Evidence map›Paper›PMID 25331176›Full record

ArticleCritical care (London, England)2014

Early activation of pro-fibrotic WNT5A in sepsis-induced acute lung injury.

Jesús Villar, Nuria E Cabrera-Benítez, Angela Ramos-Nuez, Carlos Flores, Sonia García-Hernández, Francisco Valladares, Josefina López-Aguilar, Lluís Blanch, Arthur S Slutsky

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

37 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Biological attributes of zinc-dependent endopeptidases in endothelial dysfunction associated with sepsis: a narrative review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Cannabidiol and SARS-CoV-2 Infection.Frontiers in immunology · 2022
    Article
  11. miR-23a-3p inhibits sepsis-induced kidney epithelial cell injury by suppressing Wnt/β-catenin signaling by targeting wnt5a.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. The role of WNT5A and Ror2 in peritoneal membrane injury.Journal of cellular and molecular medicine · 2020
    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 4 institutions in 2 countries.

Jesús VillarCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. jesus.villar54@gmail.com.
Nuria E Cabrera-BenítezCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. nuriaecb@gmail.com.
Angela Ramos-NuezCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. shefloanse@hotmail.com.
Carlos FloresCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. cflores@ull.edu.es.
Sonia García-HernándezDepartment of Anatomy, Pathology & Histology, Medical School University of La Laguna and Hospital Universitario de Canarias, La Laguna, Tenerife, Spain. soniagaher76@gmail.com.
Francisco ValladaresCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. fvallapa@gmail.com.
Josefina López-AguilarCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. JLopezA@tauli.cat.
Lluís BlanchCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. lblanch@tauli.cat.
Arthur S SlutskyKeenan Research Center for Biomedical Science, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada. lblanch@tauli.cat.
Instituto de Salud Carlos III · ESHospital Universitario de Gran Canaria Doctor Negrín · ESSt. Michael's Hospital · CAUniversidad de La Laguna · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe mechanisms of lung repair and fibrosis in the acute respiratory distress syndrome (ARDS) are poorly known. Since the role of WNT/β-catenin signaling appears to be central to lung healing and fibrosis, we hypothesized that this pathway is activated very early in the lungs after sepsis.

methodsWe tested our hypothesis using a three-step experimental design: (1) in vitro lung cell injury model with human bronchial epithelial BEAS-2B and lung fibroblasts (MRC-5) cells exposed to endotoxin for 18 hours; (2) an animal model of sepsis-induced ARDS induced by cecal ligation and perforation, and (3) lung biopsies from patients who died within the first 24 hours of septic ARDS. We examined changes in protein levels of target genes involved in the Wnt pathway, including WNT5A, non-phospho (Ser33/37/Thr41) β-catenin, matrix metalloproteinase-7 (MMP7), cyclin D1, and vascular endothelial growth factor (VEGF) by Western blotting and immunohistochemistry. Finally, we validated the main gene targets of this pathway in experimental animals and human lungs.

resultsProtein levels of WNT5A, non-phospho (Ser33/37/Thr41) β-catenin, total β-catenin, MMP7, cyclin D1, and VEGF increased after endotoxin stimulation in BEAS-2B and MRC-5 cells. Lungs from septic animals and from septic humans demonstrated acute lung inflammation, collagen deposition, and marked increase of WNT5A and MMP7 protein levels.

conclusionsOur findings suggest that the WNT/β-catenin signaling pathway is activated very early in sepsis-induced ARDS and could play an important role in lung repair and fibrosis. Modulation of this pathway might represent a potential target for treatment for septic and ARDS patients.

Indexed as

Acute Lung InjuryAnimalsCells, CulturedFibrosisHumansMaleRatsRats, Sprague-DawleyRespiratory MucosaSepsisWnt-5a ProteinWnt ProteinsWnt-5a ProteinWnt5a protein, ratWnt Proteins

Identifiers

PMID25331176
PMCPMC4220065
OpenAlexW2149539659

What OpenQuestion holds

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LicenceCC BY
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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.