Evidence map›Paper›PMID 38022663›Full record

ReviewFrontiers in immunology2023

Impact of norepinephrine on immunity and oxidative metabolism in sepsis.

Joby Thoppil, Prayag Mehta, Brett Bartels, Drashya Sharma, J David Farrar

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
9.0field-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

33 citing papers in PubMed, 42 citations in OpenAlex.

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  12. International journal of molecular sciences · 2025
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  14. Evaluation of Immunoprotective Activities of White Button Mushroom (Animals : an open access journal from MDPI · 2025
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  17. Targeting sepsis through inflammation and oxidative metabolism.World journal of critical care medicine · 2025
    Review
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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

5 authors at 2 institutions in 1 country.

Joby ThoppilDepartment of Emergency Medicine, University of Texas, Southwestern Medical Center, Dallas, TX, United States.
Prayag MehtaDepartment of Emergency Medicine, University of Texas, Southwestern Medical Center, Dallas, TX, United States.
Brett BartelsDepartment of Emergency Medicine, University of Texas, Southwestern Medical Center, Dallas, TX, United States.
Drashya SharmaDepartment of Immunology, University of Texas (UT) Southwestern Medical Center, Dallas, TX, United States.
J David FarrarDepartment of Immunology, University of Texas (UT) Southwestern Medical Center, Dallas, TX, United States.
The University of Texas Southwestern Medical Center · USSouthwestern Medical Center

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is a major health problem in the United States (US), constituting a leading contributor to mortality among critically ill patients. Despite advances in treatment the underlying pathophysiology of sepsis remains elusive. Reactive oxygen species (ROS) have a significant role in antimicrobial host defense and inflammation and its dysregulation leads to maladaptive responses because of excessive inflammation. There is growing evidence for crosstalk between the central nervous system and the immune system in response to infection. The hypothalamic-pituitary and adrenal axis and the sympathetic nervous system are the two major pathways that mediate this interaction. Epinephrine (Epi) and norepinephrine (NE), respectively are the effectors of these interactions. Upon stimulation, NE is released from sympathetic nerve terminals locally within lymphoid organs and activate adrenoreceptors expressed on immune cells. Similarly, epinephrine secreted from the adrenal gland which is released systemically also exerts influence on immune cells. However, understanding the specific impact of neuroimmunity is still in its infancy. In this review, we focus on the sympathetic nervous system, specifically the role the neurotransmitter norepinephrine has on immune cells. Norepinephrine has been shown to modulate immune cell responses leading to increased anti-inflammatory and blunting of pro-inflammatory effects. Furthermore, there is evidence to suggest that norepinephrine is involved in regulating oxidative metabolism in immune cells. This review attempts to summarize the known effects of norepinephrine on immune cell response and oxidative metabolism in response to infection.

Indexed as

NorepinephrineSepsisEpinephrineHumansInflammationOxidative StressEpinephrineNorepinephrineimmune cellsnorepinephrineoxidative metabolismsepsissympathetic nervous system

Identifiers

PMID38022663
PMCPMC10662053
OpenAlexW4388457582

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.