Evidence map›Paper›PMID 41838208›Full record

ArticleInflammation2026

Interleukin-6 Signaling Mediates Mitochondrial Fragmentation and Mitophagy Impairment to Induce Macrophages Ferroptosis in Atherosclerosis.

Minhui Li, Lin Zheng, Xiao Tang, Haifeng Liu, Xiaotong Qi, Zhenyu Zhou, Jiaqi Zhu, Changpo Lin, Yongbin Shi, Tonglei Han and 2 more

Abstract read
In one paragraph

Article in Inflammation, 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

12 authors.

Minhui Li *Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China.
Lin Zheng *Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100013, China.
Xiao Tang *Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China.
Haifeng LiuDepartment of Orthopedics, Second Hospital of Shanxi Medical University, Shanxi, 030000, China.
Xiaotong QiDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China.
Zhenyu ZhouDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China.
Jiaqi ZhuDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China.
Changpo LinDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China.
Yongbin ShiDepartment of Vascular Surgery, Second Hospital of Shanxi Medical University, Shanxi, 030000, China. 710817738@qq.com.
Tonglei HanDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China. han.111.han@163.com.
Hanfei TangDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China. hftang16@fudan.edu.cn.
Daqiao GuoDepartment of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200030, China. daqiaoguo@163.com.

Funding

National Natural Science Foundation of China 82100505National Natural Science Foundation of China 82100516National Natural Science Foundation of China 82270517
6 · The paper itself

Abstract

Atherosclerosis is respectively correlated with interleukin-6/interleukin-6 receptor (IL6/IL6R) mediated inflammation signaling and macrophages ferroptosis. Nonetheless, the underlying mechanism of IL6/IL6R signaling mediated macrophages ferroptosis in atherosclerosis remains unknown. This study aims to investigate whether IL6/IL6R signaling mediated macrophages ferroptosis through mitochondrial fragmentation and mitophagy impairment. Two human atherosclerotic transcriptomic datasets were used to conduct bioinformatic analysis. In vitro, counting kit-8 (CCK-8) assays, flow cytometry, immunofluorescence staining, malondialdehyde (MDA) and glutathione (GSH) assay kits were employed to evaluate reactive oxygen species (ROS) levels and macrophages ferroptosis. Transmission electron microscopy (TEM), laser confocal microscope and seahorse experiments were used to evaluate changes of mitochondrial morphology and mitochondrial function. Western blotting (WB) was used to quantify key markers of mitophagy and ferroptosis. In vivo, histological stainings and WB were used to determine the effects of IL6R deficiency on atherosclerosis, mitophagy and ferroptosis. Integrated bioinformatic analysis revealed that the IL6 expression could stratify early and advanced plaques. IL6 induced macrophages ferroptosis by increasing ROS and MDA levels, depleting GSH level, promoting lipid peroxidation and suppressing glutathione peroxidase 4 (GPX4) expression. Dynamin-related protein 1 (Drp1) mediated excessive mitochondrial fragmentation in IL6-induced macrophages, resulting in more shortened mitochondria, impaired oxidative phosphorylation (OXPHOS) and ROS accumulation. Activation of mitophagy, the process of mitochondrial fragmentation clearance, could increase GPX4 expression and attenuate the lipid peroxidation level in IL6 induced macrophages. Aggravation of ferroptosis further compromised mitophagy-related proteins expression. Targeting IL6R signaling attenuated atherosclerotic burden in ApoE−/− mice, mitigated mitochondrial fragmentation, suppressed macrophages ferroptosis and promoted mitophagy. In atherosclerosis progression, IL6/IL6R signaling induces susceptibility of macrophages to ferroptosis by exacerbating mitochondrial fragmentation and impairing mitophagy. Ferroptosis further aggravates mitophagy impairment, contributing to a detrimental cycle. Our study supports the rationale of anti-IL6/IL6R signaling interventions in atherosclerosis therapy.

Indexed as

AtherosclerosisFerroptosisInterleukin-6MacrophagesMitochondriaMitophagyAnimalsHumansMiceMice, Inbred C57BLReactive Oxygen SpeciesReceptors, Interleukin-6Signal TransductionInterleukin-6Reactive Oxygen SpeciesReceptors, Interleukin-6AtherosclerosisFerroptosisInterleukin-6MacrophagesMitochondrial fissionMitophagy

Identifiers

PMID41838208
PMCPMC13035641

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.