Evidence map›Paper›PMID 29696019›Full record

ArticleFrontiers in immunology2018

High-Mobility Group Box 1-Induced Complement Activation Causes Sterile Inflammation.

Sook Young Kim, Myoungsun Son, Sang Eun Lee, In Ho Park, Man Sup Kwak, Myeonggil Han, Hyun Sook Lee, Eun Sook Kim, Jae-Young Kim, Jong Eun Lee and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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  10. Tracing Inflammation in Ischemic Stroke: Biomarkers and Clinical Insight.International journal of molecular sciences · 2025
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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

13 authors at 3 institutions in 2 countries.

Sook Young KimDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Myoungsun SonThe Center for Autoimmune Musculoskeletal and Hematopoietic Diseases, The Feinstein Institute for Medical Research, Manhasset, NY, United States.
Sang Eun LeeDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
In Ho ParkDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Man Sup KwakDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Myeonggil HanDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Hyun Sook LeeDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Eun Sook KimDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Jae-Young KimDepartment of Anatomy, Yonsei University College of Medicine, Seoul, South Korea.
Jong Eun LeeDepartment of Anatomy, Yonsei University College of Medicine, Seoul, South Korea.
Ji Eun ChoiDepartment of Pediatrics, Seoul National University Boramae Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Betty DiamondThe Center for Autoimmune Musculoskeletal and Hematopoietic Diseases, The Feinstein Institute for Medical Research, Manhasset, NY, United States.
Jeon-Soo ShinDepartment of Microbiology, Yonsei University College of Medicine, Seoul, South Korea.
Yonsei University · KRFeinstein Institute for Medical Research · USSeoul National University Hospital · KR

Funding

The Monoclonal Antibody and Reagent CoreP01AI073693 · NIAID · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI Cynthia Aranow · 2008 to 2026
$45.8M
Targeting cognitive and immune impairment in sepsis survivorsP01AI102852 · NIAID · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI VOLPE, BRUCE THOMAS · 2014 to 2018
$11.5M
Molecular Basis of Bioelectronic MedicineR35GM118182 · NIGMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI TRACEY, KEVIN J · 2016 to 2025
$7.3M
Regulation of LAIR-1 in LupusK01AR065506 · NIAMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SON, MYOUNGSUN · 2014 to 2018
$639k
NIAID NIH HHS P01 AI073693NIAID NIH HHS P01 AI102852NIAMS NIH HHS K01 AR065506
6 · The paper itself

Abstract

High-mobility group box 1 (HMGB1), a well-known danger-associated molecular pattern molecule, acts as a pro-inflammatory molecule when secreted by activated immune cells or released after necrotic cell damage. HMGB1 binds to immunogenic bacterial components and augments septic inflammation. In this study, we show how HMGB1 mediates complement activation, promoting sterile inflammation. We show that HMGB1 activates the classical pathway of complement system in an antibody-independent manner after binding to C1q. The C3a complement activation product in human plasma and C5b-9 membrane attack complexes on cell membrane surface are detected after the addition of HMGB1. In an acetaminophen (APAP)-induced hepatotoxicity model, APAP injection reduced HMGB1 levels and elevated C3 levels in C1q-deficient mouse serum samples, compared to that in wild-type (WT) mice. APAP-induced C3 consumption was inhibited by sRAGE treatment in WT mice. Moreover, in a mouse model of brain ischemia-reperfusion injury based on middle cerebral arterial occlusion, C5b-9 complexes were deposited on vessels where HMGB1 was accumulated, an effect that was suppressed upon HMGB1 neutralization. We propose that the HMGB1 released after cell necrosis and in ischemic condition can trigger the classical pathway of complement activation to exacerbate sterile inflammation.

Indexed as

AcetaminophenAnimalsAntibodies, NeutralizingBiomarkersCell LineChemical and Drug Induced Liver InjuryComplement ActivationComplement Pathway, ClassicalComplement System ProteinsDisease Models, AnimalHMGB1 ProteinHumansImmunohistochemistryInflammationMaleMiceAcetaminophenAntibodies, NeutralizingBiomarkersComplement System ProteinsHMGB1 Proteincomplementhepatotoxicityhigh-mobility group box 1ischemiasterile inflammation

Identifiers

PMID29696019
PMCPMC5904255
OpenAlexW2797816243

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.