Evidence map›Paper›PMID 33634990›Full record

ArticleClinical and translational medicine2021

Cyclosporine modulates neutrophil functions via the SIRT6-HIF-1α-glycolysis axis to alleviate severe ulcerative colitis.

Huiying Lu, Jian Lin, Chunjin Xu, Mingming Sun, Keqiang Zuo, Xiaoping Zhang, Mingsong Li, Hailiang Huang, Zhong Li, Wei Wu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. A Review on the Molecular Dynamics of EnterotypeInternational journal of molecular sciences · 2026
    Review
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  5. Article
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  14. Article
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  17. The multifaceted role of sirtuins in inflammatory bowel diseases.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  18. Article
  19. Article
  20. Article

7 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 6 institutions in 2 countries.

Huiying LuCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.ORCID 0000-0002-5460-2088
Jian LinCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Chunjin XuDepartment of Gastroenterology, First People's Hospital of Shangqiu City Affiliated to Xinxiang Medical University, Shangqiu, China.
Mingming SunCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Keqiang ZuoCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Xiaoping ZhangCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Mingsong LiDepartment of Gastroenterology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hailiang HuangAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Zhong LiShanghai Cell Therapy Group, Shanghai, China.
Wei WuCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Baisui FengDepartment of Gastroenterology, Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Zhanju LiuCenter for IBD Research, Department of Gastroenterology, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.ORCID 0000-0002-0326-543X
Tongji University · CNBroad Institute · USSecond Affiliated Hospital of Zhengzhou University · CNShanghai Cell Therapy Research Institute · CNShangqiu First People's Hospital · CNThird Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCyclosporine A (CsA) is routinely used to treat patients with steroid-refractory acute severe ulcerative colitis (ASUC). Here, we studied the underlying mechanisms of CsA-mediated alleviation in ASUC patients.

methodsNeutrophil functions including expression of cytokines, apoptosis, and migration were measured by qRT-PCR, flow cytometry, and Transwell assay. Dynamic changes of glycolysis and tricarboxylic acid (TCA) cycle were measured by a Seahorse extracellular flux analyzer. Gene differences were determined and verified by RNA sequencing, qRT-PCR, and Western blotting. Small interfering RNA and inhibitors were used to knock down Sirtuin 6 (SIRT6) in HL-60 cells and block expression of SIRT6, hypoxia-inducible factor-1α (HIF-1α), and pyruvate dehydrogenase lipoamide kinase isozyme 4 (PDK4) in neutrophils.

resultsWe found that HIF-1α expression and glycolysis significantly increased, while the release of IL-8, myeloperoxidase (MPO) and reactive oxygen species (ROS), the apoptosis, and ability of migration markedly decreased in neutrophils of ASUC patients who responded to CsA (Response group) compared with those who did not respond to CsA (Nonresponse group). We also observed that CsA-induced functional alternation of neutrophils was initiated through suppressing SIRT6 expression, which is responsible for expression of the downstream signaling molecules (e.g., HIF-1α, PFKFB3) and PDK4 ubiquitination, leading to fueling neutrophil glycolysis and TCA cycle. Furthermore, blockage of SIRT6 signaling demonstrated to be the same functional changes as CsA to decrease the migration of neutrophils.

conclusionsThe data reveal a novel mechanism of CsA in alleviating ASUC by promoting neutrophil HIF-1α expression and restricting excessive neutrophil activation in a SIRT6-HIF-1α-glycolysis axis, suggesting SIRT6 as a candidate target for maintaining mucosal homeostasis and treating intestinal inflammation.

Indexed as

AdultAgedApoptosisColitis, UlcerativeCyclosporineGlycolysisHumansHypoxia-Inducible Factor 1, alpha SubunitImmunosuppressive AgentsMaleMiddle AgedNeutrophilsPolymerase Chain ReactionSirtuinsYoung AdultCyclosporineHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitImmunosuppressive AgentsSIRT6 protein, humanSirtuinsglycolysisneutrophilSIRT6ulcerative colitis

Identifiers

PMID33634990
PMCPMC7882115
OpenAlexW3132374703

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.