Cytokine Storm Induction Linked to Multi‐Organ Failure in Fatal Jellyfish Stings
Fatal jellyfish stings often cause multi-organ failure. Until now, these fatal outcomes are attributed to the direct toxic effects of the venom. Here, a mouse model of delayed jellyfish envenomation syndrome (DJES) is established and showed that venom from Nemopilema nomurai jellyfish can trigger a deadly cytokine storm - a severe inflammatory reaction. Mice injected with the venom displayed acute multi-organ failure and significant upregulation of over 20 pro-inflammatory cytokines (including IL-6, TNF-α, CXCL2, and CCL4) in the heart, liver, and kidneys. Transcriptomic analyses identified NF-κB p65 subunit activation as central to the cytokine storm induction. Knockdown of p65 in macrophages reduced cytokine production and improved cell viability. Treatment with dexamethasone, an NF-κB inhibitor, effectively suppressed the cytokine storm, mitigated organ damage, and increased survival rates in mice. The findings present new insights to treat fatal jellyfish stings.
Authors
- Bing Yan (ORCID: https://orcid.org/0000-0002-7970-6764)
- Lingxin Chen (ORCID: https://orcid.org/0000-0002-3764-3515)
- Huiyan Lin (ORCID: https://orcid.org/0000-0002-9006-9786)
- Xin Hou (ORCID: https://orcid.org/0000-0002-5980-5925)
- Yi Wang (ORCID: https://orcid.org/0000-0001-8043-4869)
- Qing Sun (ORCID: https://orcid.org/0000-0001-5158-1106)
- Yang Feng-ling
- Jingbo Chen (ORCID: https://orcid.org/0000-0001-8113-7823)
- Rui Wang (ORCID: https://orcid.org/0000-0001-6077-8429)
- Jing Zhang (ORCID: https://orcid.org/0000-0002-8651-7638)
- Xiaoyu Geng (ORCID: https://orcid.org/0000-0003-0442-337X)
- Jie Lv (ORCID: https://orcid.org/0000-0001-5071-8959)
- Liang Xiao
- Yichao Wang (ORCID: https://orcid.org/0009-0008-6627-350X)
- Jinyu Zhang (ORCID: https://orcid.org/0009-0005-8571-9368)
- Chang Liu (ORCID: https://orcid.org/0000-0003-0650-1773)
Institutions
- Naval Medical Research Command (US)
- Second Military Medical University (CN)
- Naval University of Engineering (CN)
- Guangzhou University (CN)
- People's Liberation Army 401 Hospital (CN)
- Yantai Institute of Coastal Zone Research (CN)
- Pearl River Hydraulic Research Institute (CN)
- Xian Yang Central Hospital (CN)
- Jilin Agricultural University (CN)
Publication Details
- Journal
- Advanced Science
- Published
- 2025-07-13
- DOI
- https://doi.org/10.1002/advs.202501104
- Citations
- 2
- Primary Topic
- Marine Invertebrate Physiology and Ecology
- Type
- article
- Field-Weighted Citation Impact
- 8.66
Funders
- Shanghai Municipal Health Commission