Evidence map›Paper›PMID 35835848›Full record

ArticlePediatric research2023

Late-onset neonatal sepsis: genetic differences by sex and involvement of the NOTCH pathway.

Timothy H Ciesielski, Xueyi Zhang, Alessandra Tacconelli, Irja Lutsar, Vincent Meiffredy de Cabre, Emmanuel Roilides, Cinzia Ciccacci, Paola Borgiani, William K Scott, NeoMero Consortium and 2 more

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In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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

12 authors at 20 institutions in 9 countries.

Timothy H Ciesielski *The Department of Population and Quantitative Health Sciences at Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Xueyi Zhang *The Department of Population and Quantitative Health Sciences at Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Alessandra TacconelliOspedale San Pietro Fatebenefratelli, Rome, Italy.
Irja LutsarDepartment of Microbiology, School of Medicine, University of Tartu, Tartu, Estonia.
Vincent Meiffredy de CabreSC10-US019, INSERM, Villejuif, France.
Emmanuel RoilidesLaboratory of Infectious Diseases, 3rd Department of Paediatrics, School of Medicine, Aristotle University, Thessaloniki, Greece.
Cinzia CiccacciDipartimento di Biomedicina e Prevenzione, Facolta' di Medicina e Chirurgia, Universita' di Tor Vergata, Rome, Italy.
Paola BorgianiDipartimento di Biomedicina e Prevenzione, Facolta' di Medicina e Chirurgia, Universita' di Tor Vergata, Rome, Italy.
William K ScottJohn P. Hussman Institute for Human Genomics, University of Miami, Miami, FL, USA.
NeoMero Consortium
Scott M Williams *The Department of Population and Quantitative Health Sciences at Case Western Reserve University School of Medicine, Cleveland, OH, USA. smw154@case.edu.
Giorgio Sirugo *Institute of Systems Pharmacology and Translational Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA. giorgio.sirugo@pennmedicine.upenn.edu.
Inserm · FRAristotle University of Thessaloniki · GRFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale San Pietro Fatebenefratelli · ITPENTA Foundation · ITSt George's, University of London · GBUniversity of Milan · ITUniversity of Padua · ITUniversity of Tartu · EESağlık Bilimleri Üniversitesi · TRBambino Gesù Children's Hospital · ITCase Western Reserve University · USHospital Universitario La Paz · ESIstituti di Ricovero e Cura a Carattere Scientifico · ITTallinn Health Care College · EETartu University Hospital · EEVilnius University · LTDr. John T. Macdonald Foundation · USSaint Camillus International University of Health and Medical Sciences · ITSt George’s University Hospitals NHS Foundation Trust · GB

Funding

Medical Research Council MR/M008665/1Medical Research Council MR/V033417/1
6 · The paper itself

Abstract

backgroundLate-Onset Neonatal Sepsis (LOS) is a rare condition, involving widespread infection, immune disruption, organ dysfunction, and often death. Because exposure to pathogens is not completely preventable, identifying susceptibility factors is critical to characterizing the pathophysiology and developing interventions. Prior studies demonstrated both genetics and infant sex influence susceptibility. Our study was designed to identify LOS associated genetic variants.

methodsWe performed an exploratory genome wide association study (GWAS) with 224 LOS cases and 273 controls from six European countries. LOS was defined as sepsis presenting from 3 to 90 days of age; diagnosis was established by clinical criteria consensus guidelines. We tested for association with both autosomal and X-chromosome variants in the total sample and in sex-stratified analyses.

resultsIn total, 71 SNPs associated with neonatal sepsis at p < 1 × 10

conclusionOur results indicate genetic susceptibility to LOS is sexually dimorphic and corroborate that NOTCH signaling plays a role in determining risk. IMPACT: Genes associate with late onset neonatal sepsis. Notch pathway genes are overrepresented in associations with sepsis. Genes associating with sepsis do not overlap between males and females. Sexual dimorphism can lead to sex specific treatment of sepsis.

Indexed as

Neonatal SepsisSepsisEuropeFemaleGenome-Wide Association StudyHumansInfantInfant, NewbornMaleSex Characteristics

Identifiers

PMID35835848
OpenAlexW4285388471

What OpenQuestion holds

Textmetadata
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.