Evidence map›Paper›PMID 40091149›Full record

SynthesisAlcohol, clinical & experimental research2025

Neutrophil extracellular traps (NETs) and NETosis in alcohol-associated diseases: A systematic review.

Mohammed A S Khan, Byoung-Joon Song, Xin Wang, Shams Iqbal, Gyongyi Szabo, Sulie L Chang

Abstract readSystematic Review
In one paragraph

Synthesis in Alcohol, clinical & experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

6 authors.

Mohammed A S KhanDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0009-0007-4769-2859
Byoung-Joon SongSection of Molecular Pharmacology and Toxicology, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA.
Xin WangDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Shams IqbalDepartment of Interventional Radiology and Center for System Biology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Gyongyi SzaboDepartment of Medicine, Harvard Medical School, Beth Israel Lahey Health and Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.ORCID 0000-0003-0836-2527
Sulie L ChangInstitute of NeuroImmune Pharmacology and Department of Biological Sciences, Seton Hall University, South Orange, New Jersey, USA.ORCID 0000-0003-3865-4280

Funding

N-acetylserotonin alleviates neurotoxicity in alcohol misuse following TBIR21AA030087 · NIAAA · BRIGHAM AND WOMEN'S HOSPITAL · PI WANG, XIN · 2023 to 2024
$421k
Involvement of microglial α7AChR in binge alcohol modulation of gut dysbiosisR21AA029925 · NIAAA · SETON HALL UNIVERSITY · PI CHANG, SULIE L., KHAN, MOHAMMED A. S. · 2022 to 2023
$402k
NIAAA NIH HHS 5R21AA029925NIAAA NIH HHS R21 AA029925NIAAA NIH HHS R21 AA030087NIAAA NIH HHS R21AA030087
6 · The paper itself

Abstract

Heavy alcohol consumption is implicated in the alteration of the antimicrobial function of neutrophils, such as phagocytosis, chemotaxis, the formation of neutrophil extracellular traps (NETs), and the occurrence of NETosis. NETosis is an endogenous process of elimination of invading microbes, autoantibodies, and inflammatory elements such as danger-associated molecular patterns (DAMPs) and pathogen-associated patterns (PAMPs). However, both exaggeration and suppression of NETosis modulate normal physiological and metabolic processes by influencing events at the molecular and cellular levels. Recent research shows that binge alcohol consumption induces NETosis, leading to tissue damage and inflammation. Binge alcohol consumption, chronic alcohol intake, and alcohol use disorder (AUD) can affect immunity and often lead to alcohol-associated liver disease (ALD) and/or other organ damage. Alcohol can lead to detrimental consequences in multiple organs, including the brain, liver, pancreas, and gut. Gut-derived microbial substances, such as endotoxins in the circulation, induce systemic inflammation. Sterile danger signals from damaged cells, cytokines, and prostaglandins act as proinflammatory stimuli and are involved in multiple signaling pathways. The alcohol-induced proinflammatory cytokines chemoattract neutrophils, which interact and coordinate with other immune cells to exaggerate or suppress inflammation within the inflammatory milieu, depending on the alcohol effects. Several proteins, including different receptors, play important roles in the activation and formation of NETs as well as the initiation and execution of NETosis. This review article specifically gathers the current information on NETosis, its biological components, and signaling pathways relating to the formation of NETs and the occurrence of NETosis associated with ALD and AUD in multiorgans, specifically in the brain, liver, and gut. We also briefly describe various therapeutic strategies against AUD-associated NETosis in experimental models and human disease states.

Indexed as

AlcoholismExtracellular TrapsLiver Diseases, AlcoholicNeutrophilsAnimalsHumansInflammationalcohol‐associated liver diseasealcohol use disordercell deathNETosisneutrophil extracellular traps

Identifiers

PMID40091149
PMCPMC13584911

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.