Evidence map›Paper›PMID 37965920›Full record

ArticleEMBO reports2023

Trained immunity induced by high-salt diet impedes stroke recovery.

Tze-Yen Lin, Danye Jiang, Wan-Ru Chen, Jhih Syuan Lin, Xin-Yu Zhang, Chih-Hung Chen, Chia-Lang Hsu, Liang-Chuan Lai, Ping-Hung Chen, Kai-Chien Yang and 2 more

Open access · hybridAbstract read
In one paragraph

Article in EMBO reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  7. Article
  8. Review
  9. 5-HTThe Journal of physiology · 2025
    Article
  10. Review
  11. Article
  12. Review
  13. Role of Trained Immunity in Heath and Disease.Current cardiology reports · 2025
    Review
  14. Trained Innate Immunity.Advances in experimental medicine and biology · 2025
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Trained Innate Immunity in Animal Models of Cardiovascular Diseases.International journal of molecular sciences · 2024
    Review
  20. Article
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 4 institutions in 2 countries.

Tze-Yen LinDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0002-0662-2535
Danye JiangDepartment of Neurology, McGovern Medical School at the University of Texas Health Science Center in Houston, Houston, TX, USA.ORCID 0000-0003-3682-5912
Wan-Ru ChenDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0002-2665-3646
Jhih Syuan LinDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Xin-Yu ZhangDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0009-0008-1102-125X
Chih-Hung ChenDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Chia-Lang HsuDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-7447-8045
Liang-Chuan LaiDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0002-3913-5338
Ping-Hung ChenDepartment and Graduate Institute of Biochemistry and Molecular Biology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0002-7156-0510
Kai-Chien YangDepartment and Graduate Institute of Pharmacology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0002-9128-9166
Lauren H SansingDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-6898-1680
Che-Feng ChangDepartment and Graduate Institute of Physiology, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0002-3211-1739
National Taiwan University · TWNational Taiwan University Hospital · TWThe University of Texas Health Science Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

A high-salt diet (HSD) elicits sustained sterile inflammation and worsens tissue injury. However, how this occurs after stroke, a leading cause of morbidity and mortality, remains unknown. Here, we report that HSD impairs long-term brain recovery after intracerebral hemorrhage, a severe form of stroke, despite salt withdrawal prior to the injury. Mechanistically, HSD induces innate immune priming and training in hematopoietic stem and progenitor cells (HSPCs) by downregulation of NR4a family and mitochondrial oxidative phosphorylation. This training compromises alternative activation of monocyte-derived macrophages (MDMs) without altering the initial inflammatory responses of the stroke brain. Healthy mice transplanted with bone marrow from HSD-fed mice retain signatures of reduced MDM reparative functions, further confirming a persistent form of innate immune memory that originates in the bone marrow. Loss of NR4a1 in macrophages recapitulates HSD-induced negative impacts on stroke outcomes while gain of NR4a1 enables stroke recovery in HSD animals. Together, we provide the first evidence that links HSD-induced innate immune memory to the acquisition of persistent dysregulated inflammatory responses and unveils NR4a1 as a potential therapeutic target.

Indexed as

StrokeTrained ImmunityAnimalsDietImmunity, InnateInflammationMacrophagesMiceSodium Chloride, DietarySodium Chloride, Dietaryhigh-salt dietintracerebral hemorrhagemacrophagesnr4a1trained immunity

Identifiers

PMID37965920
PMCPMC10702837
OpenAlexW4388688990

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.