Evidence map›Paper›PMID 33941281›Full record

ArticleJournal of intensive care2021

Interleukin-9 promotes intestinal barrier injury of sepsis: a translational research.

Jia-Kui Sun, Jing Zhou, Xin-Pei Sun, Xiao Shen, Dong-Mei Zhu, Xiang Wang, Su-Ming Zhou, Xin-Wei Mu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of intensive care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03791866 (The Roles of Th9/IL-9 in the Mechanisms of Early Enteral Nutrition Maintaining Intestinal Mucosal Barrier in Sepsis), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT03791866 naunknown statusnot on this map

The Roles of Th9/IL-9 in the Mechanisms of Early Enteral Nutrition Maintaining Intestinal Mucosal Barrier in Sepsis

TypeinterventionalSponsorNanjing First Hospital, Nanjing Medical UniversityRan2018 to 2020Enrolled60ConditionsSepsis, Intestinal Mucosal Barrier, Th9 Cells, Enteral NutritionArmsNutrition
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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

8 authors at 2 institutions in 1 country.

Jia-Kui Sun *Department of Geriatrics Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province People's Hospital), 300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, China.
Jing Zhou *Department of Geriatrics Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province People's Hospital), 300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, China.
Xin-Pei SunDepartment of General Office, Productivity Center of Jiangsu Province, 175 Longpan Road, Nanjing, 210042, Jiangsu Province, China.
Xiao ShenDepartment of Critical Care Medicine, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing, 210006, Jiangsu Province, China.
Dong-Mei ZhuDepartment of Geriatrics Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province People's Hospital), 300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, China.
Xiang WangDepartment of Critical Care Medicine, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing, 210006, Jiangsu Province, China. njdrwx2016@163.com.
Su-Ming ZhouDepartment of Geriatrics Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province People's Hospital), 300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, China. zhousmco@aliyun.com.
Xin-Wei MuDepartment of Critical Care Medicine, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing, 210006, Jiangsu Province, China. njdrmxw2012@163.com.ORCID http://orcid.org/0000-0002-1916-6567
Jiangsu Province Hospital · CNNanjing Medical University · CN

Funding

Nanjing Medical Science and Technology Development Foundation No. YKK17102National Natural Science Foundation of China No. 81701881
6 · The paper itself

Abstract

backgroundSepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Intestinal mucosal barrier injury is one of the important manifestations of sepsis. Interleukin-9 (IL-9) and IL-9-producing CD4(+) T cells were emerging pro-inflammatory mediators with development of intestinal injury. However, it is unclear whether IL-9 is related to the intestinal barrier injury of sepsis.

methodsTo investigate the roles of IL-9-producing CD4(+) T cells and IL-9 in the process of barrier injury in sepsis, serum IL-9-producing CD4(+) T cell percentages, IL-9, and D-lactate levels were measured in septic patients and controls. The markers of barrier function in serum and intestinal tissue were also collected in septic rats. Moreover, the barrier injury degree and survival rate of septic rats were also investigated after increasing or interfering with IL-9 expression.

resultsThe serum IL-9-producing CD4(+) T cell percentages, IL-9, and D-lactate levels were significantly higher in septic patients or rats than those in controls. IL-9-producing CD4(+) T cells and IL-9 levels were positively correlated with D-lactate levels and had a high predictive value of 28-day mortality in septic patients. The non-survivors had significantly higher serum T cell percentages, IL-9, and D-lactate levels compared with survivors. In septic rats, IL-9 increased the expression levels of D-lactate, whereas that decreased the expression levels of zonula occludens 1. Moreover, the barrier injury was aggravated or alleviated by increasing or interfering with IL-9 expression, respectively. Survival rate analysis also showed that IL-9 decreased the 14-day survival rate of septic rats.

conclusionIL-9 is closely related to intestinal mucosal barrier injury and mortality in sepsis. IL-9 blockade has the potential to improve the barrier injury in sepsis.

trial registrationThe study was registered at ClinicalTrials.gov (ID: NCT03791866, Date: December 2018).

Indexed as

IL-9IL-9-producing CD4(+) T cellsImucosal barrierSepsis

Identifiers

PMID33941281
PMCPMC8091144
OpenAlexW3159357790

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.