Evidence map›Paper›PMID 39716908›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

CXCL16/CXCR6/TGF-β Feedback Loop Between M-MDSCs and Treg Inhibits Anti-Bacterial Immunity During Biofilm Infection.

Xiaoyu Wu, Baiqi Pan, Chenghan Chu, Yangchun Zhang, Jinjin Ma, Yang Xing, Yuanchen Ma, Wengang Zhu, Huan Zhong, Aerman Alimu and 5 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Research progress on T-cell responses inFrontiers in microbiology · 2026
    Pooled it
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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

15 authors.

Xiaoyu WuDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Baiqi PanDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Chenghan ChuDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Yangchun ZhangDepartment of Orthopedics, The People's Hospital of Baoan Shenzhen, Shenzhen, Guangdong, 518101, China.
Jinjin MaTechnology School of Medicine, South China University of Technology, Guangzhou, Guangdong, 510640, China.
Yang XingDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Yuanchen MaDepartment of Orthopedics, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, 519041, China.
Wengang ZhuDepartment of Joint Orthopedics, Yuebei People's Hospital, Shaoguan, Guangdong, 512099, China.
Huan ZhongDepartment of Joint Surgery, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, 524002, China.
Aerman AlimuDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Guanming ZhouDepartment of Orthopedics, Foshan Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong, 528051, China.
Shuying LiuDepartment of Histology and Embryology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Weishen ChenDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Xiang LiGuangdong Provincial Clinical Research Center for Orthopedic Diseases, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Sheng PuyiDepartment of Joint Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.ORCID https://orcid.org/0000-0002-5898-2161

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515140147China Postdoctoral Science Foundation 2023M744048China Postdoctoral Science Foundation 2024M753776National Natural Science Foundation of China 82203677National Natural Science Foundation of China 82372424Postdoctoral Fellowship Program of CPSF GZC20233275Young Scientists Fund of the National Natural Science Foundation of China 82302716
6 · The paper itself

Abstract

Staphylococcus aureus (S. aureus) is a leading cause of Periprosthetic  joint  infection (PJI), a severe complication after joint arthroplasty. Immunosuppression is a major factor contributing to the infection chronicity of S. aureus PJI, posing significant treatment challenges. This study investigates the relationship between the immunosuppressive biofilm milieu and S. aureus PJI outcomes in both discovery and validation cohorts. This scRNA-seq analysis of synovium from PJI patients reveals an expansion and heightened activity of monocyte-related myeloid-derived suppressor cells (M-MDSCs) and regulatory T cells (Treg). Importantly, CXCL16 is significantly upregulated in M-MDSCs, with its corresponding CXCR6 receptor also elevated on Treg. M-MDSCs recruit Treg and enhance its activity via CXCL16-CXCR6 interactions, while Treg secretes TGF-β, inducing M-MDSCs proliferation and immunosuppressive activity. Interfering with this cross-talk in vivo using Treg-specific CXCR6 knockout PJI mouse model reduces M-MDSCs/Treg-mediated immunosuppression and alleviates bacterial burden. Immunohistochemistry and recurrence analysis show that PJI patients with CXCR6

Indexed as

BiofilmsChemokine CXCL16Myeloid-Derived Suppressor CellsProsthesis-Related InfectionsReceptors, CXCR6Staphylococcal InfectionsT-Lymphocytes, RegulatoryTransforming Growth Factor betaAnimalsFemaleHumansMaleMiceStaphylococcus aureusChemokine CXCL16CXCL16 protein, humanCXCR6 protein, humanReceptors, CXCR6Transforming Growth Factor betaImmunosuppressionM‐MDSCsPeriprosthetic joint infectionStaphylococcus aureusTreg

Identifiers

PMID39716908
PMCPMC11831521

What OpenQuestion holds

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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.