Evidence map›Paper›PMID 36880228›Full record

ArticleJournal of cachexia, sarcopenia and muscle2023

Interleukin-6 promotes skeletal muscle catabolism by activating tryptophan-indoleamine 2,3-dioxygenase 1-kynurenine pathway during intra-abdominal sepsis.

Tingbin Xie, Tengfei Lv, Tenghui Zhang, Dengyu Feng, Feng Zhu, Yi Xu, Liang Zhang, Lili Gu, Zhen Guo, Chao Ding and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
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

11 authors at 3 institutions in 1 country.

Tingbin XieDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Tengfei LvDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Tenghui ZhangDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Dengyu FengDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Feng ZhuDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Yi XuDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Liang ZhangDepartment of Gastrointestinal Surgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical College, Jiangsu, P.R., China.
Lili GuDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Zhen GuoDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Chao DingDepartment of General Surgery, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Jianfeng GongDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.ORCID 0000-0001-8518-6796
Nanjing General Hospital of Nanjing Military Command · CNNanjing Drum Tower Hospital · CNXuzhou Medical College · CN

Funding

National Natural Science Foundation of China 81970469National Natural Science Foundation of China 82172149
6 · The paper itself

Abstract

backgroundInflammatory cytokine interleukin-6 (IL-6) plays a pivotal role in skeletal muscle degradation after intra-abdominal sepsis (IAS), with mechanism remained to be elucidated. Indoleamine 2,3-dioxygenase 1 (IDO-1), a key enzyme in converting tryptophan into kynurenine, could be activated by IL-6, and kynurenine has been shown to be involved in muscle degradation. We hypothesized that IL-6 could promote muscle degradation via tryptophan-IDO-1-kynurenine pathway in IAS patients.

methodsSerum and rectus abdominis (RA) were obtained from IAS or non-IAS patients. Mouse model of IAS-induced muscle wasting was generated by caecal ligation and puncture (CLP) and lipopolysaccharide (LPS) injection. IL-6 signalling was blocked by anti-mouse IL-6 antibody (IL-6-AB), and the IDO-1 pathway was blocked by navoximod. To elucidate the role of kynurenine in muscle mass and physiology, kynurenine was administered to IAS mice treated with IL-6-AB.

resultsCompared to non-IAS patients, kynurenine levels in serum (+2.30-fold vs. non-IAS, P < 0.001) and RA (+3.11-fold vs. non-IAS, P < 0.001) were elevated, whereas tryptophan levels in serum (-53.65% vs. non-IAS, P < 0.01) and RA (-61.39% vs. non-IAS, P < 0.01) were decreased. Serum IL-6 level of the IAS group was significantly higher compared to non-IAS patients (+5.82-fold vs. non-IAS, P = 0.01), and muscle cross-sectional area (MCSA) was markedly reduced compared to non-IAS patients (-27.73% vs. non-IAS, P < 0.01). In animal experiments, IDO-1 expression was up-regulated in the small intestine, colon and blood for CLP or LPS-treated mice, and there was correlation (R

conclusionsThis study provided novel insights into the tryptophan-IDO-1-kynurenine-dependent mechanisms that underlie inflammatory cytokine-induced skeletal muscle catabolism during intra-abdominal sepsis.

Indexed as

SepsisTryptophanAnimalsCytokinesImmunoglobulin GIndoleamine-Pyrrole 2,3,-DioxygenaseInterleukin-6KynurenineLipopolysaccharidesMiceMuscle, SkeletalCytokinesImmunoglobulin GIndoleamine-Pyrrole 2,3,-DioxygenaseInterleukin-6KynurenineLipopolysaccharidesTryptophanindoleamine 2,3-dioxygenase 1interleukin-6intra-abdominal sepsismuscle wastingtryptophan

Identifiers

PMID36880228
PMCPMC10067504
OpenAlexW4323347566

What OpenQuestion holds

Textmetadata
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.