Evidence map›Paper›PMID 41006720›Full record

ArticleScientific reports2025

Mechanism of sepsis regulation by ELANE via macrophage polarization.

Linghan Leng, Ying Yang, Hongye Zhang, Wensheng Peng, Xueli Xiang, Yingchun Hu, Chunmao Ma

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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.

Linghan LengDepartment of Intensive Care Unit, Chengdu Fifth People's Hospital (The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Chengdu, Sichuan, China.
Ying YangDepartment of Emergency Medicine, Pengzhou People's Hospital, Pengzhou, Sichuan, China.
Hongye ZhangDepartment of Emergency Medicine, Pengzhou People's Hospital, Pengzhou, Sichuan, China.
Wensheng PengDepartment of Emergency Medicine, Pengzhou People's Hospital, Pengzhou, Sichuan, China.
Xueli XiangDepartment of Emergency Medicine, Pengzhou People's Hospital, Pengzhou, Sichuan, China.
Yingchun Hu *Department of Emergency Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. huyingchun913@swmu.edu.cn.
Chunmao Ma *Department of Emergency Medicine, Pengzhou People's Hospital, Pengzhou, Sichuan, China. 375712496@qq.com.

Funding

Pengzhou People's Hospital-Southwest Medical University Cooperation Program 2023PZXNYD03
6 · The paper itself

Abstract

To identify the core immune regulatory gene ELANE in sepsis and explore its mechanism in regulating sepsis through macrophage polarization. Peripheral blood RNA sequencing and bioinformatics analysis were performed on 20 sepsis patients and 10 healthy controls. Differential gene expression (DEGs) screening, functional enrichment (GO/KEGG/GSEA), and protein-protein interaction (PPI) network analysis were conducted. Meta-analysis validated ELANE expression trends across GEO datasets, while survival analysis assessed its prognostic relevance. Single-cell sequencing localized ELANE expression, and in vitro experiments using LPS-stimulated macrophages and siRNA-mediated ELANE inhibition evaluated its role in M1/M2 macrophage polarization and inflammatory factor release (flow cytometry, ELISA). 948 DEGs were identified, with ELANE significantly upregulated in sepsis. PPI and MCC algorithms identified ELANE as a top core gene. Meta-analysis confirmed ELANE overexpression in sepsis, and survival analysis linked high ELANE levels to poor 28-day prognosis. Single-cell sequencing localized ELANE predominantly in macrophages. LPS stimulation increased ELANE expression and M1 polarization (CD86+), while ELANE inhibition reduced M1 polarization and suppressed IL-1β/TNF-α levels. ELANE exacerbates sepsis by promoting M1 macrophage polarization and proinflammatory cytokine release, highlighting its potential as a therapeutic target.

Indexed as

MacrophagesSepsisCytokinesFemaleHumansLipopolysaccharidesMacrophage ActivationMaleMiddle AgedProtein Interaction MapsCytokinesLipopolysaccharidesELANEInflammatory factorMacrophage polarizationRNA sequencingSepsis

Identifiers

PMID41006720
PMCPMC12474867

What OpenQuestion holds

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Registered trials

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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.