Evidence map›Paper›PMID 23121638›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2013

Macrophage-derived Hedgehog ligands promotes fibrogenic and angiogenic responses in human schistosomiasis mansoni.

Thiago A Pereira, Guanhua Xie, Steve S Choi, Wing-Kin Syn, Izabela Voieta, Jiuyi Lu, Isaac S Chan, Marzena Swiderska, Kirsten B Amaral, Carlos M Antunes and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

36 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Review
  3. Anti-aging effect of Hedgehog signaling.Experimental & molecular medicine · 2026
    Review
  4. Implications of host sex on liver metabolism duringFrontiers in cellular and infection microbiology · 2026
    Review
  5. Review
  6. Article
  7. Cellular and molecular mechanisms of Hedgehog signalling.Nature reviews. Molecular cell biology · 2023
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Role of metaplasia during gastric regeneration.American journal of physiology. Cell physiology · 2020
    Review
  13. Article
  14. Review
  15. Effect of Polarization and Chronic Inflammation on Macrophage Expression of Heparan Sulfate Proteoglycans and Biosynthesis Enzymes.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2019
    Review
  16. The hedgehog pathway in nonalcoholic fatty liver disease.Critical reviews in biochemistry and molecular biology · 2018
    Review
  17. Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 4 countries.

Thiago A PereiraDivision of Gastroenterology, Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Guanhua Xie
Steve S Choi
Wing-Kin Syn
Izabela Voieta
Jiuyi Lu
Isaac S Chan
Marzena Swiderska
Kirsten B Amaral
Carlos M Antunes
William E Secor
Rafal P Witek
José R Lambertucci
Fausto L Pereira
Anna Mae Diehl
Duke Medical Center · USUniversidade Federal de Minas Gerais · BRCenters for Disease Control and Prevention · USDurham VA Medical Center · USFundação Oswaldo Cruz · BRThermo Fisher Scientific (Norway) · NOUniversidade Federal do Espírito Santo · BR

Funding

DUKE TRAINING GRANT IN DIGESTIVE DISEASES AND NUTRITIONT32DK007568 · NIDDK · DUKE UNIVERSITY · PI Katherine Garman, Rodger A. Liddle · 1988 to 2026
$5.6M
CANCER CELL BIOLOGY TRAINING PROGRAMT32CA071341 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHANNING J. DER, Yuliya Pylayeva-Gupta · 1996 to 2026
$5.0M
Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
LIVER DISEASE IN OBESITYR01DK053792 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 1999 to 2013
$3.6M
Rac1 Promotes Hepatic Stellate Accumulation/Activation in Liver InjuryK08DK080980 · NIDDK · DUKE UNIVERSITY · PI CHOI, STEVE S · 2009 to 2013
$567k
NCI NIH HHS T32 CA071341NIDDK NIH HHS 5K08 DK080980NIDDK NIH HHS K08 DK080980NIDDK NIH HHS R01 DK053792NIDDK NIH HHS R01 DK077794NIDDK NIH HHS T32 DK007568
6 · The paper itself

Abstract

backgroundSchistosomiasis mansoni is a major cause of portal fibrosis and portal hypertension. The Hedgehog pathway regulates fibrogenic repair in some types of liver injury.

aimsDetermine if Hedgehog pathway activation occurs during fibrosis progression in schistosomiasis and to determine if macrophage-related mechanisms are involved.

methodsImmunohistochemistry was used to characterize the cells that generate and respond to Hedgehog ligands in 28 liver biopsies from patients with different grades of schistosomiasis fibrosis staged by ultrasound. Cultured macrophages (RAW264.7 and primary rat Kupffer cells) and primary rat liver sinusoidal endothelial cells (LSEC) were treated with schistosome egg antigen (SEA) and evaluated using qRT-PCR. Inhibition of the Hedgehog pathway was used to investigate its role in alternative activation of macrophages (M2) and vascular tube formation.

resultsPatients with schistosomiasis expressed more ligands (Shh and Ihh) and target genes (Patched and Gli2) than healthy individuals. Activated LSEC and myofibroblasts were Hedgehog responsive [Gli2(+)] and accumulated in parallel with fibrosis stage (P < 0.05). Double IHC for Ihh/CD68 showed that Ihh(+) cells were macrophages. In vitro studies demonstrated that SEA-stimulated macrophages to express Ihh and Shh mRNA (P < 0.05). Conditioned media from such macrophages induced luciferase production by Shh-LightII cells (P < 0.001) and Hedgehog inhibitors blocked this effect (P < 0.001). SEA-treated macrophages also up-regulated their own expression of M2 markers, and Hh pathway inhibitors abrogated this response (P < 0.01). Inhibition of the Hedgehog pathway in LSEC blocked SEA-induced migration and tube formation.

conclusionSEA stimulates liver macrophages to produce Hh ligands, which promote alternative activation of macrophages, fibrogenesis and vascular remodelling in schistosomiasis.

Indexed as

Neovascularization, PathologicSignal TransductionAdultAnimalsBiopsyCell LineEndothelial CellsFemaleGenes, ReporterHedgehog ProteinsHumansImmunohistochemistryKupffer CellsLigandsLiverLiver CirrhosisHedgehog ProteinsIHH protein, humanihh protein, mouseIhh protein, ratLigandsSHH protein, humanShh protein, rat

Identifiers

PMID23121638
PMCPMC3518740
OpenAlexW2011607469

What OpenQuestion holds

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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.