Evidence map›Paper›PMID 37868029›Full record

ArticleCritical care explorations2023

Immune Adjuvant Therapy With Interleukin-7 in a Lymphopenic Patient With Aplastic Anemia and Mucormycosis.

Zachary D Crees, Dilan A Patel, Alexandra Dram, Miriam Kim, Michael D Bern, Allison R Eberly, Kristan Augustin, Richard S Hotchkiss, John F DiPersio

Open access · goldAbstract readCase Reports
In one paragraph

Article in Critical care explorations, 2023. 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
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 1 country.

Zachary D CreesDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
Dilan A PatelDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
Alexandra DramDepartment of Anesthesiology and Critical Care Medicine, Washington University School of Medicine, St Louis, MO.
Miriam KimDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
Michael D BernDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
Allison R EberlyDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, MO.
Kristan AugustinDepartment of Pharmacy, Barnes-Jewish Hospital, St Louis, MO.
Richard S HotchkissDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
John F DiPersioDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · USBarnes-Jewish Hospital · US

Funding

Optimizing Hematopoietic Stem Cell Transplantation For The Treatment Of Hematological MalignanciesR35CA210084 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio · 2017 to 2026
$7.8M
Enhancing Innate and Adaptive Immunity to Improve Sepsis SurvivalR35GM126928 · NIGMS · WASHINGTON UNIVERSITY · PI Richard Samuel Hotchkiss · 2018 to 2026
$4.7M
NCI NIH HHS R35 CA210084NIGMS NIH HHS R35 GM126928
6 · The paper itself

Abstract

backgroundWe report the case of a patient with aplastic anemia and pancytopenia on immune-suppressive therapy who developed invasive pulmonary infection with mucormycosis and was treated with immune adjuvant therapy. CASE SUMMARY: Given the patient's profound lymphopenia and progressive invasive mucor despite dual antifungal drug therapy, interleukin (IL)-7, a cytokine that induces lymphocyte activation and proliferation, was instituted and resulted in normalization of absolute lymphocyte counts and was temporally associated with clearance of fungal pathogens and resolution of clinical symptoms.

conclusionPatients with life-threatening fungal infections are frequently immune suppressed and immune adjuvant therapies should be considered in patients who are not responding to antifungal drugs and source control. Well-designed, double-blind, placebo-controlled trials are needed to advance the field. Although a number of immune adjuvants may be beneficial in fungal sepsis, IL-7 is a particularly attractive immune adjuvant because of its broad immunologic effects on key immunologic pathways that mediate enhanced antifungal immune system activity.

Indexed as

fungalimmunityinfectionlymphocytesepsis

Identifiers

PMID37868029
PMCPMC10589520
OpenAlexW4387784156

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.