Evidence map›Paper›PMID 38736874›Full record

ArticleFrontiers in immunology2024

Osteomyelitis is associated with increased anti-inflammatory response and immune exhaustion.

Jayagopi Surendar, Roslind K Hackenberg, Fabio Schmitt-Sánchez, Robert Ossendorff, Kristian Welle, Birgit Stoffel-Wagner, Peter T Sage, Christof Burger, Dieter C Wirtz, Andreas C Strauss and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Review
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  6. Beyond the skin barrier: commensalbioRxiv : the preprint server for biology · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Immune Checkpoint Molecules as Biomarkers ofbioRxiv : the preprint server for biology · 2024
    Article
  16. Immune exhaustion in bacterial infections: mechanisms, consequences, and therapeutic implications.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

11 authors.

Jayagopi SurendarDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Roslind K HackenbergDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Fabio Schmitt-SánchezDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Robert OssendorffDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Kristian WelleDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Birgit Stoffel-WagnerInstitute of Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany.
Peter T SageTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
Christof BurgerDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Dieter C WirtzDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Andreas C StraussDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Frank A SchildbergDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Osteomyelitis (OMS) is a bone infection causing bone pain and severe complications. A balanced immune response is critical to eradicate infection without harming the host, yet pathogens manipulate immunity to establish a chronic infection. Understanding OMS-driven inflammation is essential for disease management, but comprehensive data on immune profiles and immune cell activation during OMS are lacking. Methods: Using high-dimensional flow cytometry, we investigated the detailed innate and adaptive systemic immune cell populations in OMS and age- and sex-matched controls. Results: Our study revealed that OMS is associated with increased levels of immune regulatory cells, namely T regulatory cells, B regulatory cells, and T follicular regulatory cells. In addition, the expression of immune activation markers HLA-DR and CD86 was decreased in OMS, while the expression of immune exhaustion markers TIM-3, PD-1, PD-L1, and VISTA was increased. Members of the T follicular helper (Tfh) cell family as well as classical and typical memory B cells were significantly increased in OMS individuals. We also found a strong correlation between memory B cells and Tfh cells. Discussion: We conclude that OMS skews the host immune system towards the immunomodulatory arm and that the Tfh memory B cell axis is evident in OMS. Therefore, immune-directed therapies may be a promising alternative for eradication and recurrence of infection in OMS, particularly in individuals and areas where antibiotic resistance is a major concern.

Indexed as

OsteomyelitisAdultAgedBiomarkersFemaleHumansImmune System ExhaustionImmunity, InnateLymphocyte ActivationMaleMemory B CellsMiddle AgedT Follicular Helper CellsT-Lymphocytes, RegulatoryBiomarkersimmune exhaustioninfectioninflammationmusculoskeletal immunologyosteomyelitisT follicular helper cells

Identifiers

PMID38736874
PMCPMC11082283

What OpenQuestion holds

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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.