Evidence map›Paper›PMID 41766858›Full record

ArticleFrontiers in immunology2026

Cross-talk between lipopolysaccharide tolerance and AGEs in the regulation of macrophage inflammation and cholesterol efflux.

Danielle Ribeiro Santos, Monique de Fatima Mello Santana, Eduarda Palanca, Milena Gomes Vancini, Sayonara Ivana Santos de Assis, Aritania Sousa Santos, Denise Frediani Barbeiro, Suely Kunimi Kubo Ariga, Maria Lucia Correa-Giannella, Francisco Garcia Soriano and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Danielle Ribeiro SantosLaboratório de Lípides (LIM10), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Monique de Fatima Mello SantanaLaboratório de Lípides (LIM10), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Eduarda PalancaPrograma de Pós-Graduação em Medicina, Universidade Nove de Julho, Sao Paulo, Brazil.
Milena Gomes VanciniLaboratório de Lípides (LIM10), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Sayonara Ivana Santos de AssisLaboratório de Lípides (LIM10), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Aritania Sousa SantosLaboratório de Carboidratos e Radioimunoensaio (LIM18), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, São Paulo, Brazil.
Denise Frediani BarbeiroLaboratório de Emergências Clínicas (LIM51), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Suely Kunimi Kubo ArigaLaboratório de Emergências Clínicas (LIM51), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Maria Lucia Correa-GiannellaLaboratório de Carboidratos e Radioimunoensaio (LIM18), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, São Paulo, Brazil.
Francisco Garcia SorianoLaboratório de Emergências Clínicas (LIM51), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Marisa PassarelliLaboratório de Lípides (LIM10), Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immune cell infiltration with high expression of receptors for advanced glycation end products (RAGE) and Toll-like receptor 4 (TLR4) promotes vascular inflammation and accelerates atherosclerosis. Advanced glycated albumin (AGE-albumin) primes macrophages for heightened inflammatory responses to lipopolysaccharide (LPS). Here, we investigated whether LPS-induced tolerance modulates AGE-driven inflammatory priming and cholesterol efflux in macrophages. Methods: Cholesterol-enriched bone marrow-derived macrophages (BMDMs) and RAW264.7 macrophages were subjected to LPS tolerance induction, treated with control (C)- or AGE-albumin, and rechallenged with LPS. In parallel, LPS tolerance was induced Results: In BMDMs, LPS tolerance reduced TNF secretion following C-albumin treatment but not AGE-albumin. In RAW264.7 macrophages, TNF secretion was reduced by 53% and 77.6% after C- and AGE-albumin treatment, respectively. BMDMs from LPS-tolerant mice exhibited reduced TNF secretion following both albumin treatments. Gene expression analysis revealed that AGE-albumin selectively increased Discussion: These findings demonstrate that LPS tolerance promotes an atheroprotective macrophage phenotype characterized by attenuated inflammatory signaling and enhanced cholesterol efflux. However, this protective immunometabolic program is selectively disrupted by AGE exposure, highlighting a critical interface through which chronic metabolic stress may override innate immune tolerance and contribute to atherosclerotic progression.

Indexed as

CholesterolGlycation End Products, AdvancedImmune ToleranceInflammationLipopolysaccharidesMacrophagesAnimalsMaleMiceMice, Inbred C57BLRAW 264.7 CellsToll-Like Receptor 4Tumor Necrosis Factor-alphaCholesterolGlycation End Products, AdvancedLipopolysaccharidesTlr4 protein, mouseToll-Like Receptor 4Tumor Necrosis Factor-alphaadvanced glycationatherosclerosisinflammationlipopolysaccharide tolerancemacrophages

Identifiers

PMID41766858
PMCPMC12936516

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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.