Evidence map›Paper›PMID 38463658›Full record

ArticleClinical & translational immunology2024

Unremitting pro-inflammatory T-cell phenotypes, and macrophage activity, following paediatric burn injury.

Donna Langley, Kate Zimmermann, Emma Krenske, Giorgio Stefanutti, Roy M Kimble, Andrew Ja Holland, Mark W Fear, Fiona M Wood, Tony Kenna, Leila Cuttle

Abstract read
In one paragraph

Article in Clinical & translational immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

10 authors.

Donna LangleySchool of Biomedical Sciences, Faculty of Health Queensland University of Technology (QUT) South Brisbane QLD Australia.ORCID https://orcid.org/0000-0001-6979-2622
Kate ZimmermannSchool of Biomedical Sciences, Faculty of Health Queensland University of Technology (QUT) South Brisbane QLD Australia.
Emma KrenskeSchool of Biomedical Sciences, Faculty of Health Queensland University of Technology (QUT) South Brisbane QLD Australia.
Giorgio StefanuttiDepartment of Paediatric Surgery, Urology, Burns and Trauma Children's Health Queensland, Queensland Children's Hospital South Brisbane QLD Australia.
Roy M KimbleDepartment of Paediatric Surgery, Urology, Burns and Trauma Children's Health Queensland, Queensland Children's Hospital South Brisbane QLD Australia.
Andrew Ja HollandThe Children's Hospital at Westmead Burns Unit, Department of Paediatrics and Child Health, Kids Research Institute Sydney Medical School, The University of Sydney Sydney NSW Australia.ORCID https://orcid.org/0000-0003-3745-8704
Mark W FearBurn Injury Research Unit, School of Biomedical Sciences The University of Western Australia Perth WA Australia.
Fiona M WoodBurn Injury Research Unit, School of Biomedical Sciences The University of Western Australia Perth WA Australia.
Tony KennaSchool of Biomedical Sciences, Faculty of Health Queensland University of Technology (QUT) South Brisbane QLD Australia.
Leila CuttleSchool of Biomedical Sciences, Faculty of Health Queensland University of Technology (QUT) South Brisbane QLD Australia.ORCID https://orcid.org/0000-0002-2282-4815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of this study was to characterise the dynamic immune profile of paediatric burn patients for up to 18 months post-burn. Methods: Flow cytometry was used to measure 25 cell markers, chemokines and cytokines which reflected both pro-inflammatory and anti-inflammatory immune profiles. Peripheral blood mononuclear cells from 6 paediatric burn patients who had returned for repeated burn and scar treatments for > 4 timepoints within 12 months post-burn were compared to four age-matched healthy controls. Results: While overall proportions of T cells, NK cells and macrophages remained relatively constant, over time percentages of these immune cells differentiated into effector and proinflammatory cell phenotypes including Th17 and activated γδ T cells. Circulating proportions of γδ T cells increased their expression of pro-inflammatory mediators throughout the burn recovery, with a 3-6 fold increase of IL-17 at 1-3 weeks, and NFκβ 9-18 months post-burn. T-regulatory cell plasticity was also observed, and Treg phenotype proportions changed from systemically reduced skin-homing T-regs (CCR4 Conclusion: Overall, these results indicate the circulating percentages of immune cells do not increase or decrease over time post-burn, instead they become highly specialised, inflammatory and skin-homing. In this patient population, these changes persisted for at least 18 months post-burn, this 'immune distraction' may limit the ability of immune cells to prioritise other threats post-burn, such as respiratory infections.

Indexed as

burnscytokinesflow cytometryinflammationlymphocytespaediatrics

Identifiers

PMID38463658
PMCPMC10921233

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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.