Evidence map›Paper›PMID 34566996›Full record

ArticleFrontiers in immunology2021

Sepsis Inflammation Impairs the Generation of Functional Dendritic Cells by Targeting Their Progenitors.

Jie Lu, Kun Sun, Huiping Yang, Dan Fan, He Huang, Yi Hong, Shuiyan Wu, HuiTing Zhou, Fang Fang, YanHong Li and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. TLR2-induced CD8Frontiers in immunology · 2022
    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

13 authors at 3 institutions in 1 country.

Jie LuDepartment of Pediatric Intensive Care Unit, Children Hospital of Soochow University, Suzhou, China.
Kun SunDepartment of Emergency, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou, China.
Huiping YangDepartment of Pediatric Intensive Care Unit, Children Hospital of Soochow University, Suzhou, China.
Dan FanDepartment of Pediatric Intensive Care Unit, Children Hospital of Soochow University, Suzhou, China.
He HuangDepartment of Emergency, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou, China.
Yi HongDepartment of Pediatrics, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Shuiyan WuDepartment of Pediatric Intensive Care Unit, Children Hospital of Soochow University, Suzhou, China.
HuiTing ZhouInstitute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Fang FangInstitute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
YanHong LiInstitute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Lijun MengDepartment of Pediatric Intensive Care Unit, Children Hospital of Soochow University, Suzhou, China.
Jie HuangDepartment of Cardiovascular Medicine, Children Hospital of Soochow University, Suzhou, China.
Zhenjiang BaiDepartment of Pediatric Intensive Care Unit, Children Hospital of Soochow University, Suzhou, China.
Soochow University · CNXuzhou Medical College · CNNanjing University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sepsis is a complex systemic immune dysfunction syndrome induced by infection. Sepsis has a high mortality rate, with most patients dying due to systemic organ failure or secondary infection. Dendritic cells (DCs) are professional antigen-presenting cells. Upon infection with microbes, DCs are activated to induce adaptive immune responses for controlling infection. DC generation and function are impaired during sepsis; however, the underlying mechanisms remain largely unknown. Methods: Peripheral blood samples from sepsis patients were collected to examine DC subsets, DC progenitors, and apoptosis of DCs by flow cytometer. Results: Our results demonstrate that sepsis-induced systemic inflammation impairs the capacity of hematopoietic stem and progenitor cells (HSPCs) to produce DCs, including conventional DCs (cDCs) and plasmacytoid DCs (pDCs). We investigated peripheral blood (PB) samples from 34 pediatric patients on days 1 to 7 following diagnosis. Compared to healthy donors (n = 18), the sepsis patients exhibited a significantly fewer percentage and number of pDCs and cDCs, and a lower expression of antigen presenting molecule HLD-DR and co-stimulatory molecules (e.g., CD86) on the surface of DCs. This sepsis-induced DC impairment was associated with significantly increased apoptotic death of DCs and marked decreases of progenitor cells that give rise to DCs. Furthermore, we observed that among the tested sepsis-associated cytokines (e.g., IFN-γ, IL-1β, TNF-α, and G-CSF), G-CSF and IFN-γ impaired DC development from cultured HSPCs. G-CSF also markedly decreased the expression of HLA-DR on HSPC-derived DCs and their cytokine production, including IL-12 and IFN-β. Conclusions: Collectively, these findings indicate that sepsis impairs the survival of functional DCs and their development from HSPCs. Strategies for improving DC reconstitution following sepsis may restore DC progenitors and their associated function.

Indexed as

Adaptive ImmunityCell DifferentiationAntigens, CDApoptosisCase-Control StudiesCells, CulturedChild, PreschoolCytokinesDendritic CellsFemaleGene Expression RegulationHematopoietic Stem CellsHumansInfantInflammation MediatorsMaleAntigens, CDCytokinesInflammation MediatorsTranscription Factorscommon dendritic cell progenitorsdendritic cell progenitorsdendritic cellsG-CSFIFN-γsepsis

Identifiers

PMID34566996
PMCPMC8458800
OpenAlexW3198544466

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.