Evidence map›Paper›PMID 21400555›Full record

ArticleHepatology (Baltimore, Md.)2011

Interaction between Toll-like receptors and natural killer cells in the destruction of bile ducts in primary biliary cirrhosis.

Shinji Shimoda, Kenichi Harada, Hiroaki Niiro, Ken Shirabe, Akinobu Taketomi, Yoshihiko Maehara, Koichi Tsuneyama, Yasuni Nakanuma, Patrick Leung, Aftab A Ansari and 2 more

Open access · greenAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Article
  5. Sequence of events leading to primary biliary cholangitis.World journal of gastroenterology · 2023
    Review
  6. Article
  7. The Role of Inflammation in Cholestatic Liver Injury.Journal of inflammation research · 2023
    Review
  8. Review
  9. Review
  10. Article
  11. HLA, gut microbiome and hepatic autoimmunity.Frontiers in immunology · 2022
    Review
  12. Review
  13. [Immune pathogenesis of primary biliary cholangitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Pathogen infections and primary biliary cholangitis.Clinical and experimental immunology · 2019
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Shinji ShimodaMedicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. sshimoda@intmed1.med.kyushu-u.ac.jp
Kenichi Harada
Hiroaki Niiro
Ken Shirabe
Akinobu Taketomi
Yoshihiko Maehara
Koichi Tsuneyama
Yasuni Nakanuma
Patrick Leung
Aftab A Ansari
M Eric Gershwin
Koichi Akashi
Kyushu University · JPKanazawa University · JPUniversity of California, Davis · USEmory University · USUniversity of Toyama · JP

Funding

MECHANISMS AND PATHOGENESIS OF PRIMARY BILIARY CIRRHOSISR37DK039588 · NIDDK · UNIVERSITY OF CALIFORNIA DAVIS · PI GERSHWIN, MERRILL E · 2001 to 2010
$3.5M
MECHANISMS AND PATHOGENESIS OF PRIMARY BILIARY CIRRHOSISR01DK039588 · NIDDK · UNIVERSITY OF CALIFORNIA DAVIS · PI GERSHWIN, MERRILL E · 1988 to 2015
$2.0M
NIDDK NIH HHS R01 DK039588NIDDK NIH HHS R37 DK039588
6 · The paper itself

Abstract

unlabelledPrimary biliary cirrhosis (PBC) is characterized by chronic nonsuppurative destructive cholangitis (CNSDC) associated with destruction of small bile ducts. Although there have been significant advances in the dissection of the adaptive immune response against the mitochondrial autoantigens, there are increasing data that suggest a contribution of innate immune mechanisms in inducing chronic biliary pathology. We have taken advantage of our ability to isolate subpopulations of liver mononuclear cells (LMC) and examined herein the role of Toll-like receptors (TLRs), their ligands, and natural killer (NK) cells in modulating cytotoxic activity against biliary epithelial cells (BECs). In particular, we demonstrate that Toll-like receptor 4 ligand (TLR4-L)-stimulated NK cells destroy autologous BECs in the presence of interferon alpha (IFN-α) synthesized by TLR 3 ligand (TLR3-L)-stimulated monocytes (Mo). Indeed, IFN-α production by hepatic Mo is significantly increased in patients with PBC compared to disease controls. There were also marked increases in the cytotoxic activity of hepatic NK cells from PBC patients compared to NK cells from controls but only when the NK cells were prepared following ligation of both TLR3-L- and TLR4-L-stimulated LMC. These functional data are supported by the immunohistochemical observation of an increased presence of CD56-positive NK cells scattered around destroyed small bile ducts more frequently in liver tissues from PBC patients than controls.

conclusionThese data highlight critical differences in the varied roles of Mo and NK cells following TLR3-L and TLR4-L stimulation.

Indexed as

Bile DuctsEpithelial CellsHumansImmunity, InnateInterferon-alphaKiller Cells, NaturalLipopolysaccharidesLiverLiver Cirrhosis, BiliaryMonocytesPoly I-CToll-Like Receptor 3Toll-Like Receptor 4Toll-Like ReceptorsInterferon-alphaLipopolysaccharidesPoly I-CTLR3 protein, humanTLR4 protein, humanToll-Like Receptor 3Toll-Like Receptor 4Toll-Like Receptors

Identifiers

PMID21400555
PMCPMC3077894
OpenAlexW2150724838

What OpenQuestion holds

Textmetadata
LicenceTDM
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.