Evidence map›Paper›PMID 40877049›Full record

Observational studyThorax2026

Interferon gamma applied ex vivo restores function to neutrophils from critically ill patients.

Cameron J Lake, Jonathan Scott, Marie-Hélène Ruchaud-Sparagano, John H Thompson, Fiona Dewar, Polina Yarova, Wendy Funston, Richard Ch Davidson, Kathryn M Musgrave, Stephen E Wright and 10 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Thorax, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

20 authors.

Cameron J Lake *Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0009-0005-8361-2049
Jonathan Scott *Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0003-3102-4294
Marie-Hélène Ruchaud-SparaganoTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0009-0006-7525-2183
John H ThompsonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Fiona DewarTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-5099-589X
Polina YarovaTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-7534-7995
Wendy FunstonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Richard Ch DavidsonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0001-7118-4941
Kathryn M MusgraveHaematology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Stephen E WrightAnaesthesia and Critical Care, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Ian ClementAnaesthesia and Critical Care, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID 0000-0001-9854-6674
Alistair I RoyIntegrated Critical Care Unit, Sunderland Royal Hospital, Sunderland, UK.
Wezi SendamaTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-4686-3368
Jason PowellTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-1199-8406
Daniel BrooksTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Chung Mun Alice LinTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-3075-8344
Kristen DaviesTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Thomas P HellyerTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0001-5346-7411
Anthony J Rostron *Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-9336-1723
A John Simpson *Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK j.simpson@ncl.ac.uk.ORCID 0000-0003-4731-7294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCritically ill patients commonly develop acquired neutrophil dysfunction, which increases susceptibility to intensive care unit-acquired infection (ICU-AI). This study aimed to assess whether interferon gamma (IFN-γ) can restore function in dysfunctional neutrophils from critically ill patients and to uncover potential underlying mechanisms.

methodsThis was an observational cohort study. Neutrophils were isolated from whole blood donated by critically ill patients (n=31) in four separate teaching hospital intensive care units (ICUs). Neutrophils were subsequently treated with recombinant human IFN-γ or vehicle for 1 hour following either Fc gamma receptor (FcγR) blockade, selective inhibition of the gamma isoform of phosphoinositide 3-kinase (PI3K-γ) or vehicle control for 30 min. Neutrophil phagocytosis, bacterial killing, superoxide generation, phagocytic receptor expression and small Rho GTPase activity were assessed. Neutrophil dysfunction was defined as <50% of cells ingesting 2 or more zymosan particles in a phagocytosis assay.

resultsIFN-γ significantly improved phagocytosis (control 36.5%, IFN-γ 56.0%), bacterial killing (control 31.6%, IFN-γ 82.1%) and superoxide generation (2.8-fold increase relative to control) in dysfunctional neutrophils. IFN-γ also increased the activity of the small GTPases, Rac and Cdc42 (2.4-fold and 1.5-fold increase relative to control, respectively) in dysfunctional neutrophils. Selective inhibition of PI3K-γ prevented the IFN-γ-mediated improvement of phagocytosis (IFN-γ 62.5%, with inhibitor 27.9%), bacterial killing (IFN-γ 82.1%, with inhibitor 30.5%) and superoxide generation (IFN-γ 2.8-fold change relative to control, 0.7 with inhibitor). The IFN-γ-mediated improvement of bacterial killing in dysfunctional neutrophils was also prevented by FcγR blockade (IFN-γ 82.1%, FcγR inhibition 28.7%).

conclusionsIn critically ill patients with known acquired neutrophil dysfunction, ex vivo application of IFN-γ consistently improved a range of neutrophil effector functions.

Indexed as

Critical IllnessInterferon-gammaNeutrophilsAgedFemaleHumansMaleMiddle AgedPhagocytosisSuperoxidesInterferon-gammaSuperoxidesBacterial InfectionCritical CareNeutrophil Biology

Identifiers

PMID40877049
PMCPMC13018806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.