Evidence map›Paper›PMID 41624605›Full record

ReviewWorld journal of emergency medicine2026

Endothelial cell injury: a crucial link in microcirculatory dysfunction associated with sepsis.

Yuhui Pan, Yanyan Ma, Ke Wan, Yizhou Xu, Guoxing Wang, Miaorong Xie

Abstract readReview
In one paragraph

Review in World journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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

6 authors.

Yuhui PanDepartment of Emergency and Critical Care Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100032, China.
Yanyan MaDepartment of Emergency and Critical Care Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100032, China.
Ke WanDepartment of Emergency and Critical Care Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100032, China.
Yizhou XuDepartment of Emergency and Critical Care Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100032, China.
Guoxing WangDepartment of Emergency and Critical Care Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100032, China.
Miaorong XieDepartment of Emergency and Critical Care Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100032, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is a prevalent and severe condition, with microcirculation disruptions playing a crucial role in its progression. Endothelial cell (EC) injury is the primary factor behind microcirculatory issues. This review is to outline the pathomechanism, organ heterogeneity, biomarkers, and therapeutic implications of endothelial dysfunction in sepsis, offering references and insights for the clinical management of sepsis.

methodsA systematic search of Web of Science and PubMed from inception to June 10, 2025, limited to English publications, was conducted. Two reviewers independently identified studies on EC injury in patients with septic microcirculatory dysfunction. Duplicate articles based on multiple search criteria were excluded.

resultsFifty-nine articles, including cell, animal, and clinical studies, were included. These studies reported the effects of EC injury on the microcirculation in sepsis, including changes in vascular permeability, coagulation dysfunction, vasomotor regulation, and inflammatory responses. These pathways interact and ultimately lead to septic microcirculation disorders.

conclusionSepsis-induced endothelial dysfunction involves various interconnected mechanisms, which collectively compromise ECs and impede microcirculatory perfusion. Future research should enhance current understanding of endothelial injury mechanisms, develop synergistic multi-target strategies to disrupt this cycle, and facilitate the clinical application of endothelial markers for early intervention and dynamic assessment.

Indexed as

Coagulation dysfunctionEndothelial cellsInflammatory responsesMicrocirculatorySepsisVascular permeabilityVasomotor regulation

Identifiers

PMID41624605
PMCPMC12856088

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.