Tsiodras4th Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Dimitrios GeorgopoulosIntensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece.
Apostolos Armaganidis2nd Department of Critical Care, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
George DaikosFirst Department of Internal Medicine - Propaedeutic, National and Kapodistrian University of Athens, Athens, Greece.
George BriassoulisPediatric Intensive Care Unit, Medical School, University of Crete, Heraklion, Crete, Greece. ggbriass@otenet.gr.ORCID 0000-0003-0928-6183
National and Kapodistrian University of Athens · GRUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is a dysregulated host response to infection related to devastating outcomes. Recently, interest has been shifted towards apoptotic and antiapoptotic pathobiology. Apoptosis is executed through the activation of caspases regulated by a number of antiapoptotic proteins, such as survivin. The survivin and caspases' responses to sepsis have not yet been elucidated. This is a multicenter prospective observational study concerning patients with sepsis (n = 107) compared to patients with traumatic systemic inflammatory response syndrome (SIRS) (n = 75) and to healthy controls (n = 89). The expression of survivin was quantified through real-time quantitative polymerase chain reaction for the different survivin splice variants (wild type-WT, ΔEx3, 2B, 3B) in peripheral blood leukocytes. The apoptotic or antiapoptotic tendency was specified by measuring survivin-WT, caspase-3, and -9 serum protein concentrations through enzyme-linked immunosorbent assay. The survivin-WT, -2B, -ΔΕx3 mRNA, survivin protein, and caspases showed an escalated increase in SIRS and sepsis, whereas survivin-3B was repressed in sepsis (p < 0.05). Survivin correlated with IL-8 and caspase-9 (p < 0.01). For discriminating sepsis, caspase-9 achieved the best receiver operating characteristic curve (AUROC) of 0.95. In predicting mortality, caspase-9 and survivin protein achieved an AUROC of 0.70. In conclusion, specific apoptotic and antiapoptotic pathways might represent attractive targets for future research in sepsis.

Indexed as

Case-Control StudiesCaspase 3Caspase 9CaspasesFemaleHumansMaleMiddle AgedProspective StudiesReal-Time Polymerase Chain ReactionRNA, MessengerSepsisSurvivinSystemic Inflammatory Response SyndromeBIRC5 protein, humanCaspase 3Caspase 9CaspasesRNA, MessengerSurvivin

Identifiers

PMID33441606
PMCPMC7806640
OpenAlexW3118950143

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.