Evidence map›Paper›PMID 33369167›Full record

ArticleJournal of cellular and molecular medicine2021

KLF4 down-regulation resulting from TLR4 promotion of ERK1/2 phosphorylation underpins inflammatory response in sepsis.

Chunwen Li, Lei Yu, Chao Mai, Tianyi Mu, Yong Zeng

Open access · goldAbstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Epigenetic mechanism of HDAC5 in sepsis-induced acute intestinal injury through KLF4-mediated intestinal epithelial cell ferroptosis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  2. Article
  3. The AGO2-ATOX1 axis exacerbates inflammation in a mouse sepsis model.Central-European journal of immunology · 2026
    Article
  4. Review
  5. Cells · 2025
    Review
  6. Review
  7. MedComm · 2025
    Article
  8. KLF feedback loops in innate immunity.Frontiers in immunology · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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

5 authors at 2 institutions in 1 country.

Chunwen LiEmergency Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Lei YuEmergency Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chao MaiEmergency Department, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Tianyi MuEmergency Department, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Yong ZengEmergency Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-5264-4834
Dalian Medical University · CNAffiliated Hospital of North Sichuan Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is a systemic inflammatory response to invading pathogens, leading to high mortality rates in intensive care units worldwide. Krüppel-like factor 4 (KLF4) is an important anti-inflammatory transcription factor. In this study, we investigate the anti-inflammatory role of KLF4 in caecal ligation and puncture (CLP)-induced septic mice and lipopolysaccharide (LPS)-induced RAW264.7 cells and its potential mechanism. We found that KLF4 was down-regulated in CLP-induced septic mice and in LPS-induced RAW264.7 cells, and that its overexpression led to increased survival rates of septic mice along with inhibited inflammatory response in vivo and in vitro. ITGA2B was up-regulated in the setting of sepsis and was inhibited by KLF4 overexpression. ITGA2B knock-down mimicked the effects of KLF4 overexpression on septic mice and LPS-induced RAW264.7 cells. TLR4 promoted the phosphorylation of ERK1/2 and then up-regulated the ubiquitination and the degradation of KLF4, thereby elevating the expression of ITGA2B. Moreover, TLR4 knock-down or treatment with PD98059 (a MEK inhibitor) inhibited inflammatory response in the setting of sepsis in vivo and in vitro. Furthermore, this effect of PD98059 treatment was lost upon KLF4 knock-down. Collectively, these results explain the down-regulation of KLF4 in sepsis, namely via TLR4 promotion of ERK1/2 phosphorylation, and identify ITGA2B as the downstream gene of KLF4, thus highlighting the anti-inflammatory role of KLF4 in sepsis.

Indexed as

AnimalsBiomarkersDisease Models, AnimalGene ExpressionIntegrin alpha2Kruppel-Like Factor 4Kruppel-Like Transcription FactorsLipopolysaccharidesMaleMiceMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3Models, BiologicalPhosphorylationRAW 264.7 CellsSepsisBiomarkersIntegrin alpha2Klf4 protein, mouseKruppel-Like Factor 4Kruppel-Like Transcription FactorsLipopolysaccharidesMapk1 protein, mouseMapk3 protein, mouseMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3Toll-Like Receptor 4extracellular regulated kinase 1/2inflammationIntegrin Alpha 2BKrüppel-like factor 4sepsisToll-like receptor 4

Identifiers

PMID33369167
PMCPMC7882990
OpenAlexW3116955683

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.