Evidence map›Paper›PMID 19436114›Full record

ArticleThe Journal of clinical investigation2009

Prevention of hepatocarcinogenesis and increased susceptibility to acetaminophen-induced liver failure in transaldolase-deficient mice by N-acetylcysteine.

Robert Hanczko, David R Fernandez, Edward Doherty, Yueming Qian, Gyorgy Vas, Brian Niland, Tiffany Telarico, Adinoyi Garba, Sanjay Banerjee, Frank A Middleton and 5 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
–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

63 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Pathomechanism of Fever-Induced Liver Failure in NBAS Deficiency and Treatment Effect of NAC-Observations In Vitro and In Vivo.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. A Rare Cause of Hypergonadotropic Hypogonadism: Transaldolase Deficiency in Two SiblingsJournal of clinical research in pediatric endocrinology · 2025
    Article
  14. Article
  15. Article
  16. Redox Pathogenesis in Rheumatic Diseases.ACR open rheumatology · 2024
    Review
  17. Article
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Robert HanczkoDepartment of Medicine, College of Medicine, State University of New York, Syracuse, New York 13210, USA.
David R Fernandez
Edward Doherty
Yueming Qian
Gyorgy Vas
Brian Niland
Tiffany Telarico
Adinoyi Garba
Sanjay Banerjee
Frank A Middleton
Donna Barrett
Maureen Barcza
Katalin Banki
Steve K Landas
Andras Perl

Funding

MOLECULAR BIOLOGY OF TRANSALDOLASER01DK049221 · NIDDK · UPSTATE MEDICAL UNIVERSITY · PI PERL, ANDRAS · 1996 to 2004
$904k
NIDDK NIH HHS R01 DK049221NIDDK NIH HHS R01 DK 49221
6 · The paper itself

Abstract

Although oxidative stress has been implicated in acute acetaminophen-induced liver failure and in chronic liver cirrhosis and hepatocellular carcinoma (HCC), no common underlying metabolic pathway has been identified. Recent case reports suggest a link between the pentose phosphate pathway (PPP) enzyme transaldolase (TAL; encoded by TALDO1) and liver failure in children. Here, we show that Taldo1-/- and Taldo1+/- mice spontaneously developed HCC, and Taldo1-/- mice had increased susceptibility to acetaminophen-induced liver failure. Oxidative stress in Taldo1-/- livers was characterized by the accumulation of sedoheptulose 7-phosphate, failure to recycle ribose 5-phosphate for the oxidative PPP, depleted NADPH and glutathione levels, and increased production of lipid hydroperoxides. Furthermore, we found evidence of hepatic mitochondrial dysfunction, as indicated by loss of transmembrane potential, diminished mitochondrial mass, and reduced ATP/ADP ratio. Reduced beta-catenin phosphorylation and enhanced c-Jun expression in Taldo1-/- livers reflected adaptation to oxidative stress. Taldo1-/- hepatocytes were resistant to CD95/Fas-mediated apoptosis in vitro and in vivo. Remarkably, lifelong administration of the potent antioxidant N-acetylcysteine (NAC) prevented acetaminophen-induced liver failure, restored Fas-dependent hepatocyte apoptosis, and blocked hepatocarcinogenesis in Taldo1-/- mice. These data reveal a protective role for the TAL-mediated branch of the PPP against hepatocarcinogenesis and identify NAC as a promising treatment for liver disease in TAL deficiency.

Indexed as

Acetylcysteinealpha-FetoproteinsAnimalsApoptosisbeta CateninBiomarkers, TumorCarcinoma, HepatocellularCell Transformation, Neoplasticfas ReceptorJNK Mitogen-Activated Protein KinasesLiver FailureLiver NeoplasmsMaleMiceMice, KnockoutMitochondriaAcetylcysteinealpha-Fetoproteinsbeta CateninBiomarkers, Tumorfas ReceptorJNK Mitogen-Activated Protein KinasesTransaldolase

Identifiers

PMID19436114
PMCPMC2689120

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.