Evidence map›Paper›PMID 40868190›Full record

ReviewBiomedicines2025

The Epigenetics of Sepsis: How Gene Modulation Shapes Outcomes.

Giulia Pignataro, Cristina Triunfo, Andrea Piccioni, Simona Racco, Mariella Fuorlo, Evelina Forte, Francesco Franceschi, Marcello Candelli

Abstract readReview
In one paragraph

Review in Biomedicines, 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. Article
  3. Review
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  7. Article
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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

8 authors.

Giulia PignataroEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.ORCID 0000-0003-3394-3913
Cristina TriunfoMedical and Surgical Translational Medicine Department, Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Andrea PiccioniEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.ORCID 0000-0001-5703-8737
Simona RaccoEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.
Mariella FuorloEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.ORCID 0000-0003-2718-9360
Evelina ForteEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.
Francesco FranceschiEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.
Marcello CandelliEmergency, Anesthesiological and Reanimation Sciences Department, Fondazione Policliclinico Universitario A. Gemelli-IRCCS, 00168 Rome, Italy.ORCID 0000-0001-8443-7880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is a complex and heterogeneous condition, arising from a disrupted immune response to infection that can progress to organ failure and carries a high risk of death. In recent years, growing attention has been paid to the role of epigenetic mechanisms-including DNA methylation, histone modifications, non-coding RNAs, and RNA methylation-in shaping immune activity during sepsis. These processes affect immune functions such as macrophage polarization, cytokine release, and the exhaustion of immune cells, and they help explain the shift from an initial phase of overwhelming inflammation to a later state of immune suppression. Epigenetic alterations also contribute to tissue-specific damage, notably in the lungs, kidneys, and heart, and have been linked to disease severity and clinical prognosis. Advances in transcriptomic and epigenetic profiling have made it possible to distinguish molecular subtypes of septic patients, each with distinct immune features and varied responses to treatments such as corticosteroids and metabolic therapies. Emerging biomarkers-like AQP5 methylation, histone lactylation (H3K18la), and m

Indexed as

DNA methylationepigeneticshistone modificationsncRNAssepsis

Identifiers

PMID40868190
PMCPMC12383537

What OpenQuestion holds

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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.