Evidence map›Paper›PMID 40171016›Full record

ArticleResearch (Washington, D.C.)2025

A Self-Assembled Metabolic Regulator Reprograms Macrophages to Combat Cytokine Storm and Boost Sepsis Immunotherapy.

Junyan Zhuang, Yongrui Hai, Xintong Lu, Borui Sun, Renming Fan, Bingjie Zhang, Wenhui Wang, Bingxue Han, Li Luo, Le Yang and 3 more

Abstract read
In one paragraph

Article in Research (Washington, D.C.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Itaconate and its derivatives in human health and diseases.Signal transduction and targeted therapy · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Splenic PD-L1Research (Washington, D.C.) · 2026
    Article
  16. Review
  17. Review
  18. Review
  19. 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

13 authors.

Junyan ZhuangInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Yongrui HaiInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Xintong LuInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Borui SunDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Renming FanInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Bingjie ZhangInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Wenhui WangInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Bingxue HanInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.
Li LuoInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.ORCID https://orcid.org/0000-0003-4826-5887
Le YangDepartment of Pharmacy, Tangdu Hospital, Air Force Military Medical University, Xi'an 710038, Shaanxi, China.
Chun ZhangDepartment of Surgical Intensive Care Unit, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Minggao ZhaoDepartment of Pharmacy, Tangdu Hospital, Air Force Military Medical University, Xi'an 710038, Shaanxi, China.
Gaofei WeiInstitute of Medical Research, Northwestern Polytechnical University, Xi'an 710072, China.ORCID https://orcid.org/0000-0001-7180-7176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis, a life-threatening inflammatory disorder characterized by multiorgan failure, arises from a dysregulated immune response to infection. Modulating macrophage polarization has emerged as a promising strategy to control sepsis-associated inflammation. The endogenous metabolite itaconate has shown anti-inflammatory potential by suppressing the stimulator of interferon genes (STING) pathway, but its efficacy is inhibited by hyperactive glycolysis, which sustains macrophage overactivation. Here, we revealed a critical crosstalk between the itaconate-STING axis and glycolysis in macrophage-mediated inflammation. Building on this interplay, we developed a novel nanoparticle LDO (lonidamine disulfide 4-octyl-itaconate), a self-assembled metabolic regulator integrating an itaconate derivative with the glycolysis inhibitor Lonidamine. By concurrently targeting glycolysis and STING pathways, LDO reprograms macrophages to restore balanced polarization. In sepsis models, LDO effectively attenuates CCL2-driven cytokine storms, alleviates acute lung injury, and significantly enhances survival via metabolic reprogramming. This study offers a cytokine-regulatory strategy rooted in immunometabolism, providing a foundation for the translational development of immune metabolite-based sepsis therapies.

Identifiers

PMID40171016
PMCPMC11959697

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.