Evidence map›Paper›PMID 41331823›Full record

ArticleFluids and barriers of the CNS2025

Neutrophil extracellular traps aggravate blood-brain barrier disruption via ZBP1/FSP1-mediated ferroptosis after traumatic brain injury.

Yanlin Zhu, Jianye Xu, Yan Chai, Peng Li, Liang Liu, Shu Zhang, Jianning Zhang, Xin Chen

Abstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. 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.

Yanlin Zhu *Department of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Jianye Xu *Department of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Yan Chai *Department of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Peng Li *Department of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Liang LiuDepartment of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Shu ZhangDepartment of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Jianning ZhangDepartment of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China.
Xin ChenDepartment of Neurosurgery, Tianjin Medical University General Hospital, No.154, Anshan Road, Tianjin, 300052, P.R. China. xinchentianjin@163.com.

Funding

National Natural Science Foundation of China 82471397Project of Tianjin Applied Basic and Multiple Support Research 21JCZDJC00910
6 · The paper itself

Abstract

Ferroptosis plays a crucial role in secondary brain injury following traumatic brain injury (TBI). Neutrophil extracellular traps (NETs) formation has also been implicated in secondary injury after TBI. However, the relationship between NETs, blood-brain barrier (BBB) disruption, and ferroptosis remains unclear. In this study, we found that levels of NET-related biomarkers in the plasma of TBI patients were significantly elevated and positively correlated with ICAM-1 and vWF. Moreover, inhibiting NET formation via peptidylarginine deiminase 4 (PAD4) deficiency reduced ferroptosis and BBB damage. In vitro experiments demonstrated that NETs exacerbated ferroptosis in hCMEC/D3 cells, leading to BBB disruption. Knockdown of ZBP1 and overexpression of FSP1 both reversed NETs-induced ferroptosis in endothelial cells and alleviated BBB damage. Additionally, we observed a close relationship between ZBP1 and FSP1. Collectively, our findings suggest that inhibiting NETs formation can mitigate ferroptosis and BBB damage, while targeting ZBP1 and FSP1 may offer potential therapeutic strategies for improving outcomes after TBI.

Indexed as

Blood-Brain BarrierBrain Injuries, TraumaticDNA-Binding ProteinsExtracellular TrapsFerroptosisRNA-Binding ProteinsAdultAnimalsFemaleHumansMaleDNA-Binding ProteinsRNA-Binding ProteinsBlood-brain barrierFerroptosisFerroptosis suppressor protein 1Neutrophil extracellular trapsTraumatic brain injuryZ-DNA-binding protein 1

Identifiers

PMID41331823
PMCPMC12777371

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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.