Evidence map›Paper›PMID 34004605›Full record

ReviewJournal of innate immunity2021

Intracellular and Extracellular Lipopolysaccharide Signaling in Sepsis: Avenues for Novel Therapeutic Strategies.

Ramy S Gabarin, Manshu Li, Paige A Zimmel, John C Marshall, Yimin Li, Haibo Zhang

Open access · goldAbstract readReview
In one paragraph

Review in Journal of innate immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
9.4field-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

78 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
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  9. Review
  10. Article
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  12. Variable progressive behavior ofFrontiers in immunology · 2026
    Article
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  16. Article
  17. Article
  18. Article
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  20. Article

18 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

6 authors at 3 institutions in 2 countries.

Ramy S GabarinKeenan Research Center for Biomedical Science of Unity Health Toronto, Toronto, Ontario, Canada.
Manshu LiKeenan Research Center for Biomedical Science of Unity Health Toronto, Toronto, Ontario, Canada.
Paige A ZimmelKeenan Research Center for Biomedical Science of Unity Health Toronto, Toronto, Ontario, Canada.
John C MarshallKeenan Research Center for Biomedical Science of Unity Health Toronto, Toronto, Ontario, Canada.
Yimin LiKeenan Research Center for Biomedical Science of Unity Health Toronto, Toronto, Ontario, Canada.
Haibo ZhangKeenan Research Center for Biomedical Science of Unity Health Toronto, Toronto, Ontario, Canada.
Unity Health TorontoGuangzhou Medical University · CNUniversity of Toronto · CA

Funding

CIHR FDN143285
6 · The paper itself

Abstract

Sepsis is defined as organ dysfunction due to a dysregulated systemic host response to infection. During gram-negative bacterial infection and other acute illness such as absorption from the gut infection, lipopolysaccharide (LPS) is a major mediator in sepsis. LPS is able to trigger inflammation through both intracellular and extracellular pathways. Classical interactions between LPS and host cells first involve LPS binding to LPS binding protein (LBP), a carrier. The LPS-LBP complex then binds to a receptor complex including the CD14, MD2, and toll-like receptor 4 (TLR4) proteins, initiating a signal cascade which triggers the secretion of pro-inflammatory cytokines. However, it has been established that LPS is also internalized by macrophages and endothelial cells through TLR4-independent pathways. Once internalized, LPS is able to bind to the cytosolic receptors caspases-4/5 in humans and the homologous caspase-11 in mice. Bound caspases-4/5 oligomerize and trigger the assembly of the nucleotide-binding domain, leucine-rich-containing family, pyrin domain-containing-3 inflammasome followed by the activation of inflammatory caspase-1 resulting in subsequent release of interleukin-1β. Caspases-4/5 also activate the perforin gasdermin D and purinergic receptor P2X7, inducing cell lysis and pyroptosis. Pyroptosis is a notable source of inflammation and damage to the lung endothelial barrier during sepsis. Thus, inhibition of caspases-4/5/1 or downstream effectors to block intracellular LPS signaling may be a promising therapeutic approach in adjunction with neutralizing extracellular LPS for treatment of sepsis.

Indexed as

LipopolysaccharidesSepsisAnimalsEndothelial CellsInflammasomesMicePyroptosisInflammasomesLipopolysaccharidesIntracellular signalingLipopolysaccharidePyroptosisSepsisTherapy

Identifiers

PMID34004605
PMCPMC8613564
OpenAlexW3162005964

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.