Evidence map›Paper›PMID 41822508›Full record

ArticleFrontiers in immunology2026

The exosomal miR-26b-3p derived from Crohn's disease-associated mesenteric adipose tissue induces M1 macrophage polarization and exacerbates ileocolonic anastomosis inflammation via the p38-MAPK signaling pathway.

Enhao Wu, Wenwei Qian, Xi Zhang, Lili Gu, Zhen Guo, Zeqian Yu, Yi Li, Weiming Zhu

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Enhao Wu *Department of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Wenwei Qian *Department of General Surgery, The Fourth Affiliated Hospital of Soochow University, Soochow University, Suzhou, Jiangsu, China.
Xi Zhang *Department of General Surgery, Jinling Hospital, Medical School of Southeast University, Nanjing, Jiangsu, China.
Lili Gu *Department of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Zhen GuoDepartment of General Surgery, Nanjing Women and Children's Healthcare Hospital, Women's Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, Jiangsu, China.
Zeqian YuDepartment of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Yi LiDepartment of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Weiming ZhuDepartment of General Surgery, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Crohn's Disease (CD) is a chronic inflammatory condition characterized by intestinal inflammation, especially in the progression of postoperative anastomotic recurrence. Recent evidence implicates mesenteric adipose tissue (MAT) in CD pathogenesis, particularly through its exosome secretion, which may influence inflammation pathways. The molecular mechanisms driving this inflammation remain inadequately understood. Methods: Exosomes were isolated from MAT of the diseased bowel and macroscopically normal MAT from the surgical margins of patients with CD. We induced chronic intestinal inflammation in mice using dinitrobenzene sulfonic acid (DNBS), simulating CD-like MAT. Using a surgical model of IL10-knockout mice, we performed a series of experiments Results: Hypertrophic MAT-Exosomes (Ht-exos) promoted ileocolonic anastomotic inflammation by activating macrophage M1 polarization in CD. Conclusion: Our findings reveal that exosomal miR-26b-3p drives widespread macrophage inflammation and M1 polarization in hypertrophic MAT-induced ileocolonic anastomosis inflammation via the MAPK pathway.

Indexed as

Adipose TissueCrohn DiseaseExosomesMacrophagesMAP Kinase Signaling SystemMicroRNAsp38 Mitogen-Activated Protein KinasesAnastomosis, SurgicalAnimalsDisease Models, AnimalFemaleHumansIleumInflammationInterleukin-10Macrophage ActivationInterleukin-10MicroRNAsMirn26 microRNA, mousep38 Mitogen-Activated Protein KinasesCrohn’s diseaseexosomemacrophage M1 polarizationmesenteric adipose tissuemiR-26b-3p

Identifiers

PMID41822508
PMCPMC12975433

What Socratic holds

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LicenceCC BY
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.