Evidence map›Paper›PMID 40764944›Full record

ArticleMilitary Medical Research2025

Decreased IL-33 in the brain following repetitive mild traumatic brain injury contributes to cognitive impairment by inhibiting microglial phagocytosis.

Ze-Xi Jia, Meng-Tian Guo, Mei-Mei Li, Pan Liao, Bo Yan, Wei Zhang, Fang-Yuan Cheng, Ya-Ru Liu, Zi-Han Zhang, Cheng Wei and 4 more

Abstract read
In one paragraph

Article in Military Medical Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Targeting IL-33 in Precision Neuroimmunology: Cellular Mechanisms and Therapeutic Strategies for CNS Disorders.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

14 authors.

Ze-Xi Jia *Department of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Meng-Tian Guo *Department of Internal Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100054, China.
Mei-Mei Li *Department of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Pan LiaoSchool of Medicine, Nankai University, Tianjin, 300071, China.
Bo YanDepartment of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Wei ZhangDepartment of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Fang-Yuan ChengDepartment of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Ya-Ru LiuDepartment of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Zi-Han ZhangSchool of Medicine, Nankai University, Tianjin, 300071, China.
Cheng WeiDepartment of Oncology-Pathology, Karolinska Institute, 10339, Stockholm, Sweden.
Jie ZhouDepartment of Immunology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China.
Fang-Lian ChenTianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, 300052, China. chenfanglian1976@tmu.edu.cn.
Ping LeiDepartment of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China. leiping1974@tmu.edu.cn.
Xin-Tong GeDepartment of Geriatrics, Tianjin Medical University General Hospital, Tianjin, 300052, China. xge@tmu.edu.cn.ORCID 0000-0001-7153-952X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepetitive mild traumatic brain injury (rmTBI) is a significant risk factor for neurodegeneration, characterized by pathological protein deposition and persistent neuroinflammation. Research has observed increased interleukin-33 (IL-33) levels in the peripheral blood of patients with rmTBI, suggesting IL-33 may participate in regulating the pathological development of rmTBI. The study aims to elucidate the impact and mechanism of IL-33 in the progression of neuropathology following rmTBI, and to explore its potential as a therapeutic target to improve the neurological outcome.

methodsThe study employed an rmTBI mouse model using the wild-type (WT) and IL-33 knockout mice. Cognitive function was assessed via the Y-maze and Barnes tests. The main cell type expressing IL-33 and its receptor, suppression of tumorigenicity 2 (ST2), was then investigated in the mouse brain through immunofluorescence colocalization. As the primary neural cell responsible for ST2 expression, microglia were studied in vitro using the BV2 cell line. The effects of lipid droplets (LDs) accumulation and amyloid-beta (Aβ) phagocytosis were measured to elucidate the impact of IL-33 on BV2 cells' phagocytosis. Additionally, HT22 neuronal apoptosis was assessed by flow cytometry. Finally, the cognitive effects of intranasal administration of IL-33 were evaluated in mice.

resultsIL-33KO mice exhibited pronounced cognitive impairment after rmTBI. In the mouse brain, astrocytes were identified as the primary source of IL-33 secretion, while microglia predominantly expressed ST2. Transcriptome sequencing revealed that IL-33 significantly influenced phagocytosis function. IL-33 mitigated LDs accumulation in BV2 cells and enhanced Aβ phagocytosis in vitro. In addition, the culture medium of BV2 cells with activated IL-33/ST2 signaling reduced HT22 neuronal apoptosis and axonal damage. Furthermore, intranasal administration of IL-33 was observed to be effective in alleviating neurodegeneration and cognitive outcome of rmTBI mice.

conclusionsDysfunction of the IL-33/ST2 axis following rmTBI leads to cognitive dysfunction via impairing microglial phagocytosis capacity and promoting neuronal damage. IL-33 would be a promising therapeutic target for alleviating neurodegeneration following rmTBI.

Indexed as

Brain ConcussionCognitive DysfunctionInterleukin-33MicrogliaPhagocytosisAnimalsBrainDisease Models, AnimalMaleMiceMice, Inbred C57BLMice, KnockoutIl33 protein, mouseInterleukin-33CognitionInterleukin-33 (IL-33)MicrogliaRepetitive mild traumatic brain injury (rmTBI)

Identifiers

PMID40764944
PMCPMC12323175

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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.