Evidence map›Paper›PMID 29670613›Full record

ReviewFrontiers in immunology2018

Innate Immunity in the Persistent Inflammation, Immunosuppression, and Catabolism Syndrome and Its Implications for Therapy.

Hiroyuki Horiguchi, Tyler J Loftus, Russell B Hawkins, Steven L Raymond, Julie A Stortz, McKenzie K Hollen, Brett P Weiss, Elizabeth S Miller, Azra Bihorac, Shawn D Larson and 8 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
8.2field-weighted citation impact, top 2% of its field
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

99 citing papers in PubMed, 159 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Docosahexaenoic acid supplementation inhibits monocyte exhaustion memory formation during sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
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  12. Article
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  15. Review
  16. Facing stress and inflammation: From the cell to the planet.World journal of experimental medicine · 2024
    Review
  17. Review
  18. Article
  19. Article
  20. Article

39 more citing papers are in PubMed but not listed here.

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

18 authors at 3 institutions in 2 countries.

Hiroyuki HoriguchiDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Tyler J LoftusDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Russell B HawkinsDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Steven L RaymondDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Julie A StortzDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
McKenzie K HollenDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Brett P WeissDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Elizabeth S MillerDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Azra BihoracDepartment of Medicine, University of Florida College of Medicine, Gainesville, FL, United States.
Shawn D LarsonDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Alicia M MohrDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Scott C BrakenridgeDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Hironori TsujimotoDepartment of Surgery, National Defense Medical College, Tokorozawa, Japan.
Hideki UenoDepartment of Surgery, National Defense Medical College, Tokorozawa, Japan.
Frederick A MooreDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Lyle L MoldawerDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Philip A EfronDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL, United States.
Sepsis and Critical Illness Research Center Investigators
University of Florida · USFlorida College · USNational Defense Medical College · JP

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Stephen D Anton · 2007 to 2026
$22.8M
PICS: A New Horizon for Surgical Critical CareP50GM111152 · NIGMS · UNIVERSITY OF FLORIDA · PI MOORE, FREDERICK A · 2014 to 2018
$10.7M
Integrating data, algorithms and clinical reasoning for surgical risk assessmentR01GM110240 · NIGMS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2016 to 2025
$5.1M
Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Chronic Stress and Anemia Recovery following Major TraumaR01GM105893 · NIGMS · UNIVERSITY OF FLORIDA · PI MOHR, ALICIA M · 2013 to 2021
$3.5M
REGULATION ON MONOKINE PRODUCTION IN TRAUMA AND SURGERYR01GM040586 · NIGMS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI MOLDAWER, LYLE L · 1988 to 2016
$2.6M
Novel Mechanisms and Approaches to Treat Neonatal SepsisR01GM097531 · NIGMS · UNIVERSITY OF FLORIDA · PI LARSON, SHAWN DAVID, MOLDAWER, LYLE L · 2011 to 2018
$2.3M
Hematopoietic Stem Cell Dysfunction in the Elderly after Severe InjuryR01GM113945 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2015 to 2019
$1.6M
The acute development and persistence of frailty, comorbidity and disability in critically ill elderly patients after severe traumatic injury: ?induced frailty?R03AG056444 · NIA · UNIVERSITY OF FLORIDA · PI BRAKENRIDGE, SCOTT CHARLES · 2017 to 2018
$223k
NIA NIH HHS P30 AG028740NIA NIH HHS R03 AG056444NIGMS NIH HHS P50 GM111152NIGMS NIH HHS R01 GM040586NIGMS NIH HHS R01 GM097531NIGMS NIH HHS R01 GM105893NIGMS NIH HHS R01 GM110240NIGMS NIH HHS R01 GM113945NIGMS NIH HHS T32 GM008721
6 · The paper itself

Abstract

Clinical and technological advances promoting early hemorrhage control and physiologic resuscitation as well as early diagnosis and optimal treatment of sepsis have significantly decreased in-hospital mortality for many critically ill patient populations. However, a substantial proportion of severe trauma and sepsis survivors will develop protracted organ dysfunction termed chronic critical illness (CCI), defined as ≥14 days requiring intensive care unit (ICU) resources with ongoing organ dysfunction. A subset of CCI patients will develop the persistent inflammation, immunosuppression, and catabolism syndrome (PICS), and these individuals are predisposed to a poor quality of life and indolent death. We propose that CCI and PICS after trauma or sepsis are the result of an inappropriate bone marrow response characterized by the generation of dysfunctional myeloid populations at the expense of lympho- and erythropoiesis. This review describes similarities among CCI/PICS phenotypes in sepsis, cancer, and aging and reviews the role of aberrant myelopoiesis in the pathophysiology of CCI and PICS. In addition, we characterize pathogen recognition, the interface between innate and adaptive immune systems, and therapeutic approaches including immune modulators, gut microbiota support, and nutritional and exercise therapy. Finally, we discuss the future of diagnostic and prognostic approaches guided by machine and deep-learning models trained and validated on big data to identify patients for whom these approaches will yield the greatest benefits. A deeper understanding of the pathophysiology of CCI and PICS and continued investigation into novel therapies harbor the potential to improve the current dismal long-term outcomes for critically ill post-injury and post-infection patients.

Indexed as

Disease SusceptibilityImmune ToleranceImmunity, InnateChronic DiseaseCritical IllnessHost-Pathogen InteractionsHumansInflammationMetabolic SyndromePhenotypePrecision MedicineSepsischronic critical illnessinflammationinnate immunitypersistent inflammation/immunosuppression and catabolism syndromesepsis

Identifiers

PMID29670613
PMCPMC5893931
OpenAlexW2792309470

What Socratic 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 Socratic graph.