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ResearchIn-Press PreviewInfectious diseaseInflammation
Open Access | 10.1172/JCI184721
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Chen, K. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Hu, Y. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Yu, X. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Tang, H. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Ruan, Y. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Li, Y. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Gao, X. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Zhao, Q. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Wang, H. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Zhang, X. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Molloy, D. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Yin, Y. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Chen, D. in: PubMed | Google Scholar
1Department of Clinical Laboratory, Children’s Hospital of Chongqing Medical University, Chongqing, China
2Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
3Molecular Medicine and Cancer Research Center, Chongqing Medical University, Chongqing, China
4Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, China
5Department of Laboratory Medicine, The Second Affliated Hospital of Chongqing Medical University, Chongqing, China
6Department of Laboratory Medicine, Key Laboratory of Diagnostic Medicine, Chongqing Medical University, Chongqing, China
7Department of Biochemistry and Molecular Biology, Chongqing Medical University, Chongqing, China
8Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, China
Find articles by Song, Z. in: PubMed | Google Scholar
Published September 2, 2025 - More info
The persistent challenge of sepsis-related mortality underscores the necessity for deeper insights, with our multi-center cross-age cohort study identifying insulin-like growth factor binding protein 6 (IGFBP6) as a critical regulator in sepsis diagnosis, prognosis, and mortality risk evaluation. Mechanistically, IGFBP6 engages in IGF-independent binding to prohibitin2 (PHB2) on epithelial cells, driving PHB2 tyrosine phosphorylation during sepsis. This process disrupts STAT1 phosphorylation, nuclear translocation, and its recruitment to the CCL2 promoter, ultimately impairing CCL2 transcription and macrophage chemotaxis. Crucially, PHB2 silencing via siPHB2 and STAT1 activation using 2-NP restored CCL2 expression in vitro and in vivo, improving bacterial clearance and survival in septic mice. Concurrently, IGFBP6 compromises macrophage bactericidal activity by inhibiting Akt phosphorylation, reducing ROS/IL-1β production and phagocytic capacity – defects reversible by Akt agonist SC79. Collectively, IGFBP6 emerges as an endogenous driver of sepsis pathogenesis, positioning it as a dual diagnostic biomarker and therapeutic target. Intervention strategies targeting IGFBP6-mediated signaling may offer transformative approaches for sepsis management.