Evidence map›Paper›PMID 21226614›Full record

ReviewAnnual review of medicine2011

Biliary atresia: will blocking inflammation tame the disease?

Kazuhiko Bessho, Jorge A Bezerra

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Annual review of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03890536 (Intestinal Microbiome Composition in Infants With Biliary Atresia), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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.

NCT03890536 withdrawnnot on this mapstarted 2023, after this paper: background citation

Intestinal Microbiome Composition in Infants With Biliary Atresia

TypeobservationalSponsorChildren's Hospital Medical Center, CincinnatiRan2023 to 2032Enrolled0ConditionsBiliary Atresia, Intrahepatic Cholestases, Normal Controls
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. IL‑17AInternational journal of molecular medicine · 2026
    Article
  4. Article
  5. Biliary atresia-related liver fibrosis.Frontiers in cell and developmental biology · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

2 authors at 1 institution in 1 country.

Kazuhiko BesshoPediatric Liver Care Center and Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center and the Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio 45229-3031, USA.
Jorge A Bezerra
Cincinnati Children's Hospital Medical Center · US

Funding

Clinical Center for Cholestatic Liver Disease in ChildrenU01DK062497 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2002 to 2026
$13.2M
Immunologic Dysfunction in Biliary AtresiaR01DK064008 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI DENSON, LEE ARMISTEAD · 2003 to 2022
$6.7M
Biological Basis of Phenotypes and Clinical Outcomes in Biliary AtresiaR01DK083781 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI BEZERRA, JORGE A. · 2009 to 2023
$6.1M
NIDDK NIH HHS DK62497NIDDK NIH HHS DK64008NIDDK NIH HHS DK83781NIDDK NIH HHS R01 DK064008NIDDK NIH HHS R01 DK083781NIDDK NIH HHS U01 DK062497
6 · The paper itself

Abstract

Biliary atresia is the most common cholangiopathy of childhood. With complete obstruction of segments or the entire length of extrahepatic bile ducts, the timely pursuit of hepatoportoenterostomy is the best strategy to restore bile drainage. However, even with prompt surgical intervention, ongoing injury of intrahepatic bile ducts and progressive cholangiopathy lead to end-stage cirrhosis. The pace of disease progression is not uniform; it may relate to clinical forms of disease and/or staging of liver pathology at diagnosis. Although the etiology of disease is not yet defined, several biological processes have been linked to pathogenic mechanisms of bile duct injury. Among them, there is increasing evidence that the immune system targets the duct epithelium and disrupts bile flow. We discuss how careful clinical phenotyping, staging of disease, and basic mechanistic research are providing insights into clinical trial designs and directions for development of new therapies to block progression of disease.

Indexed as

AnimalsAnti-Inflammatory AgentsBile DuctsBiliary AtresiaClinical Trials as TopicFemaleHumansInflammationLiverLiver CirrhosisMaleMicePortoenterostomy, HepaticTreatment OutcomeAnti-Inflammatory Agents

Identifiers

PMID21226614
PMCPMC4096311
OpenAlexW2156756875

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.