Evidence map›Paper›PMID 37337946›Full record

ReviewClinical science (London, England : 1979)2023

Sex, sepsis and the brain: defining the role of sexual dimorphism on neurocognitive outcomes after infection.

Valerie E Polcz, Evan L Barrios, Benjamin Chapin, Catherine C Price, Ravinder Nagpal, Paramita Chakrabarty, Gemma Casadesus, Thomas Foster, Lyle L Moldawer, Philip A Efron

Open access · hybridAbstract readReview
In one paragraph

Review in Clinical science (London, England : 1979), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Sex, senescence, senolytics, and cognition.Frontiers in aging neuroscience · 2025
    Review
  5. Article
  6. Advancements in Immunity and Dementia Research: Highlights from the 2023 AAIC Advancements: Immunity Conference.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

10 authors at 4 institutions in 1 country.

Valerie E PolczDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Evan L BarriosDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Benjamin ChapinDepartment of Neurology, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Catherine C PriceDepartment of Clinical and Health Psychology, University of Florida College of Public Health and Health Professions, Gainesville, Florida, U.S.A.
Ravinder NagpalFlorida State University College of Health and Human Sciences, Tallahassee, Florida, U.S.A.
Paramita ChakrabartyDepartment of Neuroscience, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Gemma CasadesusDepartment of Pharmacology and Therapeutics, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Thomas FosterDepartment of Neuroscience, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Lyle L MoldawerDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
Philip A EfronDepartment of Surgery and Sepsis and Critical Illness Research Center, University of Florida College of Medicine, Gainesville, Florida, U.S.A.
University of Florida · USFlorida College · USFlorida State University · USUniversity of Florida Health · US

Funding

Renewal: Dysfunctional Myelopoiesis and Myeloid-Derived Suppressor Cells in Sepsis PathobiologyRM1GM139690 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron, Michael Paul Kladde · 2021 to 2026
$10.3M
Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Estrogen and cognition over the lifespanR01AG037984 · NIA · UNIVERSITY OF FLORIDA · PI FOSTER, THOMAS C, KUMAR, ASHOK · 2011 to 2022
$3.3M
Sepsis and the Systemic Cytokine Storm in Aging and Alzheimer Disease ModelsRF1NS128626 · NINDS · UNIVERSITY OF FLORIDA · PI CHAKRABARTY, PARAMITA, EFRON, PHILIP A · 2022 to 2022
$2.2M
R35 Equipment SupplementR35GM140806 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2021 to 2025
$2.2M
NIA NIH HHS R01 AG037984NIGMS NIH HHS R35 GM140806NIGMS NIH HHS RM1 GM139690NIGMS NIH HHS T32 GM008721NINDS NIH HHS RF1 NS128626
6 · The paper itself

Abstract

Sexual dimorphisms exist in multiple domains, from learning and memory to neurocognitive disease, and even in the immune system. Male sex has been associated with increased susceptibility to infection, as well as increased risk of adverse outcomes. Sepsis remains a major source of morbidity and mortality globally, and over half of septic patients admitted to intensive care are believed to suffer some degree of sepsis-associated encephalopathy (SAE). In the short term, SAE is associated with an increased risk of in-hospital mortality, and in the long term, has the potential for significant impairment of cognition, memory, and acceleration of neurocognitive disease. Despite increasing information regarding sexual dimorphism in neurologic and immunologic systems, research into these dimorphisms in sepsis-associated encephalopathy remains critically understudied. In this narrative review, we discuss how sex has been associated with brain morphology, chemistry, and disease, sexual dimorphism in immunity, and existing research into the effects of sex on SAE.

Indexed as

SepsisSepsis-Associated EncephalopathyBrainHumansMaleSex Characteristicsdementianeurocognitionneurocognitive diseasesepsissepsis-associated encephalopathysexual dimorphism

Identifiers

PMID37337946
PMCPMC10285043
OpenAlexW4381308402

What Socratic 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 Socratic graph.