Evidence map›Paper›PMID 34531431›Full record

ArticleScientific reports2021

Persistent hyperammonia and altered concentrations of urea cycle metabolites in a 5-day swine experiment of sepsis.

Manuela Ferrario, Roberta Pastorelli, Laura Brunelli, Shengchen Liu, Pedro Paulo Zanella do Amaral Campos, Daniela Casoni, Werner J Z'Graggen, Stephan M Jakob

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. First Report ofPlants (Basel, Switzerland) · 2025
    Article
  6. Article
  7. Article
  8. 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.

Manuela Ferrario *Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy. manuela.ferrario@polimi.it.
Roberta Pastorelli *Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Laura BrunelliIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Shengchen LiuDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Pedro Paulo Zanella do Amaral CamposDepartment of Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Daniela CasoniDepartment for Bio Medical Research, Experimental Surgery Facility, University of Bern, Bern, Switzerland.
Werner J Z'GraggenDepartments of Neurology and Neurosurgery, Bern University Hospital, University of Bern, Bern, Switzerland.
Stephan M JakobDepartment of Intensive Care Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We measured plasma and cerebrospinal fluid (CSF) metabolite concentrations in a 5-day porcine sepsis model of fecal peritonitis. The objectives were: (i) to verify whether the expected pathways that had emerged in previous studies pertain only to the early inflammatory response or persist for the subsequent days; (ii) to identify metabolic derangements that arise later; (iii) to verify whether CSF metabolite concentrations were altered and if these alterations were similar to those in the blood or delayed. We observed an early response to inflammation and cytokine storms with alterations in lipid and glucose metabolism. The arginine/asymmetric dimethylarginine (ADMA) and phenylalanine/tyrosine balances changed 24 h after resuscitation in plasma, and later in CSF. There was a rise in ammonia concentration, with altered concentrations of metabolites in the urea cycle. Whether persistent derangement of these pathways have a role not only on short-term outcomes but also on longer-term comorbidities, such as septic encephalopathy, should be addressed in further studies.

Indexed as

MetabolomeAmmoniaAnimalsCytokinesFemaleGlucoseLipid MetabolismMaleSepsisSwineUreaAmmoniaCytokinesGlucoseUrea

Identifiers

PMID34531431
PMCPMC8445921

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.