Evidence map›Paper›PMID 33717127›Full record

SynthesisFrontiers in immunology2021

Potential Targets to Mitigate Trauma- or Sepsis-Induced Immune Suppression.

Christian B Bergmann, Nadine Beckmann, Christen E Salyer, Marc Hanschen, Peter A Crisologo, Charles C Caldwell

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

32 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Wound-Healing Potential of Engineered Lysin GRC-ML07 inAntibiotics (Basel, Switzerland) · 2025
    Article
  7. Article
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  9. NuclearJournal of clinical & cellular immunology · 2025
    Article
  10. Review
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  14. Review
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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 at 3 institutions in 2 countries.

Christian B BergmannDivision of Research, Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
Nadine BeckmannDivision of Research, Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
Christen E SalyerDivision of Research, Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
Marc HanschenExperimental Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Peter A CrisologoDivision of Podiatric Medicine and Surgery, Critical Care, and Acute Care Surgery, Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
Charles C CaldwellDivision of Research, Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
University of Cincinnati Medical Center · USTechnical University of Munich · DEUniversity of Cincinnati · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In sepsis and trauma, pathogens and injured tissue provoke a systemic inflammatory reaction which can lead to overwhelming inflammation. Concurrent with the innate hyperinflammatory response is adaptive immune suppression that can become chronic. A current key issue today is that patients who undergo intensive medical care after sepsis or trauma have a high mortality rate after being discharged. This high mortality is thought to be associated with persistent immunosuppression. Knowledge about the pathophysiology leading to this state remains fragmented. Immunosuppressive cytokines play an essential role in mediating and upholding immunosuppression in these patients. Specifically, the cytokines Interleukin-10 (IL-10), Transforming Growth Factor-β (TGF-β) and Thymic stromal lymphopoietin (TSLP) are reported to have potent immunosuppressive capacities. Here, we review their ability to suppress inflammation, their dynamics in sepsis and trauma and what drives the pathologic release of these cytokines. They do exert paradoxical effects under certain conditions, which makes it necessary to evaluate their functions in the context of dynamic changes post-sepsis and trauma. Several drugs modulating their functions are currently in clinical trials in the treatment of other pathologies. We provide an overview of the current literature on the effects of IL-10, TGF-β and TSLP in sepsis and trauma and suggest therapeutic approaches for their modulation.

Indexed as

AnimalsBiological ProductsClinical Trials as TopicCytokinesHumansImmune EvasionImmune ToleranceImmunosuppression TherapySepsisWounds and InjuriesBiological ProductsCytokineschronic critical illnessIL-10immunosuppressionthymic stromal lymphopoietintransforming growth factor β

Identifiers

PMID33717127
PMCPMC7947256
OpenAlexW3132786145

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.