Evidence map›Paper›PMID 40691531›Full record

ArticleBMC anesthesiology2025

Esketamine mitigates endotoxin-induced acute lung injury by suppressing caspase-11-driven pyroptosis.

Yunfei Bao, Zhihao Feng, Yanyan Niu, Qing Hu, Haijie Liu, Hongbo Zhang, Jianling Li

Abstract read
In one paragraph

Article in BMC anesthesiology, 2025. 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

7 authors.

Yunfei BaoDepartment of Anesthesiology, Affiliated Hospital of Chengde Medical College; Hebei Key Laboratory of Panvascular Diseases, Chengde, Hebei, 067000, China.
Zhihao FengDepartment of Anesthesiology, Affiliated Hospital of Chengde Medical College; Hebei Key Laboratory of Panvascular Diseases, Chengde, Hebei, 067000, China.
Yanyan NiuDepartment of Anesthesiology, Affiliated Hospital of Chengde Medical College; Hebei Key Laboratory of Panvascular Diseases, Chengde, Hebei, 067000, China.
Qing HuDepartment of Anesthesiology, Affiliated Hospital of Chengde Medical College; Hebei Key Laboratory of Panvascular Diseases, Chengde, Hebei, 067000, China.
Haijie LiuDepartment of Anesthesiology, Affiliated Hospital of Chengde Medical College; Hebei Key Laboratory of Panvascular Diseases, Chengde, Hebei, 067000, China.
Hongbo ZhangChengde Medical College, Chengde, Hebei, 067000, China.
Jianling LiDepartment of Anesthesiology, Affiliated Hospital of Chengde Medical College; Hebei Key Laboratory of Panvascular Diseases, Chengde, Hebei, 067000, China. lyjianling@163.com.

Funding

2023 Chengde City Applied Technology Research and Development and Sustainable Development Agenda Innovation Demonstration Zone Special Science and Technology Plan Project 202305B086
6 · The paper itself

Abstract

backgroundAcute lung injury (ALI) is a common complication of endotoxemia, which carries a high risk of morbidity and mortality. Currently, no effective drugs exist to treat endotoxin-induced ALI. This study evaluated esketamine's protective effects against endotoxin-induced ALI and explored its underlying mechanisms.

methodsCecal ligation and puncture (CLP) was used to create a rat model of endotoxin-induced ALI. Esketamine (10 mg/kg) was injected into the tail vein of rats for drug treatment. The murine sepsis score (MSS) was used to evaluate the state of rats. Hematoxylin and eosin (HE) staining was used to evaluate lung tissue morphology and calculate the lung injury scores. The degree of lung tissue edema was assessed using the wet-to-dry weight (W/D) ratio. The expressions of caspase-11 and gasdermin D (GSDMD)-N, linked to the atypital pyroptosis pathway, were examined using immunohistochemistry (IHC) and western blot (WB) analysis. Caspase-11 and GSDMD mRNA levels were determined using quantitative real-time polymerase chain reaction (qRT-PCR). The expression of PI3K/AKT pathway was assessd using western blotting analysis. Interleukin (IL)-1β levels were quantified via enzyme-linked immunosorbent assay (ELISA).

resultsEsketamine treatment improved lung tissue structure, reduced pulmonary edema, and mitigated the inflammatory response in ALI. Esketamine inhibited caspase-11 and GSDMD expressions and decreased IL-1β levels, while reversing the inhibition of the PI3K/AKT pathway in ALI.

conclusionEsketamine mitigates CLP-induced ALI by suppressing the caspase-11-GSDMD pathway and reducing inflammation. The PI3K/AKT pathway may be involved in these protective effects.

Indexed as

Acute Lung InjuryCaspases, InitiatorKetaminePyroptosisAnimalsDisease Models, AnimalEndotoxinsGasderminsMalePhosphate-Binding ProteinsRatsRats, Sprague-DawleyCaspases, InitiatorEndotoxinsEsketamineGasderminsGsdmd protein, ratKetaminePhosphate-Binding ProteinsAcute lung injuryCaspase-11EsketaminePI3K/AKT pathwayPyroptosis

Identifiers

PMID40691531
PMCPMC12278550

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.