Evidence map›Paper›PMID 36979747›Full record

ReviewBiomedicines2023

Training vs. Tolerance: The Yin/Yang of the Innate Immune System.

Trim Lajqi, Natascha Köstlin-Gille, Reinhard Bauer, Sotirios G Zarogiannis, Esra Lajqi, Valdrina Ajeti, Stefanie Dietz, Simon A Kranig, Jessica Rühle, Ardian Demaj and 5 more

Open access · goldFull text readReview
In one paragraph

Review in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
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  6. Priming innate immunity and long-term outcome.Molecular and cellular pediatrics · 2026
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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

15 authors at 7 institutions in 4 countries.

Trim LajqiDepartment of Neonatology, Heidelberg University Children's Hospital, D-69120 Heidelberg, Germany.ORCID 0000-0002-2584-589X
Natascha Köstlin-GilleDepartment of Neonatology, Heidelberg University Children's Hospital, D-69120 Heidelberg, Germany.ORCID 0000-0003-3718-5507
Reinhard BauerInstitute of Molecular Cell Biology, Jena University Hospital, D-07745 Jena, Germany.ORCID 0000-0002-4294-3758
Sotirios G ZarogiannisDepartment of Physiology, School of Health Sciences, Faculty of Medicine, University of Thessaly, GR-41500 Larissa, Greece.ORCID 0000-0002-3083-3244
Esra LajqiDepartment of Radiation Oncology, Heidelberg University Hospital, D-69120 Heidelberg, Germany.
Valdrina AjetiDepartment of Pharmacy, Alma Mater Europaea-Campus College Rezonanca, XK-10000 Pristina, Kosovo.
Stefanie DietzDepartment of Neonatology, Heidelberg University Children's Hospital, D-69120 Heidelberg, Germany.
Simon A KranigDepartment of Neonatology, Heidelberg University Children's Hospital, D-69120 Heidelberg, Germany.
Jessica RühleDepartment of Neonatology, University of Tübingen, D-72076 Tübingen, Germany.
Ardian DemajFaculty of Medical Sciences, University of Tetovo, MK-1200 Tetova, North Macedonia.
Janine HebelDepartment of Neonatology, University of Tübingen, D-72076 Tübingen, Germany.ORCID 0000-0003-1679-4418
Maria BartosovaCenter for Pediatric and Adolescent Medicine Heidelberg, University of Heidelberg, D-69120 Heidelberg, Germany.ORCID 0000-0003-1127-3453
David FrommholdKlinik für Kinderheilkunde und Jugendmedizin, D-87700 Memmingen, Germany.
Hannes HudallaDepartment of Neonatology, Heidelberg University Children's Hospital, D-69120 Heidelberg, Germany.
Christian GilleDepartment of Neonatology, Heidelberg University Children's Hospital, D-69120 Heidelberg, Germany.
Heidelberg University · DEUniversity of Tübingen · DEAlma Mater Europaea · SIJena University Hospital · DEState University of Tetova · MKUniversity of Thessaly · GRZentrum für Kinderheilkunde · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For almost nearly a century, memory functions have been attributed only to acquired immune cells. Lately, this paradigm has been challenged by an increasing number of studies revealing that innate immune cells are capable of exhibiting memory-like features resulting in increased responsiveness to subsequent challenges, a process known as trained immunity (known also as innate memory). In contrast, the refractory state of endotoxin tolerance has been defined as an immunosuppressive state of myeloid cells portrayed by a significant reduction in the inflammatory capacity. Both training as well tolerance as adaptive features are reported to be accompanied by epigenetic and metabolic alterations occurring in cells. While training conveys proper protection against secondary infections, the induction of endotoxin tolerance promotes repairing mechanisms in the cells. Consequently, the inappropriate induction of these adaptive cues may trigger maladaptive effects, promoting an increased susceptibility to secondary infections-tolerance, or contribute to the progression of the inflammatory disorder-trained immunity. This review aims at the discussion of these opposing manners of innate immune and non-immune cells, describing the molecular, metabolic and epigenetic mechanisms involved and interpreting the clinical implications in various inflammatory pathologies.

Indexed as

DAMPsdiseasesdoseepigeneticinflammatorymetabolicPAMPssignalingtolerancetrained immunity

Identifiers

PMID36979747
PMCPMC10045728
OpenAlexW4323042866

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read3
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.