Evidence map›Paper›PMID 17682970›Full record

ReviewSeminars in liver disease2007

The pathogenesis of biliary atresia: evidence for a virus-induced autoimmune disease.

Cara L Mack

Abstract readReview
In one paragraph

Review in Seminars in liver disease, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
8.2field-weighted citation impact, top 2% of its field
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

89 citing papers in PubMed, 177 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. The bile acid-gut microbiota-vitamin D axis: new insights into biliary atresia.Frontiers in cellular and infection microbiology · 2026
    Review
  5. Biliary atresia-related liver fibrosis.Frontiers in cell and developmental biology · 2026
    Review
  6. Organoids in biliary atresia.World journal of pediatric surgery · 2025
    Review
  7. Immunology of Biliary Atresia.Seminars in pediatric surgery · 2024
    Review
  8. Article
  9. Article
  10. Biliary atresia.Nature reviews. Disease primers · 2024
    Review
  11. Galectin-3 in biliary atresia and other pediatric cholestatic liver diseases.Hepatology research : the official journal of the Japan Society of Hepatology · 2024
    Article
  12. Review
  13. Article
  14. Review
  15. Editorial: Viruses and immune response in pediatric infection.Frontiers in cellular and infection microbiology · 2023
    Article
  16. Article
  17. HLA association with biliary atresia in north India.The Indian journal of medical research · 2022
    Article
  18. Article
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

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

1 author at 1 institution in 1 country.

Cara L MackPediatric Liver Center and Liver Transplant Program, Section of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital, University of Colorado at Denver-Health Sciences Center, Denver, Colorado 80218, USA.
Children's Hospital Colorado · US

Funding

ZORVIRAX ORAL SUSPENSION FOR SEVERE CHILDHOOD HERPES VIRUS INFECTIONSM01RR000069 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 1985 to 2008
$22.1M
Etiology and Treatment of Biliary Atresia and INHU01DK062453 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI RONALD J. SOKOL · 2002 to 2026
$13.5M
T Cell-Mediated Mechanisms of Autoimmunity in Murine and Human Biliary AtresiaR01DK078195 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MACK, CARA LYNN · 2007 to 2011
$1.5M
Immunologic Mechanism/Destruction/Biliary AtresiaK08DK060710 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MACK, CARA LYNN · 2002 to 2006
$629k
NCRR NIH HHS M01 RR000069NCRR NIH HHS M01 RR00069NIDDK NIH HHS K08 DK060710NIDDK NIH HHS K08#DK60710-06NIDDK NIH HHS R01 DK078195NIDDK NIH HHS U01 DK062453NIDDK NIH HHS U01#DK062453
6 · The paper itself

Abstract

Biliary atresia is a mystifying cause of neonatal cholestasis, manifested by progressive inflammation and fibrosis of both the extrahepatic and intrahepatic bile ducts. It is a devastating disease that leads to cirrhosis and the need for liver transplantation in the majority of children. The etiology is unknown, and one theory is that it may involve a primary perinatal hepatobiliary viral infection and a secondary generation of an autoimmune-mediated bile duct injury. This review will outline the evidence from both human and murine studies supporting a potential cholangiotropic viral infection as the initiator of bile duct injury in biliary atresia and the role of the adaptive immune response and autoimmunity in progression of disease. Delineating the pathways of immune and autoimmune-mediated bile duct injury within biliary atresia could stimulate development of new medical interventions aimed at suppressing the specific immune response, decreasing the inflammatory damage to bile ducts, and delaying or negating the need for liver transplantation.

Indexed as

AnimalsAutoimmunityBiliary AtresiaCytomegalovirusHumansMiceRatsReoviridae

Identifiers

PMID17682970
PMCPMC3796656
OpenAlexW1985131493

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.