Evidence map›Paper›PMID 35028617›Full record

ArticleCell reports. Medicine2021

Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses.

Junru Wu, Yoram Vodovotz, Sultan Abdelhamid, Francis X Guyette, Michael B Yaffe, Danielle S Gruen, Anthony Cyr, David O Okonkwo, Upendra K Kar, Neha Krishnamoorthi and 19 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Inflammatory Stewardship-A Perspective for Active Management of Acute Inflammation.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  7. Article
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  13. Moving from Observation to Explanation: Probing the Biology of Heterogeneity of Treatment Effects.American journal of respiratory and critical care medicine · 2025
    Article
  14. Article
  15. Article
  16. Article
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  18. Article
  19. Article
  20. Traumatic inflammatory response: pathophysiological role and clinical value of cytokines.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Junru WuDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Yoram VodovotzDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Sultan AbdelhamidDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Francis X GuyetteDepartment of Emergency Medicine, Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Michael B YaffeKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Danielle S GruenDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Anthony CyrDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
David O OkonkwoDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Upendra K KarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Neha KrishnamoorthiDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Robert G VoinchetDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Isabel M BilliarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Mark H YazerThe Institute for Transfusion Medicine, Pittsburgh, PA, USA.
Rami A NamasDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Brian J DaleyDepartment of Surgery, University of Tennessee Health Science Center, Knoxville, TN, USA.
Richard S MillerDepartment of Surgery, JPS Health Network in Fort Worth, TX, USA.
Brian G HarbrechtDepartment of Surgery, University of Louisville, Louisville, KY, USA.
Jeffrey A ClaridgeMetro Health Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Herbert A PhelanDepartment of Surgery, University of Texas Southwestern, Dallas, TX, USA.
Brian S ZuckerbraunDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Pär I JohanssonSection for Transfusion Medicine, Capital Region Blood Bank, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jakob StensballeSection for Transfusion Medicine, Capital Region Blood Bank, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
James H MorrisseyDepartments of Biological Chemistry & Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Russell P TracyDepartment of Pathology & Laboratory Medicine and Biochemistry, University of Vermont Larner College of Medicine, Colchester, VT, USA.
Stephen R WisniewskiGraduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Matthew D NealDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jason L SperryDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Timothy R BilliarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
PAMPer study group

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
TRAINING IN TRAUMA AND SEPSIS RESEARCHT32GM008516 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TIMOTHY R BILLIAR · 1994 to 2026
$9.4M
Mechanisms of Immune Dysfunction after Trauma and Surgical SepsisR35GM127027 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TIMOTHY R BILLIAR · 2018 to 2026
$5.7M
Mechanisms in Blood ClottingR35HL135823 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MORRISSEY, JAMES H. · 2017 to 2023
$4.8M
Mechanistic Elucidation and Targeted Therapy of Platelet Dysfunction After TraumaR35GM119526 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D · 2016 to 2025
$3.9M
Mechanisms of platelet exosome-mediated acute chest syndrome in sickle cell diseaseR01HL141080 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D, NOVELLI, ENRICO M · 2019 to 2022
$3.1M
NHLBI NIH HHS R01 HL141080NHLBI NIH HHS R35 HL135823NHLBI NIH HHS UM1 HL120877NIGMS NIH HHS R35 GM119526NIGMS NIH HHS R35 GM127027NIGMS NIH HHS T32 GM008516
6 · The paper itself

Abstract

Trauma is a leading cause of death and morbidity worldwide. Here, we present the analysis of a longitudinal multi-omic dataset comprising clinical, cytokine, endotheliopathy biomarker, lipidome, metabolome, and proteome data from severely injured humans. A "systemic storm" pattern with release of 1,061 markers, together with a pattern suggestive of the "massive consumption" of 892 constitutive circulating markers, is identified in the acute phase post-trauma. Data integration reveals two human injury response endotypes, which align with clinical trajectory. Prehospital thawed plasma rescues only endotype 2 patients with traumatic brain injury (30-day mortality: 30.3 versus 75.0%; p = 0.0015). Ubiquitin carboxy-terminal hydrolase L1 (UCHL1) was identified as the most predictive circulating biomarker to identify endotype 2-traumatic brain injury (TBI) patients. These response patterns refine the paradigm for human injury, while the datasets provide a resource for the study of critical illness, trauma, and human stress responses.

Indexed as

GenomicsBrain Injuries, TraumaticCluster AnalysisCohort StudiesHumansMetabolomePlasmaProteomeTime FactorsTreatment OutcomeProteomeendotypehost responsemetabolomicsmulti-omicsoutcomePAMPer trialproteomicssystemic stormthawed plasmatrauma

Identifiers

PMID35028617
PMCPMC8715070

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.