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Combined inhibition of complement and CD14 improved outcome in porcine polymicrobial sepsis

Overview of attention for article published in Critical Care, December 2015
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  • Good Attention Score compared to outputs of the same age (68th percentile)

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Title
Combined inhibition of complement and CD14 improved outcome in porcine polymicrobial sepsis
Published in
Critical Care, December 2015
DOI 10.1186/s13054-015-1129-9
Pubmed ID
Authors

Espen W. Skjeflo, Caroline Sagatun, Knut Dybwik, Sturla Aam, Sven H. Urving, Miles A. Nunn, Hilde Fure, Corinna Lau, Ole-Lars Brekke, Markus Huber-Lang, Terje Espevik, Andreas Barratt-Due, Erik W. Nielsen, Tom E. Mollnes

Abstract

Sepsis is an exaggerated and dysfunctional immune response to infection. Activation of innate immunity recognition systems including complement and the Toll-like receptor family initiate this disproportionate inflammatory response. The aim of this study was to explore the effect of combined inhibition of the complement component C5 and the Toll-like receptor co-factor CD14 on survival, hemodynamic parameters and systemic inflammation including complement activation in a clinically relevant porcine model of polymicrobial sepsis. Norwegian landrace piglets (4 ± 0.5 kg) were blindly randomized to a treatment group (n = 12) receiving the C5 inhibitor coversin (OmCI) and anti-CD14 or to a positive control group (n = 12) receiving saline. Under anesthesia, sepsis was induced by a 2 cm cecal incision and the piglets were monitored in standard intensive care for 8 hours. Three sham piglets had a laparotomy without cecal incision or treatment. Complement activation was measured as sC5b-9 using enzyme immunoassay. Cytokines were measured with multiplex technology. Combined C5 and CD14 inhibition significantly improved survival (p = 0.03). Nine piglets survived in the treatment group and four in the control group. The treatment group had significantly lower pulmonary artery pressure (p = 0.04) and ratio of pulmonary artery pressure to systemic artery pressure (p < 0.001). Plasma sC5b-9 levels were significantly lower in the treatment group (p < 0.001) and correlated significantly with mortality (p = 0.006). IL-8 and IL-10 were significantly (p < 0.05) lower in the treatment group. Combined inhibition of C5 and CD14 significantly improved survival, hemodynamic parameters and inflammation in a blinded, randomized trial of porcine polymicrobial sepsis.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Norway 1 3%
Unknown 36 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 16%
Student > Ph. D. Student 5 14%
Other 2 5%
Professor 2 5%
Student > Bachelor 2 5%
Other 7 19%
Unknown 13 35%
Readers by discipline Count As %
Medicine and Dentistry 12 32%
Agricultural and Biological Sciences 5 14%
Immunology and Microbiology 4 11%
Computer Science 2 5%
Veterinary Science and Veterinary Medicine 1 3%
Other 2 5%
Unknown 11 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 May 2016.
All research outputs
#8,474,477
of 25,373,627 outputs
Outputs from Critical Care
#4,376
of 6,554 outputs
Outputs of similar age
#124,262
of 395,408 outputs
Outputs of similar age from Critical Care
#386
of 466 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one has received more attention than most of these and is in the 66th percentile.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,408 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 466 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.