Evidence map›Paper›PMID 27453505›Full record

ArticleMolecular medicine (Cambridge, Mass.)2016

Superoxide induces Neutrophil Extracellular Trap Formation in a TLR-4 and NOX-dependent mechanism.

Ahmed B Al-Khafaji, Samer Tohme, Hamza Obaid Yazdani, David Miller, Hai Huang, Allan Tsung

Open 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. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Review
  7. Nutrients · 2026
    Article
  8. Review
  9. Article
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  12. Review
  13. Article
  14. Article
  15. Article
  16. Neutrophil extracellular traps in homeostasis and disease.Signal transduction and targeted therapy · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. Citrulline is not a major determinant of autoantibody reactivity to neutrophil extracellular traps.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Review
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

6 authors at 3 institutions in 1 country.

Ahmed B Al-KhafajiDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Samer TohmeDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Hamza Obaid YazdaniDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
David MillerDepartment of Internal Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Hai HuangDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Allan TsungDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
University of Pittsburgh Medical Center · USBeth Israel Deaconess Medical Center · USUniversity of Pittsburgh · US

Funding

Postdoctoral Research Training in Biotherapy of CancerT32CA113263 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Udai S Kammula · 2006 to 2026
$3.6M
Endogenous regulators of inflammation in liver ischemia/reperfusionR01GM095566 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TSUNG, ALLAN · 2011 to 2019
$2.7M
NCI NIH HHS T32 CA113263NIGMS NIH HHS R01 GM095566
6 · The paper itself

Abstract

Neutrophils constitute the early innate immune response to perceived infectious and sterile threats. Neutrophil Extracellular Traps (NETs) are a novel mechanism to counter pathogenic invasion and sequelae of ischemia including cell death and oxidative stress. Superoxide is a radical intermediate of oxygen metabolism produced by parenchymal and non-parenchymal hepatic cells, and is a hallmark of oxidative stress after liver ischemia-reperfusion (I/R). While extracellular superoxide recruits neutrophils to the liver and initiates sterile inflammatory injury, it is unknown whether superoxide induces the formation of NETs. We hypothesize that superoxide induces NET formation through a signaling cascade involving Toll-like receptor 4 (TLR-4) and neutrophil NADPH Oxidase (NOX). We treated neutrophils with extracellular superoxide and observed NET DNA release, histone H3 citrullination, and increased levels of MPO-DNA complexes occurring in a TLR-4 dependent manner. Inhibition of superoxide generation by Allopurinol and inhibition of NOX by diphenyleneiodonium prevented NET formation. When mice were subjected to warm liver I/R, we found significant NET formation associated with liver necrosis and increased serum ALT in TLR-4 WT, but not TLR-4 KO mice. To reduce circulating superoxide we pretreated mice undergoing I/R with Allopurinol and N-acetylcysteine, which resulted in decreased NETs and ameliorated liver injury. Our study demonstrates a requirement for TLR-4 and NOX in superoxide-induced NETs, and suggests involvement of superoxide-induced NETs in pathophysiologic settings.

Indexed as

inflammationischemialiveroxidantsreactive oxygen species

Identifiers

PMID27453505
PMCPMC5082303
OpenAlexW2516783709

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.