Evidence map›Paper›PMID 41787541›Full record

ReviewCritical care (London, England)2026

The poikilothermic hypothesis of sepsis.

Roger Fan, Laurent Gautron

Abstract readReview
In one paragraph

Review in Critical care (London, England), 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. 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

2 authors.

Roger FanCenter for Hypothalamic Research, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Laurent GautronCenter for Hypothalamic Research, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA. Laurent.Gautron@utsoutwestern.edu.

Funding

University of Texas System TRC4 #0066
6 · The paper itself

Abstract

Accumulating evidence suggests that fever and hypothermia in sepsis may result from a state of minimally regulated body temperature, resembling the thermoregulatory patterns observed in cold-blooded animals (poikilothermia). Increasing data indicate that pharmacological agents capable of inducing poikilothermia, could offer therapeutic benefits, including enhanced survival and faster recovery in septic patients. This narrative review examines both experimental and clinical evidence supporting the poikilothermic hypothesis of sepsis and explores its potential clinical implications. We propose the poikilothermic hypothesis as a comprehensive framework to explain the diversity of thermal phenotypes observed in sepsis and to address ongoing therapeutic challenges. Furthermore, a deeper understanding of functional poikilothermia may ultimately enable personalized temperature management strategies for septic patients.

Indexed as

Body Temperature RegulationSepsisAnimalsFeverHumansHypothermiaHibernationIntensive careLipopolysaccharidesTemperature managementThermoregulationVascular shock

Identifiers

PMID41787541
PMCPMC13072667

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.