Evidence map›Paper›PMID 21910728›Full record

ArticleClinical and experimental immunology2011

The multi-hit hypothesis of primary biliary cirrhosis: polyinosinic-polycytidylic acid (poly I:C) and murine autoimmune cholangitis.

Y M Ambrosini, G-X Yang, W Zhang, M Tsuda, S Shu, K Tsuneyama, P S C Leung, A A Ansari, R L Coppel, M E Gershwin

Open access · greenAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 42 citations in OpenAlex.

  1. [Exploring the research on the molecular mechanisms of autoimmune liver diseases].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Eosinophils in Autoimmune Diseases.Frontiers in immunology · 2017
    Review
  8. Adaptive immunity in the liver.Cellular & molecular immunology · 2016
    Review
  9. Primary biliary cirrhosis: From bench to bedside.World journal of gastrointestinal pharmacology and therapeutics · 2015
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Role of autoimmunity in primary biliary cirrhosis.World journal of gastroenterology · 2012
    Review
  18. Immunological orchestration of liver fibrosis.Clinical reviews in allergy & immunology · 2012
    Review
  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

10 authors at 3 institutions in 3 countries.

Y M AmbrosiniDivision of Rheumatology, Allergy and Clinical Immunology, School of Medicine, Davis, CA 95616, USA.
G-X Yang
W Zhang
M Tsuda
S Shu
K Tsuneyama
P S C Leung
A A Ansari
R L Coppel
M E Gershwin
Emory University · USMonash University · AUUniversity of Toyama · JP

Funding

XENOBIOTICS AND PRIMARY BILIARY CIRRHOSISR01DK067003 · NIDDK · UNIVERSITY OF CALIFORNIA DAVIS · PI GERSHWIN, MERRILL E · 2003 to 2017
$4.4M
NIDDK NIH HHS R01 DK067003
6 · The paper itself

Abstract

A void in understanding primary biliary cirrhosis (PBC) is the absence of appropriate animal models. Our laboratory has studied a murine model of autoimmune cholangitis induced following immunization with 2-octynoic acid (2OA), an antigen identified following extensive quantitative structural activity relationship (QSAR) analysis, using human autoantibodies and three-dimensional analysis of the mitochondrial autoantigen, the E2 subunit of the pyruvate dehydrogenase complex (PDC-E2). Mice immunized with 2OA coupled to bovine serum albumin (BSA) develop anti-mitochondrial antibodies (AMAs) of the identical specificity as humans with PBC, and in addition develop inflammatory portal cell infiltrates in liver. However, the natural history of disease is less severe than in humans and does not include fibrosis. Data from human and autoimmune murine models suggest that environmental and/or infectious agents can exacerbate autoimmune reactions, and a model of PBC has been described in which polyinosinic-polycytidylic acid (poly I:C), a viral RNA mimetic and Toll-like receptor 3 (TLR-3) agonist induces low-titre AMAs and in mild portal infiltrates. We took advantage of our established model to determine whether immunization with 2OA-BSA coupled with poly I:C alters the disease process. Indeed, the addition of poly I:C produces a profound exacerbation of autoimmune cholangitis, including a significant increase in CD8(+) infiltrating T cells, as well as a marked increase of proinflammatory cytokines. In addition, mice have evidence of fibrosis. These findings lend support to the concept that besides breakdown of self-tolerance, there is a requirement of a second 'hit' during the breakdown process that leads to disease which more faithfully mimics human PBC.

Indexed as

Disease Models, AnimalAnimalsAutoantibodiesAutoantigensAutoimmune DiseasesCattleCholangitisCytokinesDihydrolipoyllysine-Residue AcetyltransferaseFatty Acids, MonounsaturatedFemaleHumansImmunizationLiverLiver Cirrhosis, BiliaryMale2-octynoic acidAutoantibodiesAutoantigensCytokinesDihydrolipoyllysine-Residue AcetyltransferaseDlat protein, mouseFatty Acids, MonounsaturatedMitochondrial ProteinsPoly I-CSerum AlbuminToll-Like Receptor 3

Identifiers

PMID21910728
PMCPMC3193926
OpenAlexW1558709694

What OpenQuestion holds

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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.