Evidence map›Paper›PMID 41377542›Full record

ArticleWorld journal of critical care medicine2025

Reactive oxygen species elevations in human immune cell subsets during sepsis are mitigated by norepinephrine and N-acetylcysteine.

Joby Thoppil, J David Farrar, Drashya Sharma, Shaun Kirby, Angela Mobley, Daniel Mark Courtney

Abstract read
In one paragraph

Article in World journal of critical care medicine, 2025. 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. 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

6 authors.

Joby ThoppilDepartment of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States. joby.thoppil@utsouthwestern.edu.
J David FarrarDepartment of Immunology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Drashya SharmaDepartment of Immunology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Shaun KirbyDepartment of Immunology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Angela MobleyDepartment of Immunology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Daniel Mark CourtneyDepartment of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is a life-threatening condition caused by a dysregulated host response to infection. Peripheral blood mononuclear cells (PBMCs) are critical mediators of the immune response and may exhibit redox imbalance during sepsis. Reactive oxygen species (ROS) are known to influence immune cell signaling, and excessive ROS accumulation may contribute to sepsis-associated immune alterations.

aimTo assess intracellular ROS levels in PBMC subsets from septic patients and determine whether norepinephrine (NE) or N-acetylcysteine (NAC) modulate ROS levels following inflammatory stimulation

methodsPBMCs were isolated from Department of Emergency patients meeting SEP-1/SEP-2 sepsis criteria and from healthy controls without signs of infection. Intracellular ROS levels were measured using a total ROS detection assay and analyzed by flow cytometry. PBMCs were also stimulated

resultsROS levels were significantly elevated in CD3+ and CD14+ cells from septic patients compared to controls.

conclusionROS levels are elevated in specific PBMC subsets in sepsis, particularly CD3+ T cells and CD14+ monocytes. NE and NAC reduced ROS accumulation

Indexed as

Flow cytometryInflammationN-acetylcysteineNorepinephrinePeripheral blood mononuclear cellsReactive oxygen speciesRedox biologySepsis

Identifiers

PMID41377542
PMCPMC12687033

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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.