Evidence map›Paper›PMID 40796783›Full record

ArticleNature communications2025

A citrullinated histone H3 monoclonal antibody for immune modulation in sepsis.

Wenlu Ouyang, Yuchen Chen, Tao Tan, Yujing Song, Tao Dong, Xin Yu, Kyung Eun Lee, Xinyu Zhou, Zoe Tetz, Sophia Go and 16 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07449572 (A Phase 1/2A, Randomized, Double-Blind Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of HT31-1), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT07449572 phase1recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 1/2A, Randomized, Double-Blind Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of HT31-1 (hCitH3-mAb) in Healthy Volunteers and in Patients With Mild-to-Moderate ARDS: Part A (Healthy Volunteers)

TypeinterventionalSponsorHTIC, IncRan2026 to 2026Enrolled24ConditionsARDS (Acute Respiratory Distress Syndrome)ArmsHT31-1, Saline (0.9%, sterile, for infusion)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Regulated cell death-induced coagulation dysfunction in sepsis.Journal of thrombosis and thrombolysis · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Regulation of histones in thromboinflammation.Frontiers in immunology · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Cell death in sepsis: unveiling new perspectives on organ dysfunction.Frontiers in cell and developmental biology · 2026
    Review
  15. The Dual Role of Natural Killer Cells in the Septic Liver.Journal of inflammation research · 2026
    Review
  16. Review
  17. Article
  18. 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

26 authors.

Wenlu OuyangDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
Yuchen ChenDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0001-8558-3062
Tao TanDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Yujing SongDepartment of Mechanical and Aerospace Engineering, NYU Tandon School of Engineering, Brooklyn, NY, USA.ORCID http://orcid.org/0000-0003-1448-3069
Tao DongDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
Xin YuDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.ORCID http://orcid.org/0009-0001-2847-2590
Kyung Eun LeeDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Xinyu ZhouDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Zoe TetzDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Sophia GoDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Xindi ZengDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Liujiazi ShaoDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
Chao QuanDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
Ting ZhaoDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0009-0004-0768-4764
Yuzi TianDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
Katsuo KurabayashiDepartment of Mechanical and Aerospace Engineering, NYU Tandon School of Engineering, Brooklyn, NY, USA.ORCID http://orcid.org/0000-0002-9613-3590
Hua JinSparX Biopharmaceutical Corp, Mount Prospect, IL, USA.
Jichun MaSparX Biopharmaceutical Corp, Mount Prospect, IL, USA.ORCID http://orcid.org/0000-0002-9617-5141
Jingdong QinSparX Biopharmaceutical Corp, Mount Prospect, IL, USA.
Brandon WilliamsSparX Biopharmaceutical Corp, Mount Prospect, IL, USA.
Qingtian LiSparX Biopharmaceutical Corp, Mount Prospect, IL, USA.
Gui-Dong ZhuSparX Biopharmaceutical Corp, Mount Prospect, IL, USA.ORCID http://orcid.org/0009-0003-0097-3240
Hasan B AlamDepartment of Surgery, Northwestern University, Arkes Pavilion, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-1024-5226
Kathleen A StringerDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0003-0238-7774
Yongqing LiDepartment of Surgery, University of Michigan Health System, Ann Arbor, MI, USA. yqli@med.umich.edu.ORCID http://orcid.org/0000-0001-8266-924X
Jianjie MaDivision of Surgical Sciences, Department of Surgery, University of Virginia, Charlottesville, VA, USA. Jianjie.ma@virginia.edu.ORCID http://orcid.org/0009-0002-1730-7933

Funding

Translational Metabolomics in Critical CareR35GM136312 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KATHLEEN A STRINGER · 2020 to 2026
$2.8M
Protein therapy to treat virus induced cardiopulmonary injuryR01HL157215 · NHLBI · UNIVERSITY OF VIRGINIA · PI CAI, CHUANXI, MA, JIANJIE · 2022 to 2025
$2.7M
PAD2 and CitH3 in Pathogenesis of Sepsis-induced ALIR01HL155116 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALAM, HASAN B, LI, YONGQING · 2021 to 2024
$2.1M
Targeting the multicellular process of corneal regeneration and vascularization to enhance outcome of cornea transplantationR01EY036243 · NEI · UNIVERSITY OF VIRGINIA · PI Heather Chandler, Jianjie Ma · 2024 to 2026
$2.1M
Pilot Study To Evaluate Limitations To Participating In An Exercise ProgramZ01AG007240 · NIA · AGING · PI GURALNIK, JACK M · 1999 to 2007
$41k
Intramural NIH HHS Z01 AG007240NEI NIH HHS R01 EY036243NHLBI NIH HHS R01 HL155116NHLBI NIH HHS R01 HL157215NIGMS NIH HHS R35 GM136312
6 · The paper itself

Abstract

Citrullinated histone H3 (CitH3), released from immune cells during early sepsis, drives a vicious cycle of inflammation through excessive NETosis and pyroptosis, causing immune dysfunction and tissue damage. To regulate this process, we develop a humanized CitH3 monoclonal antibody (hCitH3-mAb) with high affinity and specificity to target this process. In murine models, hCitH3-mAb reduces cytokine production, mortality and acute lung injury (ALI) caused by LPS and Pseudomonas aeruginosa while enhancing bacteria phagocytosis in the lungs, spleen, and liver. Using pre-equilibrium digital ELISA (PEdELISA), we identify an optimal therapeutic window for hCitH3-mAb in sepsis-induced ALI. In parallel, we explore the molecular mechanism underlying CitH3-driven inflammation. We find that in macrophages, CitH3 activates Toll-like receptor 2 (TLR2), triggering Ca

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedHistonesSepsisAcute Lung InjuryAnimalsCitrullinationCytokinesDisease Models, AnimalHumansLipopolysaccharidesMacrophagesMaleMiceMice, Inbred C57BLPhagocytosisAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCytokinesHistonesLipopolysaccharidesToll-Like Receptor 2

Identifiers

PMID40796783
PMCPMC12343807

What OpenQuestion holds

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Registered trials

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.