Evidence map›Paper›PMID 23515440›Full record

ArticleAnnals of the rheumatic diseases2014

A synthetic PPAR-γ agonist triterpenoid ameliorates experimental fibrosis: PPAR-γ-independent suppression of fibrotic responses.

Jun Wei, Hongyan Zhu, Kazuhiro Komura, Gabriel Lord, Michal Tomcik, Wenxia Wang, Sruthi Doniparthi, Zenshiro Tamaki, Monique Hinchcliff, Joerg H W Distler and 1 more

Abstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
5.1field-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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. A broad look into the future of systemic sclerosis.Therapeutic advances in musculoskeletal disease · 2022
    Review
  14. Review
  15. Upcoming treatments for morphea.Immunity, inflammation and disease · 2021
    Review
  16. Updates on genetics in systemic sclerosis.Inflammation and regeneration · 2021
    Review
  17. Review
  18. Sitagliptin Inhibits Extracellular Matrix Accumulation and Proliferation in Lung Fibroblasts.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  19. Therapeutic potential of PPARγ natural agonists in liver diseases.Journal of cellular and molecular medicine · 2020
    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 3 institutions in 3 countries.

Jun WeiDivision of Rheumatology, Northwestern University Feinberg School of Medicine, , Chicago, Illinois, USA.
Hongyan Zhu
Kazuhiro Komura
Gabriel Lord
Michal Tomcik
Wenxia Wang
Sruthi Doniparthi
Zenshiro Tamaki
Monique Hinchcliff
Joerg H W Distler
John Varga
Northwestern University · USCharles University · CZFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

The Role of Keratinocytes as Independent ThermosensorsP30AR057216 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GUITART, JOAN · 2009 to 2018
$6.0M
Fibroblast TGF-beta/Smad Signaling in SclerodermaR01AR049025 · NIAMS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI VARGA, JOHN · 2002 to 2012
$3.7M
Predictive Ability of Gene Expression Signatures In Skin as SSc BiomarkersK23AR059763 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HINCHCLIFF, MONIQUE EVANGELINE · 2013 to 2015
$390k
NIAMS NIH HHS AR-49025NIAMS NIH HHS K23 AR059763NIAMS NIH HHS P30 AR057216NIAMS NIH HHS R01 AR049025
6 · The paper itself

Abstract

backgroundPersistent fibroblast activation initiated by transforming growth factor β (TGF-β) is a fundamental event in the pathogenesis of systemic sclerosis, and its pharmacological inhibition represents a potential therapeutic strategy. The nuclear receptor, peroxisome proliferator-activated receptor γ (PPAR-γ), exerts potent fibrotic activity. The synthetic oleanane triterpenoid, 2-cyano-3,12-dioxo-olean-1,9-dien-28-oic acid (CDDO), is a PPAR-γ agonist with potential effects on TGF-β signalling and dermal fibrosis.

objectiveTo examine the modulation of fibrogenesis by CDDO in explanted fibroblasts, skin organ cultures and murine models of scleroderma. MATERIAL AND

methodsThe effects of CDDO on experimental fibrosis induced by bleomycin injection or by overexpression of constitutively active type I TGF-β receptor (TgfbR1ca) were evaluated. Modulation of fibrotic gene expression was examined in human skin organ cultures. To delineate the mechanisms underlying the antifibrotic effects of CDDO, explanted skin fibroblasts cultured in two-dimensional monolayers or in three-dimensional full-thickness human skin equivalents were studied.

resultsCDDO significantly ameliorated dermal fibrosis in two complementary mouse models of scleroderma, as well as in human skin organ cultures and in three-dimensional human skin equivalents. In two-dimensional monolayer cultures of explanted normal fibroblasts, CDDO abrogated fibrogenic responses induced by TGF-β. These CDDO effects occurred via disruption of Smad-dependent transcription and were associated with inhibition of Akt activation. In scleroderma fibroblasts, CDDO attenuated the elevated synthesis of collagen. Remarkably, the in vitro antifibrotic effects of CDDO were independent of PPAR-γ.

conclusionsThe PPAR-γ agonist triterpenoid CDDO attenuates fibrogenesis by antagonistically targeting canonical TGF-β/Smad and Akt signalling in a PPAR-γ-independent manner. These findings identify this synthetic triterpenoid as a potential new therapy for the control of fibrosis.

Indexed as

AdipogenesisAdultAnimalsBiopsyCells, CulturedCollagenDisease Models, AnimalDrug Evaluation, PreclinicalFemaleFibroblastsFibrosisHumansInfant, NewbornMiceMice, Inbred C57BLOleanolic Acid2-cyano-3,12-dioxoolean-1,9-dien-28-oic acidCollagenOleanolic AcidPPAR gammaProto-Oncogene Proteins c-aktTransforming Growth Factor betaCDDOfibroblastfibrosismurine sclerodermaPPAR-γTGF-βtriterpenoid

Identifiers

PMID23515440
PMCPMC4028127
OpenAlexW2138309359

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.