Evidence map›Paper›PMID 39948645›Full record

ReviewRespiratory research2025

Pathophysiological mechanisms of ARDS: a narrative review from molecular to organ-level perspectives.

Kaihuan Zhou, Qianqian Qin, Junyu Lu

Abstract readReview
In one paragraph

Review in Respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Frontiers in microbiology · 2026
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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

3 authors.

Kaihuan ZhouIntensive Care Unit, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, China.
Qianqian QinIntensive Care Unit, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, China.
Junyu LuIntensive Care Unit, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, China. junyulu@gxmu.edu.cn.

Funding

the Joint Project on Regional High-Incidence Diseases Research of Guangxi Natural Science Foundation No. 2023GXNSFDA026023the Key Research & Development Program of Guangxi No. GuiKeAB22080088the National Natural Science Foundation of China No.82360372
6 · The paper itself

Abstract

backgroundAcute respiratory distress syndrome (ARDS) remains a life-threatening pulmonary condition with persistently high mortality rates despite significant advancements in supportive care. Its complex pathophysiology involves an intricate interplay of molecular and cellular processes, including cytokine storms, oxidative stress, programmed cell death, and disruption of the alveolar-capillary barrier. These mechanisms drive localized lung injury and contribute to systemic inflammatory response syndrome and multiple organ dysfunction syndrome. Unlike prior reviews that primarily focus on isolated mechanisms, this narrative review synthesizes the key pathophysiological processes of ARDS across molecular, cellular, tissue, and organ levels. MAIN BODY: By integrating classical theories with recent research advancements, we provide a comprehensive analysis of how inflammatory mediators, metabolic reprogramming, oxidative stress, and immune dysregulation synergistically drive ARDS onset and progression. Furthermore, we critically evaluate current evidence-based therapeutic strategies, such as lung-protective ventilation and prone positioning, while exploring innovative therapies, including stem cell therapy, gene therapy, and immunotherapy. We emphasize the significance of ARDS subtypes and their inherent heterogeneity in guiding the development of personalized treatment strategies.

conclusionsThis narrative review provides fresh perspectives for future research, ultimately enhancing patient outcomes and optimizing management approaches in ARDS.

Indexed as

LungRespiratory Distress SyndromeAnimalsHumansOxidative StressARDSCytokine stormPathophysiological mechanismsTreatment

Identifiers

PMID39948645
PMCPMC11827456

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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.