Evidence map›Paper›PMID 38442017›Full record

ArticleCell reports2024

Altered DNA methylation underlies monocyte dysregulation and immune exhaustion memory in sepsis.

Blake A Caldwell, Yajun Wu, Jing Wang, Liwu Li

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 33 citations in OpenAlex.

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  7. Trained immunity in respiratory diseases: Mechanisms of action and intervention strategies.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  8. Docosahexaenoic acid supplementation inhibits monocyte exhaustion memory formation during sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
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  16. Propagation of monocyte exhaustion memory and underlying mechanisms.Cell communication and signaling : CCS · 2025
    Article
  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Blake A CaldwellDepartment of Biological Sciences, Virginia Tech, Blacksburg, VA 24061-0910, USA.
Yajun WuDepartment of Biological Sciences, Virginia Tech, Blacksburg, VA 24061-0910, USA.
Jing WangDepartment of Biological Sciences, Virginia Tech, Blacksburg, VA 24061-0910, USA.
Liwu LiDepartment of Biological Sciences, Virginia Tech, Blacksburg, VA 24061-0910, USA. Electronic address: lwli@vt.edu.
Virginia Tech · US

Funding

Modulation of innate immune exhaustion during sepsisR01AI172133 · NIAID · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI LIWU LI · 2023 to 2026
$2.2M
IGNITE KUH NRSA Training CoreTL1DK132771 · NIDDK · UNIVERSITY OF VIRGINIA · PI PORTILLA, DIDIER · 2021 to 2025
$1.9M
NIAID NIH HHS R01 AI172133NIDDK NIH HHS TL1 DK132771
6 · The paper itself

Abstract

Monocytes can develop an exhausted memory state characterized by reduced differentiation, pathogenic inflammation, and immune suppression that drives immune dysregulation during sepsis. Chromatin alterations, notably via histone modifications, underlie innate immune memory, but the contribution of DNA methylation remains poorly understood. Using an ex vivo sepsis model, we show altered DNA methylation throughout the genome of exhausted monocytes, including genes implicated in immune dysregulation during sepsis and COVID-19 infection (e.g., Plac8). These changes are recapitulated in septic mice induced by cecal slurry injection. Methylation profiles developed in septic mice are maintained during ex vivo culture, supporting the involvement of DNA methylation in stable monocyte exhaustion memory. Methylome reprogramming is driven in part by Wnt signaling inhibition in exhausted monocytes and can be reversed with DNA methyltransferase inhibitors, Wnt agonists, or immune training molecules. Our study demonstrates the significance of altered DNA methylation in the maintenance of stable monocyte exhaustion memory.

Indexed as

MonocytesSepsisAnimalsDNA MethylationImmune System ExhaustionMiceWnt Signaling PathwayCP: ImmunologyDNA methylationepigeneticsinnate immune memorymonocyte exhaustionsepsisTICAM2Wnt signaling

Identifiers

PMID38442017
PMCPMC11654472
OpenAlexW4392377246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.