Evidence map›Paper›PMID 11781369›Full record

ArticleThe Journal of experimental medicine2002

Oligosaccharides of Hyaluronan activate dendritic cells via toll-like receptor 4.

Christian Termeer, Frauke Benedix, Jonathon Sleeman, Christina Fieber, Ursula Voith, Thomas Ahrens, Kensuke Miyake, Marina Freudenberg, Christopher Galanos, Jan Christoph Simon

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 509 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
509citing papers in PubMed, 2 pooled it
16.4field-weighted citation impact, top 1% 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

509 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,362 citations in OpenAlex.

  1. Clinics in orthopedic surgery · 2025
    Pooled it
  2. Pooled it
  3. Review
  4. Naive CD4iScience · 2026
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  8. Comparative Genomic and Functional Profiling of ECM-Targeting Enzymes inbioRxiv : the preprint server for biology · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. CD44 signaling in skin wound healing and regeneration.Journal of translational medicine · 2025
    Review
  20. Review

449 more citing papers are in PubMed but not listed here.

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 2 countries.

Christian TermeerDepartment of Dermatology, University of Freiburg, Freiburg D-79104, Germany. Termeer@haut.ukl.uni-freiburg.de
Frauke Benedix
Jonathon Sleeman
Christina Fieber
Ursula Voith
Thomas Ahrens
Kensuke Miyake
Marina Freudenberg
Christopher Galanos
Jan Christoph Simon
University of Freiburg · DEFZI Research Center for Information Technology · DEMax Planck Society · DETokyo University of Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low molecular weight fragmentation products of the polysaccharide of Hyaluronic acid (sHA) produced during inflammation have been shown to be potent activators of immunocompetent cells such as dendritic cells (DCs) and macrophages. Here we report that sHA induces maturation of DCs via the Toll-like receptor (TLR)-4, a receptor complex associated with innate immunity and host defense against bacterial infection. Bone marrow-derived DCs from C3H/HeJ and C57BL/10ScCr mice carrying mutant TLR-4 alleles were nonresponsive to sHA-induced phenotypic and functional maturation. Conversely, DCs from TLR-2-deficient mice were still susceptible to sHA. In accordance, addition of an anti-TLR-4 mAb to human monocyte-derived DCs blocked sHA-induced tumor necrosis factor alpha production. Western blot analysis revealed that sHA treatment resulted in distinct phosphorylation of p38/p42/44 MAP-kinases and nuclear translocation of nuclear factor (NF)-kappa B, all components of the TLR-4 signaling pathway. Blockade of this pathway by specific inhibitors completely abrogated the sHA-induced DC maturation. Finally, intravenous injection of sHA-induced DC emigration from the skin and their phenotypic and functional maturation in the spleen, again depending on the expression of TLR-4. In conclusion, this is the first report that polysaccharide degradation products of the extracellular matrix produced during inflammation might serve as an endogenous ligand for the TLR-4 complex on DCs.

Indexed as

Drosophila ProteinsAnimalsCell DifferentiationDendritic CellsDown-RegulationFemaleHumansHyaluronic AcidMembrane GlycoproteinsMiceMice, Inbred C3HMice, Inbred C57BLMitogen-Activated Protein KinasesNF-kappa BOligosaccharidesReceptors, Cell SurfaceDrosophila ProteinsHyaluronic AcidMembrane GlycoproteinsMitogen-Activated Protein KinasesNF-kappa BOligosaccharidesReceptors, Cell SurfaceTLR2 protein, humanTLR4 protein, humanToll-Like Receptor 2Toll-Like Receptor 4Toll-Like ReceptorsTumor Necrosis Factor-alpha

Identifiers

PMID11781369
PMCPMC2196009
OpenAlexW2126659405

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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 OpenQuestion graph.