Evidence map›Paper›PMID 29611822›Full record

ArticleThe Journal of clinical investigation2018

Autoinhibitory regulation of S100A8/S100A9 alarmin activity locally restricts sterile inflammation.

Thomas Vogl, Athanasios Stratis, Viktor Wixler, Tom Völler, Sumita Thurainayagam, Selina K Jorch, Stefanie Zenker, Alena Dreiling, Deblina Chakraborty, Mareike Fröhling and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed
9.2field-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

133 citing papers in PubMed, 224 citations in OpenAlex.

  1. Review
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  13. Frontiers in microbiology · 2026
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  15. CCR1Frontiers in immunology · 2026
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  17. Cytosolic proliferating cell nuclear antigen (PCNA) orchestrates neutrophil hyperactivation in COVID-19.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. Review
  19. Article
  20. Article

73 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

24 authors at 7 institutions in 5 countries.

Thomas VoglInstitute of Immunology, and.
Athanasios StratisInstitute of Musculoskeletal Medicine and.
Viktor WixlerInstitute of Molecular Virology, Zentrum für Molekularbiologie der Entzündung (ZMBE), University Hospital Münster, Münster, Germany.
Tom VöllerInstitute of Immunology, and.
Sumita ThurainayagamInstitute of Immunology, and.
Selina K JorchInstitute of Immunology, and.
Stefanie ZenkerInstitute of Immunology, and.
Alena DreilingInterdisciplinary Center for Clinical Research, University of Münster, Münster, Germany.
Deblina ChakrabortyInstitute of Immunology, and.
Mareike FröhlingInstitute of Musculoskeletal Medicine and.
Peter ParuzelInstitute of Musculoskeletal Medicine and.
Corinna WehmeyerInstitute of Musculoskeletal Medicine and.
Sven HermannInterdisciplinary Center for Clinical Research, University of Münster, Münster, Germany.
Olympia PapantonopoulouGenomics and Immunoregulation, Life & Medical Sciences-Institute (LIMES-Institute), University of Bonn, Bonn, Germany.
Christiane GeyerInterdisciplinary Center for Clinical Research, University of Münster, Münster, Germany.
Karin LoserInterdisciplinary Center for Clinical Research, University of Münster, Münster, Germany.
Michael SchäfersInterdisciplinary Center for Clinical Research, University of Münster, Münster, Germany.
Stephan LudwigInstitute of Molecular Virology, Zentrum für Molekularbiologie der Entzündung (ZMBE), University Hospital Münster, Münster, Germany.
Monika StollInstitute of Human Genetics, Genetic Epidemiology, University of Muenster, Muenster, Germany.
Tomas LeandersonDepartment of Experimental Medical Science, Immunology Group, Lund University, Lund, Sweden.
Joachim L SchultzeGenomics and Immunoregulation, Life & Medical Sciences-Institute (LIMES-Institute), University of Bonn, Bonn, Germany.
Simone KönigInterdisciplinary Center for Clinical Research, University of Münster, Münster, Germany.
Thomas PapInstitute of Musculoskeletal Medicine and.
Johannes RothInstitute of Immunology, and.
Institute for Musculoskeletal Health · AUInstitute of Immunology · HRUniversity of Münster · DEBlackberry (United States) · USUniversity of Bonn · DELund University · SEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune diseases, such as psoriasis and arthritis, show a patchy distribution of inflammation despite systemic dysregulation of adaptive immunity. Thus, additional tissue-derived signals, such as danger-associated molecular patterns (DAMPs), are indispensable for manifestation of local inflammation. S100A8/S100A9 complexes are the most abundant DAMPs in many autoimmune diseases. However, regulatory mechanisms locally restricting DAMP activities are barely understood. We now unravel for the first time, to our knowledge, a mechanism of autoinhibition in mice and humans restricting S100-DAMP activity to local sites of inflammation. Combining protease degradation, pull-down assays, mass spectrometry, and targeted mutations, we identified specific peptide sequences within the second calcium-binding EF-hands triggering TLR4/MD2-dependent inflammation. These binding sites are free when S100A8/S100A9 heterodimers are released at sites of inflammation. Subsequently, S100A8/S100A9 activities are locally restricted by calcium-induced (S100A8/S100A9)2 tetramer formation hiding the TLR4/MD2-binding site within the tetramer interphase, thus preventing undesirable systemic effects. Loss of this autoinhibitory mechanism in vivo results in TNF-α-driven fatal inflammation, as shown by lack of tetramer formation in crossing S100A9-/- mice with 2 independent TNF-α-transgene mouse strains. Since S100A8/S100A9 is the most abundant DAMP in many inflammatory diseases, specifically blocking the TLR4-binding site of active S100 dimers may represent a promising approach for local suppression of inflammatory diseases, avoiding systemic side effects.

Indexed as

AlarminsAnimalsArthritisBinding SitesCalgranulin ACalgranulin BInflammationMiceMice, KnockoutProto-Oncogene Proteins c-mdm2PsoriasisToll-Like Receptor 4AlarminsCalgranulin ACalgranulin BMdm2 protein, mouseProto-Oncogene Proteins c-mdm2S100a8 protein, mouseS100A9 protein, mouseTlr4 protein, mouseToll-Like Receptor 4AutoimmunityInflammationInnate immunity

Identifiers

PMID29611822
PMCPMC5919817
OpenAlexW2795539529

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.