Evidence map›Paper›PMID 34571804›Full record

ReviewBiology2021

Peripheral Immune Dysfunction: A Problem of Central Importance after Spinal Cord Injury.

Marisa A Jeffries, Veronica J Tom

Open access · goldAbstract readReview
In one paragraph

Review in Biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

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

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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

2 authors at 1 institution in 1 country.

Marisa A JeffriesDepartment of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA 19129, USA.ORCID 0000-0002-2486-0457
Veronica J TomDepartment of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA 19129, USA.
Drexel University · US

Funding

Multipronged approach to promote functional axonal regeneration in the spinal cord after injuryR01NS085426 · NINDS · DREXEL UNIVERSITY · PI TOM, VERONICA JEAN · 2014 to 2024
$3.6M
Soluble TNFa in the development of autonomic dysreflexia after spinal cord injuryR01NS106908 · NINDS · DREXEL UNIVERSITY · PI BETHEA, JOHN ROLAND, TOM, VERONICA JEAN · 2018 to 2022
$2.9M
SCI-induced deficits in antiviral immunity: The role of sTNF.R01NS111761 · NINDS · DREXEL UNIVERSITY · PI BETHEA, JOHN ROLAND, TOM, VERONICA JEAN · 2019 to 2023
$2.5M
NIH HHS R01 NS085426NIH HHS R01 NS106908NIH HHS R01 NS111761NINDS NIH HHS R01 NS106908NINDS NIH HHS R01 NS111761
6 · The paper itself

Abstract

Individuals with spinal cord injuries (SCI) exhibit increased susceptibility to infection, with pneumonia consistently ranking as a leading cause of death. Despite this statistic, chronic inflammation and concurrent immune suppression have only recently begun to be explored mechanistically. Investigators have now identified numerous changes that occur in the peripheral immune system post-SCI, including splenic atrophy, reduced circulating lymphocytes, and impaired lymphocyte function. These effects stem from maladaptive changes in the spinal cord after injury, including plasticity within the spinal sympathetic reflex circuit that results in exaggerated sympathetic output in response to peripheral stimulation below injury level. Such pathological activity is particularly evident after a severe high-level injury above thoracic spinal cord segment 6, greatly increasing the risk of the development of sympathetic hyperreflexia and subsequent disrupted regulation of lymphoid organs. Encouragingly, studies have presented evidence for promising therapies, such as modulation of neuroimmune activity, to improve regulation of peripheral immune function. In this review, we summarize recent publications examining (1) how various immune functions and populations are affected, (2) mechanisms behind SCI-induced immune dysfunction, and (3) potential interventions to improve SCI individuals' immunological function to strengthen resistance to potentially deadly infections.

Indexed as

autonomic dysreflexiaimmune dysfunctionSCI-IDSspinal cord injury

Identifiers

PMID34571804
PMCPMC8470244
OpenAlexW3200799527

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.