Evidence map›Paper›PMID 26982513›Full record

ArticleMolecular medicine (Cambridge, Mass.)2016

Plumbagin Protects Mice from Lethal Sepsis by Modulating Immunometabolism Upstream of PKM2.

Zhaoxia Zhang, Wenjun Deng, Rui Kang, Min Xie, Timothy Billiar, Haichao Wang, Lizhi Cao, Daolin Tang

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-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

26 citing papers in PubMed, 48 citations in OpenAlex.

  1. PKM2: A gatekeeper in macrophage metabolic reprogramming.Journal of pharmaceutical analysis · 2026
    Review
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  12. Monitoring Mitochondria Function in Ferroptosis.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  13. Article
  14. Article
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  16. Standardized fraction of Xylocarpus moluccensis inhibits inflammation by modulating MAPK-NFκB and ROS-HIF1α-PKM2 activation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Article
  17. Sepsis-induced myocardial dysfunction: the role of mitochondrial dysfunction.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2021
    Review
  18. Plumbagin, a Biomolecule with (Anti)Osteoclastic Properties.International journal of molecular sciences · 2021
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Zhaoxia ZhangDepartment of Pediatrics, The Second Affiliated Hospital of Jinan University, Shenzhen People's Hospital, Shenzhen, Guangdong, People's Republic of China.
Wenjun DengDepartment of Pediatrics, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Rui KangDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Min XieDepartment of Pediatrics, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Timothy BilliarDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Haichao WangLaboratory of Emergency Medicine, The Feinstein Institute for Medical Research, Manhasset, New York, United States of America.
Lizhi CaoDepartment of Pediatrics, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Daolin TangDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
UPMC Hillman Cancer Center · USXiangya Hospital Central South University · CNCentral South University · CNFeinstein Institute for Medical Research · USJinan University · CNUniversity of Pittsburgh · US

Funding

Mechanisms of Novel Herbal Therapies for Sepsis.R01AT005076 · NCCIH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI WANG, HAICHAO · 2010 to 2023
$4.3M
Regulation of HMGB1 Release in Endotoxemia.R01GM063075 · NIGMS · NORTH SHORE UNIVERSITY HOSPITAL · PI WANG, HAICHAO · 2002 to 2020
$4.2M
Nitric Oxide and Hepatic Function in Sepsis and TraumaR37GM044100 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BILLIAR, TIMOTHY R · 2003 to 2012
$3.1M
Targeting HMGB1-mediated Autophagy in Cancer TherapyR01CA160417 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI TANG, DAOLIN · 2012 to 2023
$3.0M
NITRIC OXIDE AND HEPATIC FUNCTION IN SEPSIS AND TRAUMAR01GM044100 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BILLIAR, TIMOTHY R · 1995 to 2017
$1.9M
Immunometabolism in SepsisR01GM115366 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI BILLIAR, TIMOTHY R, TANG, DAOLIN · 2015 to 2018
$1.2M
NITRIC OXIDE AND HEPATIC FUNCTION IN SEPSIS AND TRAUMAR29GM044100 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BILLIAR, TIMOTHY R · 1990 to 1994
–
NCCIH NIH HHS R01 AT005076NCI NIH HHS R01 CA160417NIGMS NIH HHS R01 GM044100NIGMS NIH HHS R01 GM063075NIGMS NIH HHS R01 GM115366
6 · The paper itself

Abstract

Sepsis is characterized by dysregulated systemic inflammation with release of early (for example, interleukin (IL)-1β) and late (for example, HMGB1) proinflammatory mediators from macrophages. Plumbagin, a medicinal plant-derived naphthoquinone, has been reported to exhibit antiinflammatory activity, but the underling mechanisms remain unclear. Here, we have demonstrated that plumbagin inhibits the inflammatory response through interfering with the immunometabolism pathway in activated macrophages. Remarkably, plumbagin inhibited lipopolysaccharide (LPS)-induced aerobic glycolysis by downregulating the expression of pyruvate kinase M2 (PKM2), a protein kinase responsible for the final and rate-limiting reaction step of the glycolytic pathway. Moreover, the NADPH oxidase 4 (NOX4)-mediated oxidative stress was required for LPS-induced PKM2 expression, because pharmacologic or genetic inhibition of NOX4 by plumbagin or RNA interference limited LPS-induced PKM2 expression, lactate production and subsequent proinflammatory cytokine (IL-1β and HMGB1) release in macrophages. Finally, plumbagin protected mice from lethal endotoxemia and polymicrobial sepsis induced by cecal ligation and puncture. These findings identify a new approach for inhibiting the NOX4/PKM2-dependent immunometabolism pathway in the treatment of sepsis and inflammatory diseases.

Identifiers

PMID26982513
PMCPMC5004715
OpenAlexW2299168099

What OpenQuestion holds

Textmetadata
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.