Evidence map›Paper›PMID 40533675›Full record

ReviewClinical reviews in allergy & immunology2025

Current Understanding of Epithelial-Derived Alarmins in Chronic Rhinosinusitis with Nasal Polyps.

Fuying Cheng, Yizhang Wang, Yingqi Gao, Chen Zhang, Qianqian Zhang, Jiani Chen, Yumin Zhou, Le Shi, Li Hu, Huan Wang and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical reviews in allergy & immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. COX5A induces M2 macrophage polarization in chronic rhinosinusitis with nasal polyps through ROS generation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. 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

12 authors.

Fuying Cheng *High Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Yizhang Wang *High Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Yingqi GaoHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Chen ZhangHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Qianqian ZhangHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Jiani ChenHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Yumin ZhouHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Le ShiHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Li HuHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China.
Huan WangHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China. huanwang14@fudan.edu.cn.
Yaguang ZhangMed-X Institute, Center for Immunological and Metabolic Diseases, the First Affiliated Hospital of Xi'an JiaoTong University, Xi'an, Shaanxi, China. zhangyaguang@xjtufh.edu.cn.
Xicai SunHigh Altitude Rhinology Research Center, Eye & ENT Hospital of Fudan University and People's Hospital of Shigatse City, Shanghai, Shigatse, China. laryngeal@163.com.ORCID http://orcid.org/0000-0003-1423-0942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic rhinosinusitis with nasal polyps (CRSwNP) is a multifactorial inflammatory condition characterized by persistent sinus inflammation and tissue remodeling. Epithelial-derived alarmins, including thymic stromal lymphopoietin (TSLP), interleukin-33 (IL-33), and interleukin-25 (IL-25), are critical mediators that initiate and amplify immune responses in CRSwNP. These alarmins are secreted by stressed or damaged nasal epithelial cells in response to environmental insults, such as allergens, microbial infections, pollutants, and proteases. Once released, they orchestrate immune cell activation and amplify inflammatory pathways. Targeting epithelial-derived alarmins has emerged as a promising therapeutic strategy for CRSwNP, with several biologics, including TSLP and IL-33 inhibitors, showing encouraging clinical outcomes. This review focuses on the role of epithelial-derived alarmins in CRSwNP, examining their expression patterns, regulatory mechanisms, and contributions to inflammation, evaluating the current progress in alarmin-targeted therapies, and exploring future research directions to optimize their clinical application.

Indexed as

AlarminsEpithelial CellsNasal MucosaNasal PolypsRhinitisSinusitisAnimalsChronic DiseaseCytokinesHumansRhinosinusitisThymic Stromal LymphopoietinAlarminsCytokinesThymic Stromal LymphopoietinChronic rhinosinusitis with nasal polypsEpithelial alarminsIL-25IL-33TSLPType 2 inflammation

Identifiers

PMID40533675

What OpenQuestion holds

Textmetadata
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.