Evidence mapPaperPMID 41814716Full record

ReviewAnnals of medicine2026

Exploring the mechanism of polymorphonuclear neutrophils against sepsis based on immune model.

Chibo Liu, Yanqun Cai, Sihua Mou

Abstract readReview
In one paragraph

Review in Annals of medicine, 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. 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

3 authors.

Chibo LiuDepartment of Clinical Laboratory Medicine, Taizhou Municipal Hospital (Taizhou University Affiliated Municipal Hospital), School of Medicine, Taizhou University, Taizhou Key Laboratory of Infection and Tumor Immunology, Taizhou, Zhejiang, China.
Yanqun CaiDepartment of Clinical Laboratory Medicine, Taizhou Municipal Hospital (Taizhou University Affiliated Municipal Hospital), School of Medicine, Taizhou University, Taizhou Key Laboratory of Infection and Tumor Immunology, Taizhou, Zhejiang, China.
Sihua MouDepartment of Clinical Laboratory Medicine, Taizhou Municipal Hospital (Taizhou University Affiliated Municipal Hospital), School of Medicine, Taizhou University, Taizhou Key Laboratory of Infection and Tumor Immunology, Taizhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection and remains a major global health challenge. Polymorphonuclear neutrophils (PMNs), as major effectors of innate immunity, are essential for antimicrobial defense but can also contribute to immune dysregulation, tissue injury, and organ failure during sepsis.

methodsWe conducted a narrative review of the literature by searching PubMed and Web of Science from database inception to November 2025. Search terms included sepsis, septic shock, neutrophils, polymorphonuclear neutrophils, PMNs, immunology, immune models, diagnosis, biomarkers, and treatment. Peer-reviewed English-language studies and reviews focusing on neutrophil biology, immune mechanisms, diagnostic applications, and therapeutic strategies in sepsis were included.

resultsCurrent evidence shows that PMNs play a dual role in sepsis. On the one hand, they mediate pathogen clearance through chemotaxis, phagocytosis, reactive oxygen species production, degranulation, and neutrophil extracellular trap formation. On the other hand, excessive or dysregulated PMN activation amplifies inflammation, disrupts endothelial and microvascular integrity, alters cellular metabolism, and promotes organ dysfunction. Sepsis is also associated with marked neutrophil phenotypic and functional changes, including altered surface marker expression, impaired migration and phagocytosis, glycolytic reprogramming, and abnormal intercellular signaling. Emerging biomarkers, immune-related prognostic models, and artificial intelligence-assisted approaches may improve risk stratification and individualized management.

conclusionsPMNs are central to the immunopathogenesis of sepsis and represent promising biomarkers and therapeutic targets. Further studies on neutrophil heterogeneity, metabolic adaptation, and immune interactions may support the development of more precise diagnostic and immunomodulatory strategies.

Indexed as

NeutrophilsSepsisAnimalsBiomarkersHumansImmunity, InnateModels, ImmunologicalNeutrophil ActivationPhagocytosisReactive Oxygen SpeciesBiomarkersReactive Oxygen Speciesimmune modelpolymorphonuclear neutrophilsSepsis

Identifiers

PMID41814716
PMCPMC12983823

What Socratic holds

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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 Socratic graph.