Evidence map›Paper›PMID 36855150›Full record

ReviewCritical care (London, England)2023

Targeting circulating high mobility group box-1 and histones by extracorporeal blood purification as an immunomodulation strategy against critical illnesses.

Yupei Li, Yu Chen, Tinghang Yang, Kaixi Chang, Ningyue Deng, Weifeng Zhao, Baihai Su

Open access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Regulation of histones in thromboinflammation.Frontiers in immunology · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Targeting HMGB1: A Potential Therapeutic Strategy for Chronic Kidney Disease.International journal of biological sciences · 2023
    Review
  12. Review
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 3 institutions in 1 country.

Yupei LiDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
Yu ChenState Key Laboratory of Polymer Materials Engineering, College of Polymer Science and Engineering, Sichuan University, Chengdu, China.
Tinghang YangDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
Kaixi ChangDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
Ningyue DengDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
Weifeng ZhaoState Key Laboratory of Polymer Materials Engineering, College of Polymer Science and Engineering, Sichuan University, Chengdu, China. zhaoscukth@163.com.
Baihai SuDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China. subaihai@scu.edu.cn.
Sichuan University · CNSichuan Research Center of New Materials · CNWest China Hospital of Sichuan University · CN

Funding

1.3.5 Project for Disciplines of Excellence from West China Hospital of Sichuan University ZYJC21010Med+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University ZYME20001Med-X Innovation Programme of Med-X Center for Materials of Sichuan University MCM202101Sichuan Province Science and Technology Support Program 2022YFS0147Sichuan Province Science and Technology Support Program 2023NSFSC1531
6 · The paper itself

Abstract

Both high mobility group box-1 (HMGB1) and histones are major damage-associated molecular patterns (DAPMs) that mediate lethal systemic inflammation, activation of the complement and coagulation system, endothelial injury and multiple organ dysfunction syndrome in critical illnesses. Although accumulating evidence collectively shows that targeting HMGB1 or histones by their specific antibodies or inhibitors could significantly mitigate aberrant immune responses in multiple critically ill animal models, routine clinical use of such agents is still not recommended by any guideline. In contrast, extracorporeal blood purification, which has been widely used to replace dysfunctional organs and remove exogenous or endogenous toxins in intensive care units, may also exert an immunomodulatory effect by eliminating inflammatory mediators such as cytokines, endotoxin, HMGB1 and histones in patients with critical illnesses. In this review, we summarize the multiple immunopathological roles of HMGB1 and histones in mediating inflammation, immune thrombosis and organ dysfunction and discuss the rationale for the removal of these DAMPs using various hemofilters. The latest preclinical and clinical evidence for the use of extracorporeal blood purification to improve the clinical outcome of critically ill patients by targeting circulating HMGB1 and histones is also gathered.

Indexed as

HistonesHMGB1 ProteinAlarminsAnimalsCritical IllnessImmunomodulationInflammationAlarminsHistonesHMGB1 ProteinCritical illnessExtracorporeal blood purificationHigh mobility group box-1HistoneInflammationSepsis

Identifiers

PMID36855150
PMCPMC9972334
OpenAlexW4322719373

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.