Evidence map›Paper›PMID 36713459›Full record

ArticleFrontiers in immunology2022

Shifting gears: Study of immune system parameters of male habitual marathon runners.

Ioannis Panagoulias, Nikolaos Charokopos, Iason Thomas, Panagiota I Spantidea, Anne-Lise de Lastic, Maria Rodi, Spyridoula Anastasopoulou, Ioanna Aggeletopoulou, Charalampos Lazaris, Kiriakos Karkoulias and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Effects of vitamin DJournal of the International Society of Sports Nutrition · 2026
    Trial
  2. Trial
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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

14 authors at 5 institutions in 3 countries.

Ioannis PanagouliasLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
Nikolaos CharokoposDepartment of Respiratory Medicine, General Hospital of Pyrgos "Andreas Papandreou", Pyrgos, Greece.
Iason ThomasAllergy Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
Panagiota I SpantideaLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
Anne-Lise de LasticLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
Maria RodiLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
Spyridoula AnastasopoulouLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
Ioanna AggeletopoulouLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
Charalampos LazarisKlarman Cell Observatory, Broad Institute of MIT and Harvard, Cambridge, MA, United States.
Kiriakos KarkouliasDivision of Respiratory Medicine, Department of Internal Medicine, Patras University Hospital, Patras, Greece.
Lydia LeonidouDivision of Infectious Diseases, Department of Internal Medicine, Patras University Hospital, Patras, Greece.
Neoklis A GeorgopoulosDivision of Endocrinology, Department of Internal Medicine, Patras University Hospital, Patras, Greece.
Kostas B MarkouDivision of Endocrinology, Department of Internal Medicine, Patras University Hospital, Patras, Greece.
Athanasia MouzakiLaboratory of Immunohematology, Division of Hematology, Department of Internal Medicine, Medical School, University of Patras, Patras, Greece.
University of Patras · GRGeneral University Hospital of Patras · GRBroad Institute · USGeneral Hospital of Rhodes · GRManchester University NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Marathon is a running event in which athletes must cover a distance of 42.195 km. In addition to participating in marathons, marathoners have incorporated extensive running into their lifestyle. In the present study, we investigated the effect of long-term strenuous exercise in the form of marathon running on the immune system. Methods & Results: We collected peripheral blood samples from 37 male marathoners before/after a race and 37 age/sex/body mass index (BMI)-matched healthy sedentary controls. Hematological and biochemical tests revealed race-induced leukocytosis attributable to neutrophilia and significant increases in plasma lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and cortisol concentrations. Phenotypic analysis of lymphocytes revealed race-induced significant decrease in the number of lymphocytes, memory helper T (Th) cells, naive, memory and activated cytotoxic T (Tc) cells, natural killer (NK), NKT, and B1 cells, and a significant increase in the number of activated Th and regulatory Th cells (Tregs). Compared with controls, marathoners maintained significantly lower levels of memory and activated Th cells and higher levels of activated Tc and B1 cells. Measurement of plasma cytokine levels revealed a pro-inflammatory cytokine polarization that increased after the race. Examination of gene expression of cytokines and Th-cell signature transcription factors in peripheral blood mononuclear cells revealed a significant decrease in tumor necrosis factor α (TNF-α) and interleukin (IL)-17, and a significant increase in IL-6, IL-10 and forkhead box P3 (FoxP3) after the race. Compared with controls, marathoners maintained significantly higher levels of TNF-α. Assessment of the suppressive capacity of Tregs in co-cultures of isolated effector Th cells and Tregs showed significantly increased suppressive capacity of marathoners' Tregs after the race. Conclusions: Compared with controls, marathoners live with permanent changes in certain immune parameters. Marathoners exhibit a stable pro-inflammatory cytokine polarization that increases after the race and is counterbalanced by increased numbers of Tregs overexpressing FoxP3 and having increased suppressive capacity.

Indexed as

AthletesImmune SystemMarathon RunningCytokinesForkhead Transcription FactorsHumansLeukocytes, MononuclearMaleTumor Necrosis Factor-alphaCytokinesForkhead Transcription FactorsTumor Necrosis Factor-alphacytokineslymphocytesstrenuous exerciseT cellstranscription factors ROR-γt/Tbet/GATA-3/FoxP3/Ets-2Tregs

Identifiers

PMID36713459
PMCPMC9880332
OpenAlexW4315797424

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.