Evidence map›Paper›PMID 42592669›Full record

SynthesisCanadian respiratory journal2026

Elevated HMGB1 Levels in Neonates With Bronchopulmonary Dysplasia: A Systematic Review and Meta-Analysis.

Hejia Li, Jiao Li, Shanshan Li, Xiaojuan Huang, Shuaiyi Li, Wenhui Wu, Yuqing Fan, Yurun Wang, Yue Zhang, Jiashun Liu and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Canadian respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Hejia LiDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0000-0002-8883-002X
Jiao LiDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0000-0003-3310-4589
Shanshan LiDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0009-0009-7230-3928
Xiaojuan HuangDepartment of Pediatrics, Bayingolin Mongolian Autonomous Prefecture People's Hospital, Korla 841000, China.ORCID https://orcid.org/0009-0003-4783-2728
Shuaiyi LiDepartment of Rodent Biology, Chifeng City Center for Disease Control and Prevention, Chifeng 024000, China.ORCID https://orcid.org/0009-0008-6312-295X
Wenhui WuDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0009-0006-2501-8081
Yuqing FanDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0009-0008-7889-9593
Yurun WangDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0000-0002-5743-8156
Yue ZhangDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0009-0007-2816-3863
Jiashun LiuDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0009-0005-3108-9444
Lu ZouDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0009-0009-4313-0757
Changjun RenDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0000-0002-3110-5660
Shangbin LiDepartment of Pediatrics, First Hospital of Hebei Medical University, Shijiazhuang 050000, China, hebmu.edu.cn.ORCID https://orcid.org/0000-0001-8997-8379

Funding

Health Commission of Hebei Province 20250027
6 · The paper itself

Abstract

backgroundTo assess the clinical relevance of high-mobility group box 1 (HMGB1) in bronchopulmonary dysplasia (BPD), we conducted a systematic review and meta-analysis comparing HMGB1 levels in neonates with and without BPD.

methodsEight databases (PubMed, Cochrane Library, Web of Science, Embase, CNKI, VIP, Wanfang, and CBM) were searched up to March 1, 2025. Cohort studies reporting serum or bronchoalveolar lavage fluid (BALF) HMGB1 levels in neonates were included. Meta-analysis was performed using RevMan 5.4.

resultsSeven studies (n = 527 neonates; 308 BPD, 219 controls) were included. HMGB1 concentrations in BALF were significantly higher in neonates with BPD than in those without BPD (mean difference [MD], 5.04 ng/mL; 95% confidence interval [CI], 4.09-5.99; p < 0.00001). Serum HMGB1 concentrations were also higher in neonates with BPD (MD, 7.24 ng/mL; 95% CI, 4.53-9.96; p < 0.00001). Subgroup analyses across postnatal time points indicated that serum HMGB1 levels tended to be higher in infants with BPD than in controls; however, the progressive increase observed from Stage I to Stage III plateaued thereafter, with no further increase in Stage IV (> 20 days).

conclusionTotal HMGB1 concentrations in serum and BALF are elevated in neonates with BPD, which may reflect BPD-associated inflammatory lung injury. However, the clinical utility of HMGB1 is limited by its lack of disease specificity and the inability of current assays to distinguish among biologically distinct redox isoforms. Further prospective studies are needed to clarify its diagnostic and therapeutic relevance.

Indexed as

Bronchopulmonary DysplasiaHMGB1 ProteinBiomarkersBronchoalveolar Lavage FluidHumansInfant, NewbornBiomarkersHMGB1 ProteinHMGB1 protein, humanbronchopulmonary dysplasiadiagnosishigh-mobility group box 1meta-analysisneonates

Identifiers

PMID42592669
PMCPMC13470612

What OpenQuestion holds

Textmetadata
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.