Evidence map›Paper›PMID 41822962›Full record

ArticleCirculation research2026

Vascular Endothelial Growth Factor-D Improves Lung Vascular Integrity During Acute Lung Injury.

Yongdae Yoon, Lokesh Sharma, Wenwen Tang, Shannon Kirk, Micha Sam Brickman Raredon, Farida Ahangari, Johad Khoury, Hong Qian, Yunbo Ke, Mohan E Tulapurkar and 10 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 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Yongdae Yoon *Department of Anesthesiology (Y. Yoon, S.K., Y.K., K.G.B., Y. Yuan), University of Maryland School of Medicine, Baltimore.ORCID 0000-0002-9229-9331
Lokesh Sharma *Section of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine (L.S., F.A., J.K., N.K., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0003-3040-9029
Wenwen Tang *Department of Pharmacology (W.T., Y.L., Q.Y., D.W.), Yale School of Medicine, New Haven, CT.
Shannon KirkDepartment of Anesthesiology (Y. Yoon, S.K., Y.K., K.G.B., Y. Yuan), University of Maryland School of Medicine, Baltimore.
Micha Sam Brickman RaredonDepartment of Anesthesiology (M.S.B.R., H.Q., L.E.N., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0003-1441-6122
Farida AhangariSection of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine (L.S., F.A., J.K., N.K., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0002-4144-9395
Johad KhourySection of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine (L.S., F.A., J.K., N.K., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0001-8048-1542
Hong QianDepartment of Anesthesiology (M.S.B.R., H.Q., L.E.N., Y. Yuan), Yale School of Medicine, New Haven, CT.
Yunbo KeDepartment of Anesthesiology (Y. Yoon, S.K., Y.K., K.G.B., Y. Yuan), University of Maryland School of Medicine, Baltimore.ORCID 0000-0002-4151-9058
Mohan E TulapurkarDivision of Pulmonary and Critical Care Medicine, Department of Medicine (M.E.T.), University of Maryland School of Medicine, Baltimore.
Ruya LiuDepartment of Medicine (R.L.), University of Maryland School of Medicine, Baltimore.ORCID 0000-0003-1986-6800
Yi LuanDepartment of Pharmacology (W.T., Y.L., Q.Y., D.W.), Yale School of Medicine, New Haven, CT.
Qianying YuanDepartment of Pharmacology (W.T., Y.L., Q.Y., D.W.), Yale School of Medicine, New Haven, CT.
Lujia ChenDepartment of Biomedical Informatics, University of Pittsburgh, PA (L.C.).ORCID 0000-0003-4157-0440
Konstantin G BirukovDepartment of Anesthesiology (Y. Yoon, S.K., Y.K., K.G.B., Y. Yuan), University of Maryland School of Medicine, Baltimore.ORCID 0000-0002-0303-5394
Michael SimonsVascular Biology & Therapeutics Program (W.T., M.S.B.R., H.Q., Y.L., Q.Y., M.S., D.W., L.E.N., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0003-0348-7734
Dianqing WuDepartment of Pharmacology (W.T., Y.L., Q.Y., D.W.), Yale School of Medicine, New Haven, CT.
Laura E NiklasonDepartment of Anesthesiology (M.S.B.R., H.Q., L.E.N., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0002-5156-504X
Naftali KaminskiSection of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine (L.S., F.A., J.K., N.K., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0001-5917-4601
Yifan YuanSection of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine (L.S., F.A., J.K., N.K., Y. Yuan), Yale School of Medicine, New Haven, CT.ORCID 0000-0001-8645-3112

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
Genomic Analysis of Tissue and Cellular Heterogeneity in IPFR01HL127349 · NHLBI · YALE UNIVERSITY · PI BENOS, PANAGIOTIS V, KAMINSKI, NAFTALI · 2015 to 2025
$5.9M
Research Training in AnesthesiaT32GM086287 · NIGMS · YALE UNIVERSITY · PI ROBERT SCHONBERGER · 2009 to 2026
$3.7M
Biologically Selective Drug-Eluting StentR01HL148819 · NHLBI · YALE UNIVERSITY · PI SALTZMAN, WILLIAM · 2019 to 2022
$2.7M
Reconstructing native soluble cues in vascularized whole lung scaffoldsR00HL159261 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI YUAN, YIFAN · 2023 to 2025
$747k
Reconstructing native soluble cues in vascularized whole lung scaffoldsK99HL159261 · NHLBI · YALE UNIVERSITY · PI YUAN, YIFAN · 2022 to 2023
$245k
NCATS NIH HHS UL1 TR003098NHLBI NIH HHS K99 HL159261NHLBI NIH HHS R00 HL159261NHLBI NIH HHS R01 HL127349NHLBI NIH HHS R01 HL148819NIGMS NIH HHS T32 GM086287
6 · The paper itself

Abstract

backgroundDisorders in pulmonary vascular integrity are a prominent feature in many lung diseases. Paracrine signaling is highly enriched in the lung and plays a crucial role in regulating vascular homeostasis. However, the specific local cell-cell crosstalk signals that maintain pulmonary microvascular stability in adult animals and humans remain largely unexplored.

methodsIn this study, we used single-cell RNA-sequencing-based computational pipelines to systematically profile ligand-receptor interactions within the lung microvascular niche and identified VEGF-D (vascular endothelial growth factor-D) as a key local factor with previously unrecognized barrier-protective properties in models of acute lung injury.

resultsOur single-cell RNA-sequencing data revealed that, under physiological conditions, soluble ligand-receptor interactions between mesenchymal cells, in particular alveolar fibroblasts, and microvascular endothelial cells are predominantly associated with pathways involved in maintaining vascular integrity as compared with all other cells. On treatment with top identified ligands, we found that VEGF-D significantly enhanced endothelial barrier function and conferred protection against inflammatory challenges induced by TNF-α (tumor necrosis factor-α), IL (interleukin)-1β, and thrombin. This barrier-protective effect of VEGF-D was significantly attenuated by inhibition of VEGFR2 (vascular endothelial growth factor receptor 2), either through small interfering RNA (siRNA) knockdown or pharmacological blockade using specific VEGFR2 inhibitors. Intravenous administration of recombinant VEGF-D in lipopolysaccharide-induced acute lung injury models significantly reduced vascular permeability (7339±2510 arbitrary unit [a.u.] [lipopolysaccharides] versus 5350±1821 a.u. [lipopolysaccharides+VEGF-D];

conclusionsThis study demonstrates an unexpected protective role for VEGF-D in promoting lung endothelial barrier integrity and suggests that paracrine signaling from the alveolar fibroblast niche contributes critically to lung capillary homeostasis.

Indexed as

Acute Lung InjuryCapillary PermeabilityLungVascular Endothelial Growth Factor DAnimalsDisease Models, AnimalEndothelial CellsHumansMaleMiceMice, Inbred C57BLMice, KnockoutParacrine CommunicationVascular Endothelial Growth Factor Receptor-2Kdr protein, mouseVascular Endothelial Growth Factor DVascular Endothelial Growth Factor Receptor-2endothelial cellshomeostasisinflammationintercellular junctionslung injury

Identifiers

PMID41822962
PMCPMC13007730

What Socratic holds

Textmetadata
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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.