Evidence map›Paper›PMID 40315317›Full record

ArticleScience advances2025

A neuroimmune pathway drives bacterial infection.

Nian Wang, Jiao Liu, Runliu Wu, Feng Chen, Ruoxi Zhang, Chunhua Yu, Herbert Zeh, Xianzhong Xiao, Haichao Wang, Timothy R Billiar and 4 more

Abstract read
In one paragraph

Article in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Itaconate metabolism in regulated cell death.Molecular and cellular biochemistry · 2026
    Review
  3. Article
  4. Review
  5. Itaconate modifications: Mechanisms and applications.Journal of intensive medicine · 2026
    Review
  6. Docosahexaenoic acid supplementation inhibits monocyte exhaustion memory formation during sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

14 authors.

Nian WangDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0002-8303-0365
Jiao LiuDAMP Laboratory, Department of Critical Care Medicine, State Key Laboratory of Respiratory Disease, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510150, China.ORCID 0000-0003-1708-0409
Runliu WuDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0002-6175-8646
Feng ChenDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0003-0013-479X
Ruoxi ZhangDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0003-2538-1877
Chunhua YuDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0002-4325-6634
Herbert ZehDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0003-2017-1934
Xianzhong XiaoDepartment of Pathophysiology, School of Xiangya Basic Medical Science, Central South University, Changsha, Hunan 410083, China.
Haichao WangLaboratory of Emergency Medicine, North Shore University Hospital and the Feinstein Institute for Medical Research, Manhasset, NY 11030, USA.ORCID 0000-0002-0211-9000
Timothy R BilliarDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA 15219, USA.ORCID 0000-0002-2949-0811
Ling ZengResearch Institute of Surgery, Daping Hospital, Chongqing 400042, China.ORCID 0000-0002-9640-9083
Jianxin JiangResearch Institute of Surgery, Daping Hospital, Chongqing 400042, China.ORCID 0000-0003-0907-5976
Daolin TangDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0002-1903-6180
Rui KangDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0000-0003-2725-1574

Funding

Targeting ACOD1 to attenuate innate immune responses to lethal infectionsR01GM127791 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI Daolin Tang · 2018 to 2026
$2.2M
The Pancreatic Cancer MicroenvironmentR01CA211070 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KANG, RUI · 2017 to 2023
$1.4M
NCI NIH HHS R01 CA211070NIGMS NIH HHS R01 GM127791
6 · The paper itself

Abstract

Pathogen-induced septic death presents a substantial public health challenge, with its neuroimmune mechanisms largely unexplored. Our study investigates neurotransmitter modulation of ACOD1 expression, a regulator of immunometabolism activated by bacterial lipopolysaccharide (LPS). Screening neurotransmitters identifies dopamine as a potent inhibitor of LPS-induced ACOD1 expression in innate immune cells. Mechanistically, DRD2 forms a complex with TLR4, initiating MAPK3-dependent CREB1 phosphorylation and subsequent ACOD1 transcription. Conversely, dopamine disrupts TLR4-MYD88 interaction via DRD2 without affecting the formation of the LPS-induced TLR4-MD2-CD14 complex. Enhanced ACOD1 expression induces CD274/PD-L1 production independently of itaconate, precipitating inflammation-associated immunosuppression in sepsis. Delayed administration of pramipexole, a dopamine agonist, mitigates lethality in bacterial sepsis mouse models. Conversely, the dopamine antagonist aripiprazole exacerbates sepsis mortality. Dysregulation of the dopamine-ACOD1 axis correlates with sepsis severity in patients, indicating a potential therapeutic target for modulating this neuroimmune pathway.

Indexed as

Bacterial InfectionsNeuroimmunomodulationSepsisAnimalsDisease Models, AnimalDopamineHumansLipopolysaccharidesMaleMiceMice, Inbred C57BLMyeloid Differentiation Factor 88PramipexoleReceptors, Dopamine D2Signal TransductionToll-Like Receptor 4DopamineLipopolysaccharidesMyeloid Differentiation Factor 88PramipexoleReceptors, Dopamine D2Toll-Like Receptor 4

Identifiers

PMID40315317
PMCPMC12047438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.