Evidence map›Paper›PMID 23369794›Full record

ArticleJournal of hepatology2013

Differential effects of norUDCA and UDCA in obstructive cholestasis in mice.

Peter Fickert, Marion J Pollheimer, Dagmar Silbert, Tarek Moustafa, Emina Halilbasic, Elisabeth Krones, Franziska Durchschein, Andrea Thüringer, Gernot Zollner, Helmut Denk and 1 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of hepatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 97 citations in OpenAlex.

  1. Nor-ursodeoxycholic acid in hepatobiliary diseases: A narrative review.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Emerging Therapeutic Strategies in The Fight Against Primary Biliary Cholangitis.Journal of clinical and translational hepatology · 2023
    Review
  8. A modular analysis of bile canalicular function and its implications for cholestasis.American journal of physiology. Gastrointestinal and liver physiology · 2023
    Review
  9. Article
  10. Current and future opportunities for the management of primary biliary cholangitis.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Cholestatic liver diseases: An era of emerging therapies.World journal of clinical cases · 2019
    Review
  17. Animal models to study bile acid metabolism.Biochimica et biophysica acta. Molecular basis of disease · 2019
    Review
  18. Article
  19. Therapeutic Roles of Bile Acid Signaling in Chronic Liver Diseases.Journal of clinical and translational hepatology · 2018
    Review
  20. Review
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

11 authors at 2 institutions in 1 country.

Peter FickertLaboratory of Experimental and Molecular Hepatology, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Austria. peter.fickert@medunigraz.at
Marion J Pollheimer
Dagmar Silbert
Tarek Moustafa
Emina Halilbasic
Elisabeth Krones
Franziska Durchschein
Andrea Thüringer
Gernot Zollner
Helmut Denk
Michael Trauner
Medical University of Graz · ATMedical University of Vienna · AT

Funding

Austrian Science Fund FWF F 3517Austrian Science Fund FWF P 19118
6 · The paper itself

Abstract

BACKGROUND &

aimsThe quest for effective drugs to treat cholangiopathies led to the development of norUDCA previously shown to have potent choleretic effects and to heal cholangiopathy in Abcb4 knockout (Abcb4(-/-)) mice. Its mother compound UDCA had detrimental effects in common bile duct ligated (CBDL) mice, presumably related to its choleretic effects. norUDCA choleretic effects may therefore raise safety concerns when used in cholangiopathies with biliary obstruction. We therefore aimed at comparing the effects of UDCA and norUDCA in clear-cut obstructive cholestasis.

methods0.5% UDCA- or norUDCA-fed wild type and Abcb4(-/-) mice were subjected to CBDL or selective bile duct ligation (SBDL) and compared to controls with regard to liver injury. Bile flow, bile composition, and biliary manometry were compared in UDCA-fed, norUDCA-fed and control mice. Toxicity of UDCA and norUDCA was compared in vitro.

resultsCompared to UDCA, liver injury in CBDL mice was significantly lower in almost all norUDCA groups. In SBDL mice, only UDCA induced bile infarcts in the ligated lobes, whereas norUDCA even ameliorated liver injury. In vitro, UDCA induced cellular ATP depletion and was significantly more toxic than norUDCA in HepG2 cells, mouse bile duct epithelial cells, and primary human hepatocytes.

conclusionsCompared to norUDCA, UDCA is significantly more toxic in CBDL mice. norUDCA, in contrast to UDCA, significantly ameliorates liver injury in SBDL mice. Our findings uncover profound differences in metabolism and therapeutic mechanisms of both bile acids with important clinical consequences.

Indexed as

Adenosine TriphosphateAnimalsBicarbonatesCholestasisHumansMaleMiceMice, Inbred C57BLUrsodeoxycholic Acid24-norursodeoxycholic acidAdenosine TriphosphateBicarbonatesUrsodeoxycholic Acid

Identifiers

PMID23369794
PMCPMC3650580
OpenAlexW2021394453

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.