Evidence map›Paper›PMID 34218252›Full record

ArticleCell death & disease2021

Circulating mitochondrial DNA-triggered autophagy dysfunction via STING underlies sepsis-related acute lung injury.

Qinjie Liu, Jie Wu, Xufei Zhang, Xuanheng Li, Xiuwen Wu, Yun Zhao, Jianan Ren

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed
12.5field-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

91 citing papers in PubMed, 120 citations in OpenAlex.

  1. Fecal microbiota transplantation alleviates sepsis-induced acute lung injury by improving mitochondrial function.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
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  7. mRedox biology · 2026
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  11. Cell-Free DNA-Based Theranostics for Inflammatory Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  12. Dual-function cytokines as modulators of autophagy: reprogramming inflammatory resolution in severe COVID-19.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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31 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

7 authors at 2 institutions in 1 country.

Qinjie Liu *Research Institute of General Surgery, Jinling Hospital, Medical school of Nanjing University, Nanjing, China.
Jie Wu *Department of General Surgery, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-7494-2979
Xufei ZhangResearch Institute of General Surgery, Jinling Hospital, School of Medicine, Southeast University, Nanjing, China.
Xuanheng LiResearch Institute of General Surgery, Jinling Hospital, Nanjing Medical University, Nanjing, China.
Xiuwen WuResearch Institute of General Surgery, Jinling Hospital, Nanjing, China. lygwxw@163.com.
Yun ZhaoDepartment of General Surgery, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, China. zhaoyun0562019@163.com.
Jianan RenResearch Institute of General Surgery, Jinling Hospital, Medical school of Nanjing University, Nanjing, China. jiananr@gmail.com.ORCID 0000-0002-4697-4762
Nanjing General Hospital of Nanjing Military Command · CNNanjing Medical University · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81772052National Natural Science Foundation of China (National Science Foundation of China) 82072149National Natural Science Foundation of China (National Science Foundation of China) 82072223Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20201116
6 · The paper itself

Abstract

The STING pathway and its induction of autophagy initiate a potent immune defense response upon the recognition of pathogenic DNA. However, this protective response is minimal, as STING activation worsens organ damage, and abnormal autophagy is observed during progressive sepsis. Whether and how the STING pathway affects autophagic flux during sepsis-induced acute lung injury (sALI) are currently unknown. Here, we demonstrate that the level of circulating mtDNA and degree of STING activation are increased in sALI patients. Furthermore, STING activation was found to play a pivotal role in mtDNA-mediated lung injury by evoking an inflammatory storm and disturbing autophagy. Mechanistically, STING activation interferes with lysosomal acidification in an interferon (IFN)-dependent manner without affecting autophagosome biogenesis or fusion, aggravating sepsis. Induction of autophagy or STING deficiency alleviated lung injury. These findings provide new insights into the role of STING in the regulatory mechanisms behind extrapulmonary sALI.

Indexed as

AutophagyAcute Lung InjuryAnimalsAutophagy-Related ProteinsCell-Free Nucleic AcidsDisease Models, AnimalDNA, MitochondrialHumansHydrogen-Ion ConcentrationInflammation MediatorsInterferonsLungLysosomesMembrane ProteinsMiceMice, Inbred C57BLAutophagy-Related ProteinsCell-Free Nucleic AcidsDNA, MitochondrialInflammation MediatorsInterferonsMembrane ProteinsSTING1 protein, humanSting1 protein, mouseSTING Protein

Identifiers

PMID34218252
PMCPMC8254453
OpenAlexW3180609507

What OpenQuestion holds

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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.