Evidence map›Paper›PMID 40304322›Full record

ArticleEndocrine, metabolic & immune disorders drug targets2026

Esketamine Reduces Lung Injury Caused by Limb Ischemia-Reperfusion by Regulating Oxidative Stress via the TLR4/NF-κB/NLRP3 Pathway

Meng Wang, Qian Ma, Wenjuan Wang, Jiawei Cun, Heng Wen

Abstract read
In one paragraph

Article in Endocrine, metabolic & immune disorders drug targets, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Meng WangDepartment of Anesthesiology, General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
Qian MaDepartment of Anesthesiology, General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
Wenjuan WangDepartment of Anesthesiology, General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
Jiawei CunNingxia Medical University, Yinchuan, 750004, China.
Heng WenDepartment of Anesthesiology, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310006, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsketamine has shown promise in mitigating tissue damage caused by ischemia- reperfusion injury, making it a potential therapeutic candidate for acute lung injury (ALI) induced by limb ischemia-reperfusion (LIR-ALI).

objectiveThis study sought to explore the role and mechanism of esketamine in the LIR-ALI rat model.

methodsThe effects of esketamine on the LIR-ALI rats model were evaluated through histopathological examination, assessment of pulmonary edema, measurement of MDA and SOD levels, and analysis of inflammatory cytokine levels (IL-1β, etc.) in the bronchoalveolar fluid (BALF) and serum. Western blot analysis was used to assess the expressions of TLR4, NF-κB, and NLRP3. TLR4 agonist, LPS, was used to validate the role of NF-κB/NLRP3 pathway in LIRALI.

resultsEsketamine significantly alleviated LIR-induced ALI by reducing pulmonary edema, inflammatory cell infiltration, and oxidative stress. Elevated MDA content and suppressed SOD activity were significantly reversed by esketamine, along with inactivity of the TLR4/NF-κB/NLRP3 pathway. Esketamine treatment reduced inflammatory response in BALF and serum. TLR4 activation by LPS reversed the ameliorative effects of esketamine on LIR-ALI.

conclusionEsketamine protected against LIR-induced ALI by mitigating oxidative stress and suppressing the TLR4/NF-κB/NLRP3 axis. These findings highlight the potential therapeutic value of esketamine for ALI.

Indexed as

Acute Lung InjuryExtremitiesKetamineNF-kappa BNLR Family, Pyrin Domain-Containing 3 ProteinOxidative StressReperfusion InjuryToll-Like Receptor 4AnimalsMaleRatsRats, Sprague-DawleySignal TransductionEsketamineKetamineNF-kappa BNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, ratTlr4 protein, ratToll-Like Receptor 4acute lung injuryEsketamineinflammatory cytokinelimb ischemia-reperfusionoxidative stress.TLR4/NF-κB/NLRP3 pathway

Identifiers

PMID40304322
PMCPMC13334244

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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.