Evidence map›Paper›PMID 42050363›Full record

ArticleRedox report : communications in free radical research2026

Bilirubin reduces mortality in sepsis models by inhibiting NOX2-mediated formation of neutrophil extracellular traps.

Sang-Jin Kim, Chang Woo Ko, Wan-Seo Kim, Yeon Jun Kang, Chul-Hwan Lee, Won-Woo Lee, Jong-Wan Park

Abstract read
In one paragraph

Article in Redox report : communications in free radical research, 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. 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

7 authors.

Sang-Jin KimCancer Research Institute and Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.
Chang Woo KoDepartment of Pharmacology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Wan-Seo KimDepartment of Pharmacology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Yeon Jun KangDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.
Chul-Hwan LeeDepartment of Pharmacology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Won-Woo LeeDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jong-Wan ParkCancer Research Institute and Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-4676-5191

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSepsis is a life-threatening condition driven by a dysregulated immune response to infection, yet therapeutic options beyond antibiotics and vasopressors remain limited. Neutrophil extracellular traps (NETs) contribute significantly to sepsis-induced tissue injury, and NETosis inhibition has emerged as a potential therapeutic strategy. We hypothesized that the endogenous metabolite bilirubin mitigates inflammation in sepsis by inhibiting NETosis through targeting NOX2.

methodsTwo murine sepsis models were used to assess the effects of bilirubin on survival and systemic NETosis. Plasma NET biomarkers were quantified, and primary human neutrophils were used to validate the NETosis-inhibitory activity of bilirubin

resultsBilirubin improved survival and reduced NET biomarkers in both models. It inhibited NETosis in human neutrophils by suppressing ROS-dependent NETosis and promoting the internalization and degradation of NOX2 via endocytosis and autophagy. DISCUSSION: These findings identify bilirubin as an endogenous inhibitor of NETosis. By targeting NOX2 and suppressing NETosis, bilirubin may represent a promising therapeutic candidate for sepsis management.

Indexed as

BilirubinExtracellular TrapsNADPH Oxidase 2SepsisAnimalsDisease Models, AnimalHumansMiceMice, Inbred C57BLNeutrophilsReactive Oxygen SpeciesBilirubinNADPH Oxidase 2Reactive Oxygen SpeciesbilirubinNADPH oxidaseneutrophil extracellular trapsSepsis

Identifiers

PMID42050363
PMCPMC13126949

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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.