Evidence map›Paper›PMID 34965880›Full record

ArticleJournal of neuroinflammation2021

Circulating extracellular vesicles activate the pyroptosis pathway in the brain following ventilation-induced lung injury.

Laura Chavez, Julia Meguro, Shaoyi Chen, Vanessa Nunes de Paiva, Ronald Zambrano, Julia M Eterno, Rahul Kumar, Matthew R Duncan, Merline Benny, Karen C Young and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. Structural and molecular principles of DAMP biology.Nature structural & molecular biology · 2026
    Review
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  6. Rewiring the Lung-CNS Axis After Spinal Cord Injury.Journal of inflammation research · 2026
    Review
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  8. Article
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  16. Immune-related transcriptomic and epigenetic reconfiguration in BV2 cells after lipopolysaccharide exposure: an in vitro omics integrative study.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
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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

14 authors at 1 institution in 1 country.

Laura ChavezDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Julia MeguroDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Shaoyi ChenDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Vanessa Nunes de PaivaDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Ronald ZambranoDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Julia M EternoDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Rahul KumarDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Matthew R DuncanDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Merline BennyDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Karen C YoungDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
W Dalton DietrichThe Miami Project To Cure Paralysis, Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Roberta BrambillaThe Miami Project To Cure Paralysis, Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Shu WuDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA.
Augusto F SchmidtDepartment of Pediatrics, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL, 33136, USA. aschmidt@med.miami.edu.
University of Miami · US

Funding

Exosomal Gasdermin D Mediated Lung to Brain Crosswalk in Preterm Brain InjuryR01HL156803 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WU, SHU · 2020 to 2023
$2.4M
Exosomal-mediated pyroptosis in ventilation-associated preterm brain injuryK08HD102718 · NICHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SANTOS SCHMIDT, AUGUSTO F · 2020 to 2024
$689k
eunice kennedy shriver national institute of child health and human development K08HD102718NHLBI NIH HHS R01 HL156803NHLBI NIH HHS R01HL156803NICHD NIH HHS K08 HD102718
6 · The paper itself

Abstract

backgroundMechanical ventilation of preterm newborns causes lung injury and is associated with poor neurodevelopmental outcomes. However, the mechanistic links between ventilation-induced lung injury (VILI) and brain injury is not well defined. Since circulating extracellular vesicles (EVs) are known to link distant organs by transferring their cargos, we hypothesized that EVs mediate inflammatory brain injury associated with VILI.

methodsNeonatal rats were mechanically ventilated with low (10 mL/kg) or high (25 mL/kg) tidal volume for 1 h on post-natal day 7 followed by recovery for 2 weeks. Exosomes were isolated from the plasma of these rats and adoptively transferred into normal newborn rats. We assessed the effect of mechanical ventilation or exosome transfer on brain inflammation and activation of the pyroptosis pathway by western blot and histology.

resultsInjurious mechanical ventilation induced similar markers of inflammation and pyroptosis, such as increased IL-1β and activated caspase-1/gasdermin D (GSDMD) in both lung and brain, in addition to inducing microglial activation and cell death in the brain. Isolated EVs were enriched for the exosomal markers CD9 and CD81, suggesting enrichment for exosomes. EVs isolated from neonatal rats with VILI had increased caspase-1 but not GSDMD. Adoptive transfer of these EVs led to neuroinflammation with microglial activation and activation of caspase-1 and GSDMD in the brain similar to that observed in neonatal rats that were mechanically ventilated.

conclusionsThese findings suggest that circulating EVs can contribute to the brain injury and poor neurodevelopmental outcomes in preterm infants with VILI through activation of GSDMD.

Indexed as

AnimalsAnimals, NewbornBrainCaspase 1ExosomesExtracellular VesiclesFemaleGasderminsInflammation MediatorsInterleukin-1betaMalePhosphate-Binding ProteinsPore Forming Cytotoxic ProteinsPregnancyPyroptosisRatsCaspase 1GasderminsGsdmd protein, ratIL1B protein, ratInflammation MediatorsInterleukin-1betaPhosphate-Binding ProteinsPore Forming Cytotoxic ProteinsBrain injuryGasdermin DLung injuryMechanical ventilationPrematurityPyroptosis

Identifiers

PMID34965880
PMCPMC8717639
OpenAlexW4200174135

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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.