Evidence map›Paper›PMID 41978245›Full record

ArticleImmunity, inflammation and disease2026

NLRP3 Inflammasome Activation Mediates Coronary Artery Lesions in Kawasaki Disease by Inducing Endothelial Cells Pyroptosis and Glycocalyx Injury.

Ronghao Zheng, Jing Yue, Qianjun Chen, Jing Xie, Lintao Wen, Nana Duan, Jianping Shang, Songbai Zhu, Li Huang, Yang Zou and 3 more

Abstract read
In one paragraph

Article in Immunity, inflammation and disease, 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

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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. 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

13 authors.

Ronghao ZhengDepartment of Rheumatology and Immunology, Children's Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Jing YueDepartment of Respiratory, Children's Hospital of Soochow University, Suzhou, Jiangsu, China.
Qianjun ChenDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Hubei University of Medicine, Shiyan, Hubei, China.
Jing XieDepartment of Respiratory, Children's Hospital of Soochow University, Suzhou, Jiangsu, China.
Lintao WenDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Hubei University of Medicine, Shiyan, Hubei, China.
Nana DuanDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Hubei University of Medicine, Shiyan, Hubei, China.
Jianping ShangDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Songbai ZhuDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Li HuangDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yang ZouDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiaoxiang SongDepartment of Rheumatology and Immunology, Children's Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Xiaolin WuDepartment of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qihua FengDepartment of Rheumatology and Immunology, Children's Hospital of Soochow University, Suzhou, Jiangsu Province, China.ORCID https://orcid.org/0009-0009-6324-636X

Funding

Chen Xiao-ping Foundation for the Development of Science and Technology of Hubei Province CXPJJH124010-021Joint Foundation for the Innovation and Development of Maternal and Child Health of Hubei Provincial Natural Science Foundation 2025AFD686Maternal and Child Health Hospital of Hubei Province Research Project 2023SFYM019
6 · The paper itself

Abstract

introductionTo investigate the mechanism by which NOD-like receptor heat protein domain-associated protein 3 (NLRP3) activation mediates coronary endothelial dysfunction at different stages of Kawasaki disease (KD).

methodsBlood samples were collected from patients in the acute stage and convalescent stage of KD, as well as healthy/febrile controls. The mRNA expression of NLRP3 and Caspase-1 were detected by qRT-PCR. Serum levels of IL-1β, syndecan-1 (SDC-1), hyaluronic acid (HA), metalloproteinase-9 (MMP-9), and metalloproteinase-1 (TIMP-1) were quantified via ELISA, and Spearman correlation analysis was conducted. In vitro, human coronary artery endothelial cells (HCAECs) were treated with KD patient serum combined with NLRP3 activator/inhibitor treatment. Cell viability (CCK-8) and cell migration (Transwell) were assessed. The relative protein expression of pyroptosis-related proteins (NLRP3, Caspase-1, GSDMD-N) were detected by Western blot. The concentrations of cytokine secretion (IL-1β/IL-18), matrix metabolism (MMP-9/TIMP-1), glycocalyx components (SDC-1/HA) were evaluated by ELISA.

resultsThe levels of NLRP3 mRNA, Caspase-1 mRNA, IL-1β, MMP-9, TIMP-1, SDC-1 and HA in patients with acute KD were significantly higher than those in the healthy/febrile control group (p < 0.01), and these indicators were positively correlated with NLRP3 activation (p < 0.01). KD serum significantly suppressed the proliferation/migration of HCAEC (p < 0.01), induced pyroptosis (upregulated NLRP3/Caspase-1/GSDMD-N), and increased IL-1β/IL-18 secretion with concomitant elevated levels of MMP-9/TIMP-1/SDC-1/HA. NLRP3 inhibitors can reverse the above-mentioned damaging effects (p < 0.01).

conclusionsNLRP3 inflammasome activation during the progression of KD can cause coronary endothelial injury by inducing inflammatory imbalance, endothelial cells pyroptosis, and glycocalyx injury. Targeting NLRP3 represents a promising therapeutic strategy.

Indexed as

Coronary Artery DiseaseCoronary VesselsEndothelial CellsGlycocalyxInflammasomesMucocutaneous Lymph Node SyndromeNLR Family, Pyrin Domain-Containing 3 ProteinPyroptosisCaspase 1Cells, CulturedChild, PreschoolFemaleHumansMaleMatrix Metalloproteinase 9Tissue Inhibitor of Metalloproteinase-1Caspase 1InflammasomesMatrix Metalloproteinase 9NLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanTissue Inhibitor of Metalloproteinase-1coronary artery lesionsglycocalyx injuryinflammatoryKawasaki diseaseNLRP3 inflammationpyroptosis

Identifiers

PMID41978245
PMCPMC13076923

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