Evidence map›Paper›PMID 33670629›Full record

ArticleMetabolites2021

Untargeted and Targeted Metabolomic Profiling of Preterm Newborns with EarlyOnset Sepsis: A Case-Control Study.

Veronica Mardegan, Giuseppe Giordano, Matteo Stocchero, Paola Pirillo, Gabriele Poloniato, Enrica Donadel, Sabrina Salvadori, Carlo Giaquinto, Elena Priante, Eugenio Baraldi

Open access · goldAbstract read
In one paragraph

Article in Metabolites, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Metabolomics in neonatal sepsis: A critical appraisal of current evidence.Computational and structural biotechnology journal · 2025
    Review
  7. Tryptophan catabolism via the kynurenine pathway regulates infection and inflammation: from mechanisms to biomarkers and therapies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Review
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. 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

10 authors at 1 institution in 1 country.

Veronica MardeganWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.ORCID 0000-0002-6752-6715
Giuseppe GiordanoWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Matteo StoccheroWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.ORCID 0000-0001-9296-8390
Paola PirilloWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Gabriele PoloniatoWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Enrica DonadelWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Sabrina SalvadoriWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Carlo GiaquintoWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Elena PrianteWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
Eugenio BaraldiWomen's and Children's Health Department, Padua University, 35128 Padua (PD), Italy.
University of Padua · IT

Funding

Città della Speranza Foundation, Institute for Pediatrics Research (IRP) and PENTA Foundation IRP-PENTA 2018 project
6 · The paper itself

Abstract

Sepsis is a major concern in neonatology, but there are no reliable biomarkers for its early diagnosis. The aim of the study was to compare the metabolic profiles of plasma and urine samples collected at birth from preterm neonates with and without earlyonset sepsis (EOS) to identify metabolic perturbations that might orient the search for new early biomarkers. All preterm newborns admitted to the neonatal intensive care unit were eligible for this proof-of-concept, prospective case-control study. Infants were enrolled as "cases" if they developed EOS, and as "controls"if they did not. Plasma samples collected at birth and urine samples collected within 24 h of birth underwent untargeted and targeted metabolomic analysis using mass spectrometry coupled with ultra-performance liquid chromatography. Univariate and multivariate statistical analyses were applied. Of 123 eligible newborns, 15 developed EOS. These 15 newborns matched controls for gestational age and weight. Metabolomic analysis revealed evident clustering of the cases versus controls, with the glutathione and tryptophan metabolic pathways markedly disrupted in the former. In conclusion, neonates with EOS had a metabolic profile at birth that clearly distinguished them from those without sepsis, and metabolites of glutathione and tryptophan pathways are promising as new biomarkers of neonatal sepsis.

Indexed as

biomarkerearlyonset sepsisinfant/newbornmetabolomicssepsis

Identifiers

PMID33670629
PMCPMC7922887
OpenAlexW3133241886

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.