Evidence map›Paper›PMID 40151619›Full record

ArticleFrontiers in immunology2025

Multimodal monitoring of neutrophil activity during cardiac surgery.

Darko Jovanovski, Lisa Wohlgemuth, Pascal Max Lucien Lessing, Dominik Hüsken, Alexander Sebastian Koller, Bertram Dietrich Thomaß, Paul Müller, Marco Mannes, Sandra Nungeß, Marta Jovanovska and 4 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Predictive Value of PreoperativeInternational journal of molecular sciences · 2026
    Article
  4. Inflammatory Stewardship-A Perspective for Active Management of Acute Inflammation.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. [Analysis of Clinical Characteristics and Diagnostic Indicators in Patients With Heparin-induced Thrombocytopenia After Cardiac Surgery].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  6. Article
  7. Exploratory Study of CD10Scandinavian journal of immunology · 2025
    Article
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

14 authors.

Darko JovanovskiDepartment of Cardiothoracic and Vascular Surgery, University Hospital Ulm, Ulm, Germany.
Lisa WohlgemuthInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Pascal Max Lucien LessingInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Dominik HüskenInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Alexander Sebastian KollerInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Bertram Dietrich ThomaßInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Paul MüllerInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Marco MannesInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Sandra NungeßInstitute of Transfusion Medicine, University Hospital Ulm, Ulm, Germany.
Marta JovanovskaDepartment of Cardiothoracic and Vascular Surgery, University Hospital Ulm, Ulm, Germany.
Bernd MühlingDepartment of Cardiothoracic and Vascular Surgery, University Hospital Ulm, Ulm, Germany.
Andreas LieboldDepartment of Cardiothoracic and Vascular Surgery, University Hospital Ulm, Ulm, Germany.
Markus Huber-LangInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
David Alexander Christian MessererInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac surgery and the associated ischemia-reperfusion injury trigger an inflammatory response, which, in turn, can contribute to organ damage, prolonged hospitalization, and mortality. Therefore, the present study performed comprehensive monitoring of neutrophil-related inflammation in patients who underwent aortic valve surgery, including extracorporeal circulation. Neutrophil-related inflammation, as well as alterations in cellular physiology, phenotype, and function, were analyzed by flow cytometry, ELISA, and microscopy. Neutrophil activation occurred intraoperatively and preceded the upregulation of conventional inflammatory markers such as C-reactive protein and interleukin-6. Perioperatively, neutrophils maintained a stable response to platelet-activating factor (PAF) with regard to CD11b and CD66b expression but showed a decreased response in CD10. Postoperatively, neutrophils exhibited marked alterations in PAF-induced depolarization, while reactive oxygen species generation and phagocytic activity remained largely stable. Surprisingly, platelet-neutrophil complex formation was severely impaired intraoperatively but returned to normal levels postoperatively. Further studies are needed to elucidate the implications of these intraoperative and postoperative changes in neutrophil and platelet activity with respect to a potential immune dysfunction that temporarily increases susceptibility to infectious or hemostatic complications.

Indexed as

Cardiac Surgical ProceduresNeutrophil ActivationNeutrophilsAgedBiomarkersFemaleHumansMaleMiddle AgedMonitoring, IntraoperativePhagocytosisPlatelet Activating FactorReactive Oxygen SpeciesBiomarkersPlatelet Activating FactorReactive Oxygen Speciescardiac surgeryinflammationischemia-reperfusion injuryneutrophil granulocytesplatelet-activating factorplatelet-neutrophil complexesplateletsthrombocytes

Identifiers

PMID40151619
PMCPMC11947689

What OpenQuestion holds

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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.