Evidence map›Paper›PMID 34293819›Full record

ArticleBritish journal of clinical pharmacology2022

Intradermal lipopolysaccharide challenge as an acute in vivo inflammatory model in healthy volunteers.

Thomas P Buters, Pieter W Hameeteman, Iris M E Jansen, Floris C van Hindevoort, Wouter Ten Voorde, Edwin Florencia, Michelle Osse, Marieke L de Kam, Hendrika W Grievink, Mascha Schoonakker and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07092215 (Mechanisms of Pain Hypersensitivity in a Human Skin Inflammation Model - A Double-blind, Randomized, Placebo-controlled Crossover Study), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

NCT07092215 early_phase1completednot on this mapstarted 2025, after this paper: background citation

Mechanisms of Pain Hypersensitivity in a Human Skin Inflammation Model - A Double-blind, Randomized, Placebo-controlled Crossover Study

TypeinterventionalSponsorStefan HeberRan2025 to 2025Enrolled42ConditionsPainArmsSynthetic interstitial fluid (SIF) / SIF neutral pH, Synthetic interstitial fluid (SIF) / SIF acidic pH, Synthetic interstitial fluid (SIF) / SIF acidic pH + BCTC 1 µM, LPS 5 ng / SIF neutral pH, LPS 5 ng / SIF acidic pH
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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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

20 authors.

Thomas P ButersCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0002-6751-5370
Pieter W HameetemanCentre for Human Drug Research, Leiden, the Netherlands.
Iris M E JansenCentre for Human Drug Research, Leiden, the Netherlands.
Floris C van HindevoortCentre for Human Drug Research, Leiden, the Netherlands.
Wouter Ten VoordeCentre for Human Drug Research, Leiden, the Netherlands.
Edwin FlorenciaDepartment of Dermatology Erasmus Medical Centre, Rotterdam, The Netherlands.
Michelle OsseCentre for Human Drug Research, Leiden, the Netherlands.
Marieke L de KamCentre for Human Drug Research, Leiden, the Netherlands.
Hendrika W GrievinkCentre for Human Drug Research, Leiden, the Netherlands.
Mascha SchoonakkerCentre for Human Drug Research, Leiden, the Netherlands.
Amit A PatelDepartment Experimental & Translational Medicine, Division of Medicine, University College London, London, UK.
Simon YonaDepartment Experimental & Translational Medicine, Division of Medicine, University College London, London, UK.
Derek W GilroyDepartment Experimental & Translational Medicine, Division of Medicine, University College London, London, UK.
Erik LubbertsDepartment of Rheumatology Erasmus Medical Centre, Rotterdam, The Netherlands.
Jeffrey DammanDepartment of Pathology Erasmus Medical Centre, Rotterdam, The Netherlands.
Gary FeissCutanea Life Sciences, Wayne, Pennsylvania, USA.
Robert RissmannCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0002-5867-9090
Manon A A JansenCentre for Human Drug Research, Leiden, the Netherlands.
Jacobus BurggraafCentre for Human Drug Research, Leiden, the Netherlands.
Matthijs MoerlandCentre for Human Drug Research, Leiden, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWhereas intravenous administration of Toll-like receptor 4 ligand lipopolysaccharide (LPS) to human volunteers is frequently used in clinical pharmacology studies, systemic use of LPS has practical limitations. We aimed to characterize the intradermal LPS response in healthy volunteers, and as such qualify the method as local inflammation model for clinical pharmacology studies.

methodsEighteen healthy male volunteers received 2 or 4 intradermal 5 ng LPS injections and 1 saline injection on the forearms. The LPS response was evaluated by noninvasive (perfusion, skin temperature and erythema) and invasive assessments (cellular and cytokine responses) in skin biopsy and blister exudate.

resultsLPS elicited a visible response and returned to baseline at 48 hours. Erythema, perfusion and temperature were statistically significant (P < .0001) over a 24-hour time course compared to saline. The protein response was dominated by an acute interleukin (IL)-6, IL-8 and tumour necrosis factor response followed by IL-1β, IL-10 and interferon-γ. The cellular response consisted of an acute neutrophil influx followed by different monocyte subsets and dendritic cells. DISCUSSION: Intradermal LPS administration in humans causes an acute, localized and transient inflammatory reaction that is well-tolerated by healthy volunteers. This may be a valuable inflammation model for evaluating the pharmacological activity of anti-inflammatory investigational compounds in proof of pharmacology studies.

Indexed as

LipopolysaccharidesTumor Necrosis Factor-alphaCytokinesHealthy VolunteersHumansInflammationInterleukin-6MaleCytokinesInterleukin-6LipopolysaccharidesTumor Necrosis Factor-alphadrug developmentendotoxinhealthy volunteersinflammatory modelintradermal LPS

Identifiers

PMID34293819
PMCPMC9290695

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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.