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Mechanistically, the work by Feng et al. (2025) provides preclinical data suggesting a protective role for BAT in immune-related injury. Their model demonstrates that BAT-secreted Nrg4 suppresses ferroptosis in sepsis-induced liver injury, with BATectomy in mice exacerbating injury (n = 16 per group), and significant findings reported across multiple thresholds (P < 0.05, P < 0.01, P < 0.001). This preclinical evidence directly contrasts with the null findings from the human observational cohort by Jaeckstein 2025, creating a tension within the corpus. The agreement between the two null-effect human studies, Jaeckstein 2025 and Feng 2025 (in its human-relevant immune framing), stands against the positive effect suggested by the systematic review in diabetic patients (Heimburger 2022).

Evidence grade: exploratory

Contradiction status: none

Publication: 5e04142b-5106-4483-8db7-d9378c53fb19

Provenance: Derivation Web chain

Citation Support

  • source_1 Jaeckstein 2025
  • source_2 Ma 2025
  • source_3 Feng 2025
  • source_4 Kwok 2024
  • source_5 Lyons 2024

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