Evidence map›Paper›PMID 37773186›Full record

ArticleCritical care (London, England)2023

Therapeutic S100A8/A9 blockade inhibits myocardial and systemic inflammation and mitigates sepsis-induced myocardial dysfunction.

Gabriel Jakobsson, Praveen Papareddy, Henrik Andersson, Megan Mulholland, Ravi Bhongir, Irena Ljungcrantz, Daniel Engelbertsen, Harry Björkbacka, Jan Nilsson, Adrian Manea and 5 more

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
12.8field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 83 citations in OpenAlex.

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  14. Frontiers in microbiology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 4 countries.

Gabriel JakobssonDepartment of Translational Medicine, Lund University, Lund, Sweden.
Praveen PapareddyDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Henrik AnderssonDepartment of Anaesthesia and Intensive Care, Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Megan MulhollandDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Ravi BhongirDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Irena LjungcrantzDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Daniel EngelbertsenDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Harry BjörkbackaDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Jan NilssonDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Adrian ManeaNicolae Simionescu Institute of Cellular Biology and Pathology, Bucharest, Romania.
Heiko HerwaldDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Marisol Ruiz-MeanaCardiovascular Diseases Research Group, Vall d'Hebron Institut de Recerca, Vall d'Hebron Hospital Universitari, Barcelona, Spain.
Antonio Rodríguez-SinovasCardiovascular Diseases Research Group, Vall d'Hebron Institut de Recerca, Vall d'Hebron Hospital Universitari, Barcelona, Spain.
Michelle ChewDepartment of Anaesthesia and Intensive Care, Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Alexandru SchiopuDepartment of Translational Medicine, Lund University, Lund, Sweden. alexandru.schiopu@med.lu.se.
Lund University · SEInstituto de Salud Carlos III · ESLinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe triggering factors of sepsis-induced myocardial dysfunction (SIMD) are poorly understood and are not addressed by current treatments. S100A8/A9 is a pro-inflammatory alarmin abundantly secreted by activated neutrophils during infection and inflammation. We investigated the efficacy of S100A8/A9 blockade as a potential new treatment in SIMD.

methodsThe relationship between plasma S100A8/A9 and cardiac dysfunction was assessed in a cohort of 62 patients with severe sepsis admitted to the intensive care unit of Linköping University Hospital, Sweden. We used S100A8/A9 blockade with the small-molecule inhibitor ABR-238901 and S100A9

resultsIn sepsis patients, elevated plasma S100A8/A9 was associated with left-ventricular (LV) systolic dysfunction and increased SOFA score. In wild-type mice, 5 mg/kg of bacterial lipopolysaccharide (LPS) induced rapid plasma S100A8/A9 increase and acute LV dysfunction. Two ABR-238901 doses (30 mg/kg) administered intraperitoneally with a 6 h interval, starting directly after LPS or at a later time-point when LV dysfunction is fully established, efficiently prevented and reversed the phenotype, respectively. In contrast, dexamethasone did not improve cardiac function compared to PBS-treated endotoxemic controls. S100A8/A9 inhibition potently reduced systemic levels of inflammatory mediators, prevented upregulation of inflammatory genes and restored mitochondrial function in the myocardium. The S100A9

conclusionElevated S100A8/A9 is associated with the development of LV dysfunction in severe sepsis patients and in a mouse model of endotoxemia. Pharmacological blockade of S100A8/A9 with ABR-238901 has potent anti-inflammatory effects, mitigates myocardial dysfunction and might represent a novel therapeutic strategy for patients with severe sepsis.

Indexed as

Calgranulin ACalgranulin BHeart DiseasesVentricular Dysfunction, LeftAnimalsEndotoxemiaHumansInflammationLipopolysaccharidesMiceMyocardiumSulfonamidesABR-238901Calgranulin ACalgranulin BLipopolysaccharidesSulfonamidesEndotoxemiaInflammationMitochondrial functionNeutrophilsS100A8/A9Sepsis-induced myocardial dysfunction

Identifiers

PMID37773186
PMCPMC10540409
OpenAlexW4387177807

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.