Evidence map›Paper›PMID 38168953›Full record

ReviewNature immunology2024

The pathophysiology of sepsis and precision-medicine-based immunotherapy.

Evangelos J Giamarellos-Bourboulis, Anna C Aschenbrenner, Michael Bauer, Christoph Bock, Thierry Calandra, Irit Gat-Viks, Evdoxia Kyriazopoulou, Mihaela Lupse, Guillaume Monneret, Peter Pickkers and 7 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 243 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
243citing papers in PubMed, 6 pooled it
109.0field-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

243 citing papers in PubMed, 6 syntheses or guidelines pooled it, 282 citations in OpenAlex.

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183 more citing papers are in PubMed but not listed here.

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

17 authors at 11 institutions in 8 countries.

Evangelos J Giamarellos-Bourboulis4th Department of Internal Medicine, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Anna C AschenbrennerSystems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany.ORCID 0000-0002-9429-5457
Michael BauerDepartment of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich-Schiller University, Jena, Germany.ORCID 0000-0002-1521-3514
Christoph BockCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID 0000-0001-6091-3088
Thierry CalandraService of Immunology and Allergy and Center of Human Immunology Lausanne, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Irit Gat-ViksThe Shmunis School of Biomedicine and Cancer Research, George S. Wise Faculty of Life Sciences, Tel Aviv University, Tel Aviv, Israel.
Evdoxia Kyriazopoulou4th Department of Internal Medicine, National and Kapodistrian University of Athens Medical School, Athens, Greece.ORCID 0000-0002-9585-517X
Mihaela LupseInfectious Diseases Hospital, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania.
Guillaume MonneretJoint Research Unit HCL-bioMérieux, EA 7426 'Pathophysiology of Injury-Induced Immunosuppression' (Université Claude Bernard Lyon 1 - Hospices Civils de Lyon, bioMérieux), Lyon, France.ORCID 0000-0002-9961-5739
Peter PickkersDepartment of Intensive Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Joachim L SchultzeSystems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany.ORCID 0000-0003-2812-9853
Tom van der PollDivision of Infectious Diseases, Amsterdam University Medical Centers (Amsterdam UMC), Center for Experimental and Molecular Medicine (CEMM), University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-9199-5079
Frank L van de VeerdonkRadboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Alexander P J VlaarDepartment of Intensive Care and Laboratory of Experimental Intensive Care and Anesthesiology L.E.C.A. Amsterdam Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Sebastian WeisInstitute for Infectious Disease and Infection Control, Jena University Hospital, Friedrich-Schiller University, Jena, Germany.ORCID 0000-0003-3201-2375
W Joost WiersingaDivision of Infectious Diseases, Amsterdam University Medical Centers (Amsterdam UMC), Center for Experimental and Molecular Medicine (CEMM), University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-2277-1343
Mihai G NeteaRadboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands. mihai.netea@radboudumc.nl.ORCID 0000-0003-2421-6052
Amsterdam University Medical Centers · NLJena University Hospital · DENational and Kapodistrian University of Athens · GRRadboud University Nijmegen · NLUniversity of Bonn · DEAustrian Academy of Sciences · ATGerman Center for Neurodegenerative Diseases · DEIuliu Hațieganu University of Medicine and Pharmacy · ROTel Aviv University · ILUniversité Claude Bernard Lyon 1 · FRUniversity of Lausanne · CH

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 847422
6 · The paper itself

Abstract

Sepsis remains a major cause of morbidity and mortality in both low- and high-income countries. Antibiotic therapy and supportive care have significantly improved survival following sepsis in the twentieth century, but further progress has been challenging. Immunotherapy trials for sepsis, mainly aimed at suppressing the immune response, from the 1990s and 2000s, have largely failed, in part owing to unresolved patient heterogeneity in the underlying immune disbalance. The past decade has brought the promise to break this blockade through technological developments based on omics-based technologies and systems medicine that can provide a much larger data space to describe in greater detail the immune endotypes in sepsis. Patient stratification opens new avenues towards precision medicine approaches that aim to apply immunotherapies to sepsis, on the basis of precise biomarkers and molecular mechanisms defining specific immune endotypes. This approach has the potential to lead to the establishment of immunotherapy as a successful pillar in the treatment of sepsis for future generations.

Indexed as

Precision MedicineSepsisBiomarkersHumansImmunotherapyBiomarkers

Identifiers

PMID38168953
OpenAlexW4390512161

What OpenQuestion holds

Textmetadata
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.