Evidence map›Paper›PMID 38849640›Full record

ArticleIntensive care medicine experimental2024

Inhibition of circulating dipeptidyl-peptidase 3 by procizumab in experimental septic shock reduces catecholamine exposure and myocardial injury.

Bruno Garcia, Benoit Ter Schiphorst, Karine Santos, Fuhong Su, Laurence Dewachter, Francisco Vasques-Nóvoa, Estela Rocha-Oliveira, Roberto Roncon-Albuquerque, Theo Uba, Oliver Hartmann and 11 more

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  5. Influence of adrenomedullin on the enzymatic activity of dipeptidyl peptidase 3Journal of enzyme inhibition and medicinal chemistry · 2026
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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

21 authors.

Bruno GarciaExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium. br.garcia@icloud.com.ORCID http://orcid.org/0000-0001-6650-1594
Benoit Ter SchiphorstExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Karine Santos4TEEN4 Pharmaceuticals GmbH, Hennigsdorf, Germany.
Fuhong SuExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Laurence DewachterLaboratory of Physiology and Pharmacology, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Francisco Vasques-NóvoaCardiovascular R&D Center, Faculty of Medicine, University of Porto, Porto, Portugal.
Estela Rocha-OliveiraCardiovascular R&D Center, Faculty of Medicine, University of Porto, Porto, Portugal.
Roberto Roncon-AlbuquerqueCardiovascular R&D Center, Faculty of Medicine, University of Porto, Porto, Portugal.
Theo Uba4TEEN4 Pharmaceuticals GmbH, Hennigsdorf, Germany.
Oliver Hartmann4TEEN4 Pharmaceuticals GmbH, Hennigsdorf, Germany.
Adrien PicodUniversité Paris Cité, UMR-S 942, INSERM, MASCOT, Paris, France.
Feriel AzibaniUniversité Paris Cité, UMR-S 942, INSERM, MASCOT, Paris, France.
Jacques CallebertUniversité Paris Cité, UMR-S 942, INSERM, MASCOT, Paris, France.
Serge GoldmanDepartment of Nuclear Medicine, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Filippo AnnoniExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Raphaël FavoryDepartment of Intensive Care, Centre Hospitalier Universitaire de Lille, Lille, France.
Jean-Louis VincentExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Jacques CreteurExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Fabio Silvio TacconeExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Alexandre MebazaaUniversité Paris Cité, UMR-S 942, INSERM, MASCOT, Paris, France.
Antoine HerpainExperimental Laboratory of the Department of Intensive Care, Université Libre de Bruxelles (ULB), Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDipeptidyl peptidase 3 (DPP3) is a ubiquitous cytosolic enzyme released into the bloodstream after tissue injury, that can degrade angiotensin II. High concentrations of circulating DPP3 (cDPP3) have been associated with worse outcomes during sepsis. The aim of this study was to assess the effect of Procizumab (PCZ), a monoclonal antibody that neutralizes cDPP3, in an experimental model of septic shock.

methodsIn this randomized, open-label, controlled study, 16 anesthetized and mechanically ventilated pigs with peritonitis were randomized to receive PCZ or standard treatment when the mean arterial pressure (MAP) dropped below 50 mmHg. Resuscitation with fluids, antimicrobial therapy, peritoneal lavage, and norepinephrine was initiated one hour later to maintain MAP between 65-75 mmHg for 12 h. Hemodynamic variables, tissue oxygenation indices, and measures of organ failure and myocardial injury were collected. Organ blood flow was assessed using isotopic assessment (

resultsPCZ-treated animals had reduced cDPP3 levels and required less norepinephrine and fluid than septic control animals for similar organ perfusion and regional blood flow. PCZ-treated animals had less myocardial injury, and higher PaO

conclusionsIn an experimental model of septic shock, PCZ administration was associated with reduced fluid and catecholamine requirements, less myocardial injury and cardiovascular inflammation, along with preserved angiotensin II signaling.

Indexed as

Angiotensin IIDipeptidyl peptidase 3Renin–angiotensin systemSepsisShockVasopressors

Identifiers

PMID38849640
PMCPMC11161450

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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.