Evidence map›Paper›PMID 41235428›Full record

ArticleCirculation research2026

The Unexpected Protective Role of Thrombosis in Lung Injury via Endothelial Alox15.

Colin E Evans, Sushreesangita P Behera, Xianming Zhang, Narsa Machireddy, Kefyalew D Addisu, Mollie Phillips, Rana Dhar, Mrinmay Chakrabarti, Bowen Wang, Odile David and 1 more

Abstract read
In one paragraph

Article in Circulation research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Colin E EvansProgram for Lung and Vascular Biology (C.E.E., S.P.B., X.Z., N.M., K.D.A., Y.-Y.Z.), Ann & Robert H. Lurie Children's Hospital of Chicago, IL.ORCID 0000-0002-9251-357X
Sushreesangita P BeheraProgram for Lung and Vascular Biology (C.E.E., S.P.B., X.Z., N.M., K.D.A., Y.-Y.Z.), Ann & Robert H. Lurie Children's Hospital of Chicago, IL.ORCID 0000-0003-3797-1014
Xianming ZhangProgram for Lung and Vascular Biology (C.E.E., S.P.B., X.Z., N.M., K.D.A., Y.-Y.Z.), Ann & Robert H. Lurie Children's Hospital of Chicago, IL.ORCID 0009-0009-1175-7109
Narsa MachireddyProgram for Lung and Vascular Biology (C.E.E., S.P.B., X.Z., N.M., K.D.A., Y.-Y.Z.), Ann & Robert H. Lurie Children's Hospital of Chicago, IL.ORCID 0000-0002-9929-7144
Kefyalew D AddisuProgram for Lung and Vascular Biology (C.E.E., S.P.B., X.Z., N.M., K.D.A., Y.-Y.Z.), Ann & Robert H. Lurie Children's Hospital of Chicago, IL.ORCID 0000-0002-7609-8476
Mollie PhillipsDepartment of Cell Biology and Anatomy, Cardiovascular Translational Research Center, University of South Carolina School of Medicine, Columbia (M.P., R.D., M.C.).ORCID 0009-0009-0508-5043
Rana DharDepartment of Cell Biology and Anatomy, Cardiovascular Translational Research Center, University of South Carolina School of Medicine, Columbia (M.P., R.D., M.C.).
Mrinmay ChakrabartiDepartment of Cell Biology and Anatomy, Cardiovascular Translational Research Center, University of South Carolina School of Medicine, Columbia (M.P., R.D., M.C.).ORCID 0000-0002-2681-6134
Bowen WangDepartment of Surgery (B.W.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0003-1378-6594
Odile DavidDepartment of Pathology, the University of Illinois at Chicago (O.D.).
You-Yang ZhaoProgram for Lung and Vascular Biology (C.E.E., S.P.B., X.Z., N.M., K.D.A., Y.-Y.Z.), Ann & Robert H. Lurie Children's Hospital of Chicago, IL.ORCID 0000-0002-0041-0339

Funding

South Carolina IDeA Networks of Biomedical Research (SC INBRE V)P20GM103499 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI EDIE C GOLDSMITH · 2012 to 2026
$61.0M
Novel mechanisms of obliterative pulmonary vascular remodeling and sever pulmonary arterial hypertensionR01HL133951 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ZHAO, YOU-YANG · 2016 to 2024
$4.9M
Negative regulators of endothelial regeneration in aging lungs and ARDSR01HL164014 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI ZHAO, YOU-YANG · 2022 to 2025
$2.7M
Novel roles of RNA modifications in the pathogenesis of pulmonary vascular remodeling and PAHR01HL162299 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI ZHAO, YOU-YANG · 2022 to 2025
$2.6M
Novel mechanisms of endothelial Injury in the pathogenesis of ARDSR01HL148810 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI ZHAO, YOU-YANG · 2020 to 2023
$2.3M
Novel intrinsic endothelial stem cells responsible for lung endothelial regeneration and vascular repair in ARDSR01HL172447 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI YOU-YANG ZHAO · 2024 to 2026
$2.3M
Novel Signalings and Molecular Targets Of Endothelial Regeneration In Aging LungR01HL123957 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ZHAO, YOU-YANG · 2014 to 2018
$2.0M
NHLBI NIH HHS R01 HL123957NHLBI NIH HHS R01 HL133951NHLBI NIH HHS R01 HL148810NHLBI NIH HHS R01 HL162299NHLBI NIH HHS R01 HL164014NHLBI NIH HHS R01 HL172447NIGMS NIH HHS P20 GM103499
6 · The paper itself

Abstract

backgroundPatients with sepsis-induced acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) commonly suffer from severe pulmonary thrombosis, but clinical trials of anticoagulant therapies in patients with sepsis and ARDS have failed. Patients with ARDS plus thrombocytopenia also exhibit increased mortality, and widespread pulmonary thrombosis is often seen in patients with COVID-19 ARDS.

methodsDifferent amounts of microbeads were administered intravenously to adult mice to induce various levels of pulmonary thrombosis. ALI was induced by either intraperitoneal lipopolysaccharide or cecal ligation and puncture. Endothelial cell (EC)-targeted nanoparticles were used to deliver plasmid DNA expressing the CRISPR/Cas9 (clustered regularly interspaced short palindromic repeats/clustered regularly interspaced short palindromic repeat-associated 9) system for EC-specific gene knockout of Alox15 (arachidonate 15-lipoxygenase) or plasmid DNA expressing Alox15 for EC-specific overexpression. Lipidomic profiling and in vivo rescue studies with the identified Alox15-regulated lipids were performed. In addition, thrombocytopenia was induced by genetic depletion of platelets using

resultsWe show that although severe pulmonary thrombosis or thrombocytopenia augments sepsis-induced ALI, the induction of mild pulmonary thrombosis conversely reduces EC apoptosis, ALI, and mortality via sustained expression of endothelial Alox15. Endothelial

conclusionsWe have demonstrated that moderate levels of lung thrombosis protect against sepsis-induced inflammatory lung injury via endothelial Alox15. Overexpression of endothelial Alox15 inhibits severe pulmonary thrombosis-induced increases in ALI. Thus, upregulation of ALOX15 expression or treatment with ALOX15-dependent protective lipid(s) represents a promising therapeutic strategy for treatment of ARDS, especially in subpopulations of patients with thrombocytopenia or widespread pulmonary thrombosis.

Indexed as

Acute Lung InjuryArachidonate 15-LipoxygenaseEndothelial CellsThrombosisAnimalsArachidonate 12-LipoxygenaseCOVID-19Disease Models, AnimalFemaleHumansLungMaleMiceMice, Inbred C57BLMice, KnockoutRespiratory Distress SyndromeALOX15 protein, humanAlox15 protein, mouseArachidonate 12-LipoxygenaseArachidonate 15-Lipoxygenaseacute lung injuryendothelial cellsinflammationlipidssepsisthrombosis

Identifiers

PMID41235428
PMCPMC12724588

What Socratic holds

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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 Socratic graph.