Evidence map›Paper›PMID 32251403›Full record

ArticleNature immunology2020

Blocking elevated p38 MAPK restores efferocytosis and inflammatory resolution in the elderly.

Roel P H De Maeyer, Rachel C van de Merwe, Rikah Louie, Olivia V Bracken, Oliver P Devine, Daniel R Goldstein, Mohib Uddin, Arne N Akbar, Derek W Gilroy

Erratum issuedAbstract read
In one paragraph

Article in Nature immunology, 2020. 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 115 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

115 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. Neutrophil death-more than meets the eye.Experimental hematology · 2025
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55 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Roel P H De Maeyer *Division of Medicine, University College London, London, UK.ORCID http://orcid.org/0000-0003-4041-0867
Rachel C van de Merwe *Division of Medicine, University College London, London, UK.
Rikah LouieDivision of Medicine, University College London, London, UK.
Olivia V BrackenDivision of Medicine, University College London, London, UK.
Oliver P DevineDivision of Infection and Immunity, University College London, London, UK.
Daniel R GoldsteinDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-6695-979X
Mohib UddinRespiratory Global Medicines Development, AstraZeneca, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-2412-2657
Arne N AkbarDivision of Infection and Immunity, University College London, London, UK.ORCID http://orcid.org/0000-0002-3763-9380
Derek W GilroyDivision of Medicine, University College London, London, UK. d.gilroy@ucl.ac.uk.ORCID http://orcid.org/0000-0003-3476-0844

Funding

Mechanisms to augment primary immunity in agingR01AG028082 · NIA · YALE UNIVERSITY · PI DENG, JANE C · 2007 to 2023
$6.9M
Physician Scientist Training in Age-Related DiseasesT32AG062403 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIN, LILLIAN CHIANG, MODY, LONA · 2020 to 2025
$2.7M
Novel Inflammatory Pathway of Aged-Enhanced AtherosclerosisR01HL127687 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDSTEIN, DANIEL ROBERT · 2016 to 2019
$1.6M
Academic leadership in the Biology of Aging and Cardiovascular DiseasesK07AG050096 · NIA · YALE UNIVERSITY · PI GOLDSTEIN, DANIEL ROBERT · 2015 to 2019
$651k
Department of HealthMedical Research Council MR/J006610/1Medical Research Council MR/M003833/1NHLBI NIH HHS R01 HL127687NIA NIH HHS K07 AG050096NIA NIH HHS R01 AG028082NIA NIH HHS T32 AG062403Wellcome Trust
6 · The paper itself

Abstract

Increasing age alters innate immune-mediated responses; however, the mechanisms underpinning these changes in humans are not fully understood. Using a human dermal model of acute inflammation, we found that, although inflammatory onset is similar between young and elderly individuals, the resolution phase was substantially impaired in elderly individuals. This arose from a reduction in T cell immunoglobulin mucin receptor-4 (TIM-4), a phosphatidylserine receptor expressed on macrophages that enables the engulfment of apoptotic bodies, so-called efferocytosis. Reduced TIM-4 in elderly individuals was caused by an elevation in macrophage p38 mitogen-activated protein kinase (MAPK) activity. Administering an orally active p38 inhibitor to elderly individuals rescued TIM-4 expression, cleared apoptotic bodies and restored a macrophage resolution phenotype. Thus, inhibiting p38 in elderly individuals rejuvenated their resolution response to be more similar to that of younger people. This is the first resolution defect identified in humans that has been successfully reversed, thereby highlighting the tractability of targeting pro-resolution biology to treat diseases driven by chronic inflammation.

Indexed as

AgedAge FactorsAnimalsApoptosisBlisterCantharidinGene ExpressionHumansImmunity, InnateInflammationMacrophagesMaleMembrane ProteinsNeutrophilsp38 Mitogen-Activated Protein KinasesPhagocytosisCantharidinMembrane Proteinsp38 Mitogen-Activated Protein Kinasesphosphatidylserine receptorReceptors, Cell SurfaceTIMD4 protein, human

Identifiers

PMID32251403
PMCPMC7983074

What OpenQuestion holds

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Registered trials

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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.