Evidence map›Paper›PMID 29875325›Full record

ArticleJCI insight2018

Macrophage P2X4 receptors augment bacterial killing and protect against sepsis.

Balázs Csóka, Zoltán H Németh, Ildikó Szabó, Daryl L Davies, Zoltán V Varga, János Pálóczi, Simonetta Falzoni, Francesco Di Virgilio, Rieko Muramatsu, Toshihide Yamashita and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
9.3field-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

63 citing papers in PubMed, 111 citations in OpenAlex.

  1. Neuroglial P2YJournal of neuroinflammation · 2026
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  3. Research square · 2026
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3 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

12 authors at 7 institutions in 4 countries.

Balázs CsókaDepartment of Anesthesiology, Columbia University, New York, New York, USA.
Zoltán H NémethDepartment of Anesthesiology, Columbia University, New York, New York, USA.
Ildikó SzabóDepartment of Medical Chemistry, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary.
Daryl L DaviesTitus Family Department of Clinical Pharmacy, School of Pharmacy, USC, Los Angeles, California, USA.
Zoltán V VargaNational Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland, USA.
János PálócziNational Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland, USA.
Simonetta FalzoniDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Francesco Di VirgilioDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
Rieko MuramatsuDepartment of Molecular Neuroscience, Graduate School of Medicine, Osaka University, Osaka, Japan.
Toshihide YamashitaDepartment of Molecular Neuroscience, Graduate School of Medicine, Osaka University, Osaka, Japan.
Pál PacherNational Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland, USA.
György HaskóDepartment of Anesthesiology, Columbia University, New York, New York, USA.
National Institute on Alcohol Abuse and Alcoholism · USColumbia University · USThe University of Osaka · JPUniversity of Ferrara · ITLAC+USC Medical Center · USRutgers, The State University of New Jersey · USUniversity of Debrecen · HU

Funding

Mechanism of oxidative/nitrosative stress and inflammation-induced tissue injuryZIAAA000375 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI PACHER, PAL · 2009 to 2025
$27.8M
Purinergic signaling in trauma and sepsisR01GM066189 · NIGMS · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI HASKO, GEORGE · 2002 to 2020
$4.7M
Regulation of Alcohol Intake by Purinergic P2X4 ReceptorsR01AA022448 · NIAAA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DAVIES, DARYL L · 2013 to 2020
$2.9M
Purinergic signaling in granuloma-forming Th2 immunityR01DK113790 · NIDDK · RBHS-NEW JERSEY MEDICAL SCHOOL · PI GAUSE, WILLIAM CLARK, HASKO, GEORGE · 2017 to 2020
$1.9M
Adenosine in trauma and sepsisR56GM066189 · NIGMS · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI HASKO, GYORGY · 2007 to 2007
$272k
NIAAA NIH HHS R01 AA022448NIDDK NIH HHS R01 DK113790NIGMS NIH HHS R01 GM066189NIGMS NIH HHS R56 GM066189
6 · The paper itself

Abstract

The macrophage is a major phagocytic cell type, and its impaired function is a primary cause of immune paralysis, organ injury, and death in sepsis. An incomplete understanding of the endogenous molecules that regulate macrophage bactericidal activity is a major barrier for developing effective therapies for sepsis. Using an in vitro killing assay, we report here that the endogenous purine ATP augments the killing of sepsis-causing bacteria by macrophages through P2X4 receptors (P2X4Rs). Using newly developed transgenic mice expressing a bioluminescent ATP probe on the cell surface, we found that extracellular ATP levels increase during sepsis, indicating that ATP may contribute to bacterial killing in vivo. Studies with P2X4R-deficient mice subjected to sepsis confirm the role of extracellular ATP acting on P2X4Rs in killing bacteria and protecting against organ injury and death. Results with adoptive transfer of macrophages, myeloid-specific P2X4R-deficient mice, and P2rx4 tdTomato reporter mice indicate that macrophages are essential for the antibacterial, antiinflammatory, and organ protective effects of P2X4Rs in sepsis. Pharmacological targeting of P2X4Rs with the allosteric activator ivermectin protects against bacterial dissemination and mortality in sepsis. We propose that P2X4Rs represent a promising target for drug development to control bacterial growth in sepsis and other infections.

Indexed as

Adoptive TransferAnimalsDisease Models, AnimalEscherichia coliHumansIvermectinMacrophagesMaleMiceMice, KnockoutMice, TransgenicReceptors, Purinergic P2X4SepsisStaphylococcus aureusIvermectinP2rx4 protein, mouseReceptors, Purinergic P2X4Cell BiologyInnate immunity

Identifiers

PMID29875325
PMCPMC5997389
OpenAlexW2806463034

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.