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Cited by 193

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Angiopoietin-2 may contribute to multiple organ dysfunction and death in sepsis*

Open access
David, Sascha, Mukherjee, Aditi, Ghosh, Chandra C., Yano, Midori, Khankin, Eliyahu V., Wenger, Julia B., Karumanchi, S. Ananth, Shapiro, Nathan I., Parikh, Samir M.·2012·Critical Care Medicine

Abstract

OBJECTIVE: : In sepsis, quiescent blood vessels become leaky and inflamed by mechanisms that are incompletely understood. We hypothesized that angiopoietin-2, a partial antagonist of the endothelium-stabilizing receptor Tie-2 secreted by endothelium, contributes to adverse outcomes in this disease. DESIGN: : Laboratory and animal research. SETTINGS: : Research laboratories and Emergency Department of Beth Israel Deaconess Medical Center, Boston, MA. SUBJECTS: : Angiopoietin-2 heterozygous mice, emergency department patients. MEASUREMENTS AND MAIN RESULTS: : Mice with one functional angiopoietin-2 allele developed milder kidney and lung injury, less tissue inflammation, and less vascular leakage compared to wild-type counterparts. Heterozygotes experienced >40% absolute survival advantage following two different models of sepsis (p = .004 and .018). In human subjects presenting to our emergency department with suspected infection (n = 270 combined), circulating angiopoietin-2 was markedly elevated within the first hour of clinical care. First-hour angiopoietin-2 concentrations were proportional to current disease severity (p < .0001), rose further over time in eventual nonsurvivors (p < .0001), and predicted the future occurrence of shock (p < .0001) or death (p < .0001) in the original cohort and an independent validation group. Finally, septic human serum disrupted the barrier function of microvascular endothelial cells, an effect fully neutralized by an angiopoietin-2 monoclonal antibody. CONCLUSIONS: : We conclude that angiopoietin-2 induction precedes and contributes to the adverse outcomes in sepsis, opening a new avenue for therapeutic investigation.

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Crossref · 10.1097/ccm.0b013e31825fdc31

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Metadata

Authors
David, S., Mukherjee, A., Ghosh, C. C., Yano, M., Khankin, E. V., Wenger, J. B., Karumanchi, S. A., Shapiro, N. I., & Parikh, S. M.
Venue
Critical Care Medicine
Published
2012-11
Volume
40
Issue
11
Pages
3034-3041
ISSN
0090-3493 (ISSN-L)
OpenAlex
W1993980694
Cited by
193
References
8
FWCI
11.63
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Angiopoietin-2 may contribute to multiple organ dysfunction and death in sepsis*. https://app.cochat.ai/papers/10.1097/ccm.0b013e31825fdc31
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David, S., Mukherjee, A., Ghosh, C. C., Yano, M., Khankin, E. V., Wenger, J. B., Karumanchi, S. A., Shapiro, N. I., & Parikh, S. M. (2012). Angiopoietin-2 may contribute to multiple organ dysfunction and death in sepsis*. Critical Care Medicine. https://doi.org/10.1097/ccm.0b013e31825fdc31

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