Evidence map›Paper›PMID 41624862›Full record

Observational studyFrontiers in immunology2025

Immune signatures of sepsis from mild infection to critical illness - a prospective observational study.

Timothy Arthur Chandos Snow, Francis Ryckaert, Ingrid Hass, Holly Pan, Samer Elkhodair, Mervyn Singer, David Brealey, Nishkantha Arulkumaran, University College London Hospitals Critical Care Research Team

Abstract readObservational Study
In one paragraph

Observational study 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Parallel single-cell host immune profiling and pathogen genomic characterization inFrontiers in cellular and infection microbiology · 2026
    Observational
  5. 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

9 authors.

Timothy Arthur Chandos Snow *Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
Francis Ryckaert *Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
Ingrid HassBloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
Holly PanBloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
Samer ElkhodairEmergency Department, University College London Hospital, London, United Kingdom.
Mervyn SingerBloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
David Brealey *Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
Nishkantha Arulkumaran *Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
University College London Hospitals Critical Care Research Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis-induced immunosuppression is a phenomenon characterized by the development of several changes in immunophenotype which predispose to secondary infections and increased mortality risk. Immunomodulatory therapies have yet to reproducibly demonstrate benefit in large clinical trials. We propose that several changes consistent with an immunosuppressive phenotype in sepsis represent either adaptive changes or epiphenomenon, rather than direct drivers of outcome in infection and sepsis. We therefore conducted a prospective observational study of patients presenting with infections with a spectrum of illness severity, to evaluate canonical features of monocyte and lymphocyte immunosuppression using flow cytometry. Several features consistent with immunosuppression in sepsis are observed in mild infections and non-infectious acute conditions. These features may be better understood as markers along a continuum of illness severity rather than distinct features of critical illness. Monocyte HLA-DR and co-stimulatory molecules (CD80 and CD86), and an increase in soluble PD-L1, discriminate between critically ill patients, patients with mild infection, and patients with non-infectious illness. In contrast, CD4

Indexed as

SepsisAdultAgedBiomarkersCritical IllnessFemaleHumansImmune ToleranceImmunophenotypingMaleMiddle AgedMonocytesProspective StudiesSeverity of Illness IndexBiomarkersimmunotherapyinfectionslymphocytesmonocytessepsis

Identifiers

PMID41624862
PMCPMC12855556

What OpenQuestion holds

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LicenceCC BY
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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.