ArticleNature communications2026
The mannose receptor on sinusoidal lining cells mediates two-step bacterial clearance in the human spleen.
Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04620824 (TIssue Models for Invasive Disease), which is not on this map. Not yet cited in PubMed.
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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.
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.
TIssue Models for Invasive Disease (TIMID)
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32 authors.
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Abstract
The human spleen plays a critical role in clearing bacteria from the bloodstream, particularly during septicaemia; yet the cellular mechanisms underlying this function remain poorly defined. Using a dual translational approach including ex vivo perfusion of human spleens and splenic primary cell cultures, we identify a previously unrecognised division of tasks in splenic antibacterial defence. In the human splenic red pulp, sinusoidal lining cells capture and retain bacteria via the CD206 mannose receptor. Subsequently, the bactericidal activity by red pulp macrophages involves the scavenger receptor MARCO. This two-step process ensures efficient removal of encapsulated pathogens as inhibition of CD206 receptor impacted not only Streptococcus pneumoniae killing, independent of the capsular serotype, but also on Klebsiella pneumoniae and Escherichia coli revising the mechanism of pathogen clearance in the human spleen. Trial registration: REC 18/EM/0057 (NCT04620824) and CE: 668/2023/Sper/AOU.
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