Evidence map›Paper›PMID 34786083›Full record

ArticleAmerican journal of translational research2021

Cytokine changes in fatal cases of paraquat poisoning.

Ju-Shao Yen, I-Kuan Wang, Chih-Chia Liang, Jen-Fen Fu, Yi-Chou Hou, Chih-Chun Chang, Po-Wen Gu, Kai-Fan Tsai, Cheng-Hao Weng, Wen-Hung Huang and 2 more

Abstract read
In one paragraph

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

12 authors.

Ju-Shao YenDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital Linkou 333, Taiwan.
I-Kuan WangDepartment of Nephrology, China Medical University Hospital Taichung 404, Taiwan.
Chih-Chia LiangDepartment of Nephrology, China Medical University Hospital Taichung 404, Taiwan.
Jen-Fen FuDepartment of Medical Research, Chang Gung Memorial Hospital Linkou 333, Taiwan.
Yi-Chou HouDivision of Nephrology, Department of Internal Medicine, Cardinal Tien Hospital New Taipei City 231, Taiwan.
Chih-Chun ChangDepartment of Clinical Pathology, Far Eastern Memorial Hospital New Taipei City 220, Taiwan.
Po-Wen GuCollege of Medicine, Chang Gung University Taoyuan 333, Taiwan.
Kai-Fan TsaiDepartment of Nephrology, Chang Gung Memorial Hospital Kaohsiung 833, Taiwan.
Cheng-Hao WengDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital Linkou 333, Taiwan.
Wen-Hung HuangDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital Linkou 333, Taiwan.
Ching-Wei HsuDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital Linkou 333, Taiwan.
Tzung-Hai YenDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital Linkou 333, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cytokine-mediated inflammation is involved in the pathophysiology of paraquat toxicity. Nevertheless, few human studies have examined fluctuations in circulating cytokine levels. Blood samples were obtained from 21 patients with paraquat poisoning and compared to those of 18 healthy controls. All paraquat patients received a standard detoxification protocol composed of hemoperfusion, pulse therapies of methylprednisolone and cyclophosphamide, followed by dexamethasone therapy. Nonsurvivors not only had higher scores for the severity index of paraquat poisoning (P=0.004) but also presented with higher white blood cell counts (P=0.046) than survivors. Multiplex immunoassays revealed higher circulating levels of interleukin 2 (IL-2), interleukin 9 (IL-9), interleukin 10 (IL-10) and macrophage inflammatory protein-1 beta (MIP-1β) in survivors than in healthy controls. Furthermore, the circulating levels of interleukin 1 beta (IL-1β), IL-2, interleukin 5 (IL-5), interleukin 8 (IL-8), IL-9, IL-10, interleukin 12 (IL-12 p70), interleukin 17A (IL-17A), eotaxin, granulocyte colony-stimulating factor (G-CSF), monocyte chemoattractant protein-1 (MCP-1), interferon gamma-induced protein 10 (IP-10) and MIP-1β were higher in nonsurvivors than in healthy controls. Finally, the circulating levels of IL-1β and MCP-1 were higher in nonsurvivors than in survivors. Therefore, the observation of cytokine-mediated inflammation is in line with the detoxification protocol because glucocorticoids and cyclophosphamide are potent anti-inflammatory agents. Additionally, circulating levels of IL-1β and MCP-1 could serve as promising prognostic markers for patients with paraquat poisoning.

Indexed as

cytokineinflammationmortalitymultiplex immunoassaysParaquat poisoningseverity index of paraquat poisoning

Identifiers

PMID34786083
PMCPMC8581908

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Registered trials

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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.