Evidence map›Paper›PMID 41589780›Full record

ArticleJACC. Basic to translational science2026

Immune Unresponsiveness to Cardiopulmonary Bypass Is Associated With Unfavorable Outcome in Infants Requiring Cardiac Surgery.

Alexis Chenouard, Mélanie Petrier, Constance Bridonneau, Estelle André, Marion Davieau, Cynthia Fourgeux, Christopher Mancuso, Jesse Davidson, Alexis Broquet, Nicolas Joram and 5 more

Abstract read
In one paragraph

Article in JACC. Basic to translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Alexis ChenouardCHU Nantes, Réanimation Pédiatrique, Nantes, France; Nantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France. Electronic address: alexis.chenouard@chu-nantes.fr.
Mélanie PetrierNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Constance BridonneauNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Estelle AndréNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Marion DavieauCHU Nantes, INSERM, Nantes Université, Anesthésie Réanimation, Nantes, France.
Cynthia FourgeuxNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Christopher MancusoDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado, USA.
Jesse DavidsonDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Alexis BroquetNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France; CHU Nantes, INSERM, Nantes Université, Anesthésie Réanimation, Nantes, France.
Nicolas JoramCHU Nantes, Réanimation Pédiatrique, Nantes, France.
Pierre BourgoinCHU Nantes, Réanimation Pédiatrique, Nantes, France; CHU Nantes, Département d'anesthésie, Nantes, France.
Victor GourainNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Jérémie PoschmannNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Cédric JacquelineNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France.
Antoine RoquillyNantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology UMR 1064, Nantes, France; CHU Nantes, INSERM, Nantes Université, Anesthésie Réanimation, Nantes, France.

Funding

Metabolic profiling and comprehensive metabolic pathway mapping: a systems biology approach to cardiovascular failure and organ injury following infant congenital heart disease surgeryR01HL156936 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAVIDSON, JESSE · 2021 to 2025
$3.1M
Systems biology of acute and chronic multi-organ failure in children with congenital heart diseaseK24HL167910 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Jesse Davidson · 2024 to 2026
$378k
NHLBI NIH HHS K24 HL167910NHLBI NIH HHS R01 HL156936
6 · The paper itself

Abstract

Cardiopulmonary bypass (CPB) induces a complex immune response which can lead to complications after pediatric cardiac surgery. We hypothesized that analyzing the whole blood transcriptomic response after cardiac surgery with or without CPB in children would provide new insights into the pathophysiological mechanisms of CPB-related postoperative complications. In this study focusing on infants ≤3 months of age requiring CPB who are more likely to develop postoperative complications, we defined an immune transcriptomic signature related to CPB. Among the genes included in the CPB signature, we identified only 18 genes that were differentially expressed after surgery in patients with a complicated outcome. In contrast, more than 2,000 genes were differentially expressed before and after the surgery in the uncomplicated group. We demonstrated the predictive potential of the preoperative plasma TNFSF12 abundance to identify patients at risk of CPB-induced complications, which was confirmed in an external cohort.

Indexed as

cardiac surgerycongenital heart diseaseimmune responseinflammatory responsepediatrictranscriptomic

Identifiers

PMID41589780
PMCPMC12902292

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.