Evidence map›Paper›PMID 41339353›Full record

ArticleNature communications2025

Platelet-mediated activation of perivascular mast cells triggers progression of sepsis to septic shock in mice.

Hae Woong Choi, Joo Hwan Noh, Jason Iskarpatyoti, Xiaoyi Zhu, Chunjing Bao, Mathew Abraham, Ulrike Hoffmann, Jamie R Privratsky, Robert H Lee, Wolfgang Bergmeier and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. IL-18-associated basophil and mast cell activation in sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  2. Developments in Mast Cell Research.The Journal of allergy and clinical immunology · 2026
    Review
  3. Review
  4. Article
  5. Review
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

15 authors.

Hae Woong Choi *Department of Life Sciences, Korea University, Seoul, South Korea. haewoongchoi@korea.ac.kr.ORCID http://orcid.org/0000-0001-9372-1875
Joo Hwan Noh *Department of Life Sciences, Korea University, Seoul, South Korea.ORCID http://orcid.org/0000-0002-2295-1929
Jason IskarpatyotiDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
Xiaoyi ZhuDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4738-0779
Chunjing BaoDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
Mathew AbrahamDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
Ulrike HoffmannDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0001-5660-2789
Jamie R PrivratskyDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0003-3598-4911
Robert H LeeDepartment of Biochemistry and Biophysics, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-9871-0593
Wolfgang BergmeierDepartment of Biochemistry and Biophysics, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0002-1211-8861
Ephraim L TsalikDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-6417-2042
Cassandra FiorinoDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Junjie YaoDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-2381-706X
Soman N AbrahamDepartment of Pathology, Duke University Medical Center, Durham, NC, USA. soman.abraham@duke.edu.ORCID http://orcid.org/0000-0002-1662-2096
Jörn KarhausenDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USA. jorn.karhausen@humanitas.it.ORCID http://orcid.org/0000-0002-4240-229X

Funding

High-resolution High-speed Photoacoustic and Ultrasound Imaging of SmallVessel Functions in Ischemic StrokeR01NS111039 · NINDS · DUKE UNIVERSITY · PI YAO, JUNJIE · 2019 to 2023
$2.7M
Head-mounted Photoacoustic Imaging of Deep-brain Neural Activities in Freely Behaving AnimalsRF1NS115581 · NINDS · DUKE UNIVERSITY · PI VERKHUSHA, VLADISLAV, YAO, JUNJIE · 2020 to 2020
$2.0M
3D real-time super-resolution cavitation mapping in laser lithotripsy of urinary stone diseaseR01DK139109 · NIDDK · DUKE UNIVERSITY · PI Michael E Lipkin, Junjie Yao · 2024 to 2026
$1.8M
Platelet- mast cell interactions as determinants of the vascular pathology in septic shock.R01GM144606 · NIGMS · DUKE UNIVERSITY · PI ABRAHAM, SOMAN N · 2021 to 2024
$1.7M
Platelet/Mast Cell Interactions as Determinants of End-Organ Injury in Cardiac SurgeryR56HL126891 · NHLBI · DUKE UNIVERSITY · PI KARHAUSEN, JORN · 2015 to 2015
$414k
National Research Foundation of Korea (NRF) NRF-2020R1C1C1003257National Research Foundation of Korea (NRF) RS-2023-00221182National Research Foundation of Korea (NRF) RS-2025-00515944National Research Foundation of Korea (NRF) RS-2025-16652968NHLBI NIH HHS R56 HL126891NIDDK NIH HHS R01 DK139109NIGMS NIH HHS R01 GM144606NINDS NIH HHS R01 NS111039NINDS NIH HHS RF1 NS115581U.S. Department of Health & Human Services | National Institutes of Health (NIH) 1R01GM144606-01U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01DK139109
6 · The paper itself

Abstract

The critical events that trigger sepsis progression into life-threatening septic shock remain unclear. In agreement with reports that link a drop in platelet count to a complicated clinical course in sepsis patients, here we report that, during sepsis, mouse platelets become activated, deposit systemically on vascular walls, and stimulate perivascular mast cells (MC) by releasing platelet activating factor (PAF). In mouse models and patient samples, MC activation correlates with the development of shock in sepsis and is mechanistically linked to shock by inducing systemic hypotension, vascular leakage and microvascular perfusion abnormalities. Preventing platelet or MC activation, or inhibiting the activity of the major MC granule constituent chymase, averts progression from sepsis to shock and reduces mortality of septic mice. Thus, our work establishes that, during sepsis progression, platelet microvascular adhesion leads to MC-mediated vascular changes to culminate in septic shock and septic shock-associated mortality.

Indexed as

Blood PlateletsMast CellsPlatelet ActivationSepsisShock, SepticAnimalsChymasesDisease Models, AnimalDisease ProgressionHumansMaleMiceMice, Inbred C57BLPlatelet Activating FactorChymasesPlatelet Activating Factor

Identifiers

PMID41339353
PMCPMC12783827

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.